Evidence-based evaluation of influencing factors, intervention measures and management mode of epilepsy patients in China_Journal of Epilepsy

Authors：

YANG Chunsong ^1,2 ,  ZHANG Lingli ^1,2 , YANG Yaya ^1,2 , TAO Qiuji ³ , YU Dan ³

1. Department of Pharmacy/Evidence-based Pharmacy Center, West China Second Hospital, Sichuan University, Chengdu 610041, China;
2. Key Laboratory of Birth Defects and Related Diseases of Women and Children, Sichuan University, Ministry of Education, Chengdu 610041, China;
3. Department of Pediatric Neurology, West China Second Hospital, Sichuan University, Chengdu 610041, China;

Corresponding?author：

ZHANG Lingli, Email: zhlingli@sina.com

Keywords：

Epilepsy; Self-management; Evidence-based evaluation

DOI：

10.7507/2096-0247.202304005

Video：

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Objective To systematically evaluate the influencing factors, intervention measures and management mode of epilepsy patients in China, so as to provide evidence support for ensuring the therapeutic effect of epilepsy patients. Methods PubMed, EMBASE, Cochrane Library, CBM, CNKI, VIP, Wanfang and other domestic and foreign databases were systematically searched, and the literature on influencing factors, intervention measures and management modes of self-management behavior of epilepsy patients in China was included. Descriptive methods were used to analyze the results. Results A total of 21 studies were included, including 2 studies on influencing factors, 14 studies on intervention measures and 5 studies on management mode. The participants of 20 studies is adult epilepsy patients, and one study is adolescent epilepsy aged 13 ~ 17, with a sample size of 40 ~ 327 cases and a median sample size of 70 cases. The results showed that self-management behavior is positively correlated with self-efficacy, bachelor degree or above, female and operation duration < 3 hours, and negatively correlated with 30 ~ 50 years old. The self-management behavior scale score, medication compliance, treatment satisfaction, quality of life, seizure frequency, symptom checklist, anxiety and depression score in the intervention group were better than those in the control group. After the intervention of self- management mode, the self-management score, treatment efficiency, quality of life and medication compliance of the intervention group were better than those of the control group. Conclusions The level of self-management of epilepsy patients in China is insufficient, and the influencing factors and intervention measures are single, lacking integrated intervention measures and management models based on different levels of individuals, families, medical system and society. It is suggested that the self-management model of epileptic patients should be constructed based on evidence to improve self-efficacy and self-management level.

Citation： YANG Chunsong, ZHANG Lingli, YANG Yaya, TAO Qiuji, YU Dan. Evidence-based evaluation of influencing factors, intervention measures and management mode of epilepsy patients in China. Journal of Epilepsy, 2023, 9(4): 300-305. doi: 10.7507/2096-0247.202304005 Copy

