Research Article
Volume 3 Issue 3 - 2021
Impact of Applying Evidence-Based Guidelines for Epileptic Patient on Their Knowledge, Self-Efficacy, Drug Adherence and Quality of Life
Fathia Ahmed Mersal1*, Shereen Ahmed Ahmed Qalawa2 and Amany Gamal Algharib3
1Professor, Community Health Nursing, Faculty of Nursing, Ain Shams University, Egypt
2Assistant Professor, Medical, Surgical Nursing, Faculty of Nursing, Port-Said University, Egypt
3Lecturer, Medical, Surgical Nursing, Faculty of Nursing, Port-Said University, Egypt
*Corresponding Author: Fathia Ahmed Mersal, Professor, Community Health Nursing, Faculty of Nursing, Ain Shams University, Egypt.
Received: May 01, 2020; Published: February 27, 2021


Background: Epilepsy is considered as a chronic brain disorder characterized by recurrent derangement of the nervous system caused by sudden extreme discharge of the cerebral neurons.

Aim and Objective: To evaluate the impact of applying evidence-based guidelines for epileptic patient on their knowledge, self efficacy, drug adherence and quality of life. Design: A Quasi-experimental design.

Methods: The study was conducted on 54 epileptic patients underlying three phases; assessment, planning, implementing, and  evaluating phase which emphasized on estimating the effect of the evidence based guidelines implementation  before (Pre-test) and  re-interviewed after one month and four months of implementation for the guidelines to assess their knowledge, self efficacy, drug adherence and quality of life (posttest, follow-up). 

Results: Reflected that there are a significant  positive correlation were found  between epileptic patient's  self efficacy and their family history, level of education  and between total epileptic patients knowledge  and their marital status  in the posttest phase (Ps = .040, .013, .049) respectively .Also, the mean scores of epileptic patient's knowledge pre-implementing guidelines phase was 17.28 which improved post implementing guidelines phase to 21.54 while it slightly decreased in flow up phase to 19.79.

Conclusion: The majority of epileptic patients had low self efficacy and quality of life levels in the pre implementation of guidelines phase comparing to Post and follow-up guideline implementation phases. Also, the majority of them had high knowledge and perception level in the item related to disease crisis, perception of anticonvulsant drugs and adherence at post and follow-up guidelines implementation phases. Relevance to clinical practice: There are obvious needs to activate implementation of epileptic guidelines manual in the hospitals.

Keywords: Impact; Applying; Evidence-Based; Guidelines; Epileptic Patient; Knowledge; Self  Efficacy; Drug Adherence; Quality of Life


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Citation: Fathia Ahmed Mersal., et al. “Impact of Applying Evidence-Based Guidelines for Epileptic Patient on Their Knowledge, Self- Efficacy, Drug Adherence and Quality of Life”. EC Nursing and Healthcare 3.3 (2021): 40-54.

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