自我管理計畫對癲癇病患的成效

Effects of Self-Management Program on Epilepsy Patients

葉美玉(Mei-Yu Yeh) ； 梁淑華(Shu-Hua Liang)

《健康促進暨衛生教育雜誌》 27期 (2007/12) Pp. 47-62

摘要

目的：本研究目的主要在評價自我管理計畫對癲癇病患的成效。
方法：分三階段進行，第一階段由神經科門診主治醫師轉介，經受訪病人書面同意，以半結構式訪談指引評估病患自我管理計畫。第二階段以自我管理計畫為概念架構，設計癲癇自我管理衛教教材。第三階段舉辦衛教講座及經驗分享，採單組前後測的類實驗法設計，於參與衛教講座及經驗分享前後，評價自我管理計畫的成效。
結果：個案的自我管理計畫，包括發作預防管理、發作管理、日常生活管理三個面向。其內涵包括養成長期規律的服藥習慣，採取計畫性表露病情(planned disclosure)，以取得較佳的人際對待與社交情境。衛教講座及經驗分享對患者的自我效能人生態度面向有正面的影響。
建議：為提升患者的生活品質，醫療服務體系應提供自我管理計畫，協助患者滿足需求。

關鍵字

癲癇 ； 自我管理計畫 ； 自我效能

並列摘要

Objective:
The objective of this research is to evaluate the effects of self management program on epilepsy patients.
Methods:
This study was subdivided into three phases. The epilepsy patients, who were referred by the neurology outpatient clinic and had signed inform consent, were guided to learned self-management program by a semi-structured interview guide in the first phase. The second phase was planned to design health education materials for epilepsy patients based on the concept of self-management. The third phase is to provide a lecture of health education and sharing experiences. A one-group pretest-posttest quasi-experimental design was then used to evaluate the effects of the self-management program.
Results:
The epilepsy patients' self-management program include seizure prevention, seizure control and life management. It comprises forming a habit of regular medication, taking planned disclosure, and gaining better interpersonal relationship and social contact. The health education program was also helpful to their self-efficacy and positive life-attitude.
Suggestion:
To improve lift quality, health care facilities should provide self-management program to meet the epilepsy patients' needs.

並列關鍵字

epilepsy ； self-management program ； self-efficacy