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2.	World Health Organization?. Improving the lives of people with epilepsy: a technical brief. ?2022.
3.	Samsonsen C, Reimers A, Br?then G, et al. Nonadherence to treatment causing acute hospitalizations in people with epilepsy: an observational, prospective study. Epilepsia, 2014, 55(11): 125-128.
4.	Devinsky O, Ryvlin P, Friedman D. Preventing sudden unexpected death in epilepsy. JAMA Neurol, 2018, 75(5): 531-532.
5.	Allegrante JP, Wells MT, Peterson JC. Interventions to support behavioral self-management of chronic diseases. Annu Rev Public Health, 2019, 40: 127-146.
6.	Luedke MW, Blalock DV, Goldstein KM, et al. Self-management of epilepsy: a systematic review. Ann Intern Med, 2019, 171(2): 117-126.
7.	Fleeman N, Bradley PM, Panebianco M, et al. Care delivery and self-management strategies for children with epilepsy. Cochrane Database Syst Rev, 2022, 4(4): CD006245.
8.	Lewinski AA, Shapiro A, Gierisch JM, et al. Barriers and facilitators to implementation of epilepsy self-management programs: a systematic review using qualitative evidence synthesis methods. Syst Rev, 2020, 9(1): 92.
9.	Russ SA, Larson K, Halfon N. A national profile of childhood epilepsy and seizure disorder. Pediatrics, 2012, 129(2): 256-264.
10.	Wagner JL, Modi AC, Johnson EK, et al. Self-management interventions in pediatric epilepsy: what is the level of evidence? Epilepsia, 2017, 58（5）: 743-754.
11.	Smith G, Modi AC, Johnson EK, et al. Measurement in pediatric epilepsy self-management: a critical review. Epilepsia, 2018, 59(3): 509-522.
12.	張曉艷, 楚平華, 魏貴明. 癲癇患者自我效能與自我管理行為的相關性研究. 護理管理雜志, 2008, (1): 4-6.
13.	金鶯, 陳蓓妮, 金笑言, 等. 上海華山醫院神經外科圍手術期癲癇患者自我管理能力影響因素分析. 復旦學報(醫學版), 2023, 50(1): 108-113.
14.	王彩霞, 趙佳維, 王曉新, 等. 基于癲癇日記APP的遠程干預應用于青少年癲癇患者的效果. 中西醫結合護理(中英文), 2021, 7(4): 76-78.
15.	袁曉莉, 袁清. 健康教育對癲癇患者自我管理行為的影響. 慢性病學雜志, 2010, 12(7): 654-655.
16.	夏季, 任興乾. 健康教育對癲癇患者自我管理行為的影響體會. 現代養生, 2016, (12): 208.
17.	胡銘, 楊秀華, 徐翠福, 等. 量化評估策略下護理干預對癲癇患者自我管理行為及生活質量的影響. 世界臨床醫學, 2018, 12(1): 45-46, 48.
18.	王曉娟, 胡永芳, 雍莉, 等. 成年癲癇患者自我管理干預研究. 護士進修雜志, 2012, 27(18): 1669-1672.
19.	劉秀英, 陳鎖紅, 費網華, 等. 敘事護理對成人癲癇病人不良情緒、自我管理能力、生活質量的影響研究. 全科護理, 2022, 20(4): 526-529.
20.	唐珊, 楊輝. 護理結局分類在原發性癲癇病人自我管理狀況評價中的應用. 護理研究, 2015, 29(35): 4466-4467.
21.	阮麗芬, 周斯敏, 謝艷秋, 等. 護理結局分類在原發性癲癇患者自我管理狀況評價中的應用價值研究. 中醫臨床研究, 2016, 8(12): 33-35.
22.	王影. 護理結局分類在原發性癲癇患者自我管理狀況評價中的應用價值研究. 中國醫藥指南, 2016, 14(34): 200-201.
23.	鐘志靜. 護理結局分類在原發性癲癇患者自我管理狀況評價中的應用價值研究. 實用臨床護理學電子雜志, 2017, 2(18): 3-4.
24.	王靳君, 姚蘭, 王瑩, 等. 護理結局分類在原發性癲癇患者自我管理狀況評價中的應用效果觀察. 中國現代醫生, 2017, 55(6): 154-156.
25.	陳小利. 護理結局分類在原發性癲癇患者自我管理狀況評價中的效果. 當代臨床醫刊, 2021, 34(5): 106+85.
26.	邵春曉, 鄭珊珊. 護理結局分類在原發性癲癇患者自我管理狀況評價中的效果. 包頭醫學院學報, 2019, 35(03): 84-86.
27.	Yang Si, Xiaoqiang Xiao, Cai Xia, et al. Optimising epilepsy management with a smartphone application: a randomised controlled trial. Med J Aust, 2020, 212(6): 258-262.
28.	王鳴璐, 王環鑫, 劉世浩, 等. 基于治療藥物監測數據的癲癇自我管理移動應用程序的開發設計. 臨床藥物治療雜志, 2019, 17(8): 86-89+92.
29.	劉春蘭, 郭巧容, 何小青. 疾病自我管理模式對癲癇患者自理能力和生活質量的影響. 廣東醫學院學報, 2014, 32(3): 397-398.
30.	郭玉潔, 陳小利, 解紫晉, 等. 藥物難治性癲癇患者迷走神經刺激術后自我管理模式的應用探討. 癲癇與神經電生理學雜志, 2022, 31(6): 341-346.
31.	陳莎莎. 以互聯網為基礎自我行為管理模式用于癲癇患者的可行性研究. 護理實踐與研究, 2020, 17(22): 43-45.
32.	Meiling Hu, Chenqi Zhang, Xiaoqiang Xiao, et al. Effect of intensive self-management education on seizure frequency and quality of life in epilepsy patients with prodromes or precipitating factors. Seizure, 2020, 78: 38-42.
33.	Fleeman N, Bradley PM. Care delivery and self management strategies for children with epilepsy. Cochrane Database Syst Rev, 2018, 3: CD006245.
34.	Orla Mooney, Aoife McNicholl, Veronica Lambert, et al. Self-management in children and young people with epilepsy: a systematic review and qualitative meta-synthesis. J Health Psychol, 2021, 26（1）: 126-139.

1. World Health Organization?. Epilepsy: a public health imperative. 2019.
2. World Health Organization?. Improving the lives of people with epilepsy: a technical brief. ?2022.
3. Samsonsen C, Reimers A, Br?then G, et al. Nonadherence to treatment causing acute hospitalizations in people with epilepsy: an observational, prospective study. Epilepsia, 2014, 55(11): 125-128.
4. Devinsky O, Ryvlin P, Friedman D. Preventing sudden unexpected death in epilepsy. JAMA Neurol, 2018, 75(5): 531-532.
5. Allegrante JP, Wells MT, Peterson JC. Interventions to support behavioral self-management of chronic diseases. Annu Rev Public Health, 2019, 40: 127-146.
6. Luedke MW, Blalock DV, Goldstein KM, et al. Self-management of epilepsy: a systematic review. Ann Intern Med, 2019, 171(2): 117-126.
7. Fleeman N, Bradley PM, Panebianco M, et al. Care delivery and self-management strategies for children with epilepsy. Cochrane Database Syst Rev, 2022, 4(4): CD006245.
8. Lewinski AA, Shapiro A, Gierisch JM, et al. Barriers and facilitators to implementation of epilepsy self-management programs: a systematic review using qualitative evidence synthesis methods. Syst Rev, 2020, 9(1): 92.
9. Russ SA, Larson K, Halfon N. A national profile of childhood epilepsy and seizure disorder. Pediatrics, 2012, 129(2): 256-264.
10. Wagner JL, Modi AC, Johnson EK, et al. Self-management interventions in pediatric epilepsy: what is the level of evidence? Epilepsia, 2017, 58（5）: 743-754.
11. Smith G, Modi AC, Johnson EK, et al. Measurement in pediatric epilepsy self-management: a critical review. Epilepsia, 2018, 59(3): 509-522.
12. 張曉艷, 楚平華, 魏貴明. 癲癇患者自我效能與自我管理行為的相關性研究. 護理管理雜志, 2008, (1): 4-6.
13. 金鶯, 陳蓓妮, 金笑言, 等. 上海華山醫院神經外科圍手術期癲癇患者自我管理能力影響因素分析. 復旦學報(醫學版), 2023, 50(1): 108-113.
14. 王彩霞, 趙佳維, 王曉新, 等. 基于癲癇日記APP的遠程干預應用于青少年癲癇患者的效果. 中西醫結合護理(中英文), 2021, 7(4): 76-78.
15. 袁曉莉, 袁清. 健康教育對癲癇患者自我管理行為的影響. 慢性病學雜志, 2010, 12(7): 654-655.
16. 夏季, 任興乾. 健康教育對癲癇患者自我管理行為的影響體會. 現代養生, 2016, (12): 208.
17. 胡銘, 楊秀華, 徐翠福, 等. 量化評估策略下護理干預對癲癇患者自我管理行為及生活質量的影響. 世界臨床醫學, 2018, 12(1): 45-46, 48.
18. 王曉娟, 胡永芳, 雍莉, 等. 成年癲癇患者自我管理干預研究. 護士進修雜志, 2012, 27(18): 1669-1672.
19. 劉秀英, 陳鎖紅, 費網華, 等. 敘事護理對成人癲癇病人不良情緒、自我管理能力、生活質量的影響研究. 全科護理, 2022, 20(4): 526-529.
20. 唐珊, 楊輝. 護理結局分類在原發性癲癇病人自我管理狀況評價中的應用. 護理研究, 2015, 29(35): 4466-4467.
21. 阮麗芬, 周斯敏, 謝艷秋, 等. 護理結局分類在原發性癲癇患者自我管理狀況評價中的應用價值研究. 中醫臨床研究, 2016, 8(12): 33-35.
22. 王影. 護理結局分類在原發性癲癇患者自我管理狀況評價中的應用價值研究. 中國醫藥指南, 2016, 14(34): 200-201.
23. 鐘志靜. 護理結局分類在原發性癲癇患者自我管理狀況評價中的應用價值研究. 實用臨床護理學電子雜志, 2017, 2(18): 3-4.
24. 王靳君, 姚蘭, 王瑩, 等. 護理結局分類在原發性癲癇患者自我管理狀況評價中的應用效果觀察. 中國現代醫生, 2017, 55(6): 154-156.
25. 陳小利. 護理結局分類在原發性癲癇患者自我管理狀況評價中的效果. 當代臨床醫刊, 2021, 34(5): 106+85.
26. 邵春曉, 鄭珊珊. 護理結局分類在原發性癲癇患者自我管理狀況評價中的效果. 包頭醫學院學報, 2019, 35(03): 84-86.
27. Yang Si, Xiaoqiang Xiao, Cai Xia, et al. Optimising epilepsy management with a smartphone application: a randomised controlled trial. Med J Aust, 2020, 212(6): 258-262.
28. 王鳴璐, 王環鑫, 劉世浩, 等. 基于治療藥物監測數據的癲癇自我管理移動應用程序的開發設計. 臨床藥物治療雜志, 2019, 17(8): 86-89+92.
29. 劉春蘭, 郭巧容, 何小青. 疾病自我管理模式對癲癇患者自理能力和生活質量的影響. 廣東醫學院學報, 2014, 32(3): 397-398.
30. 郭玉潔, 陳小利, 解紫晉, 等. 藥物難治性癲癇患者迷走神經刺激術后自我管理模式的應用探討. 癲癇與神經電生理學雜志, 2022, 31(6): 341-346.
31. 陳莎莎. 以互聯網為基礎自我行為管理模式用于癲癇患者的可行性研究. 護理實踐與研究, 2020, 17(22): 43-45.
32. Meiling Hu, Chenqi Zhang, Xiaoqiang Xiao, et al. Effect of intensive self-management education on seizure frequency and quality of life in epilepsy patients with prodromes or precipitating factors. Seizure, 2020, 78: 38-42.
33. Fleeman N, Bradley PM. Care delivery and self management strategies for children with epilepsy. Cochrane Database Syst Rev, 2018, 3: CD006245.
34. Orla Mooney, Aoife McNicholl, Veronica Lambert, et al. Self-management in children and young people with epilepsy: a systematic review and qualitative meta-synthesis. J Health Psychol, 2021, 26（1）: 126-139.

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