Implementation of an epilepsy self-management protocol.

Area of Science:

• Neurology
• Patient Education
• Health Behavior

Background:

• Patients with epilepsy often express dissatisfaction with current disease management education.
• Effective patient education is crucial for managing epilepsy and improving health outcomes.

Purpose of the Study:

• To assess the knowledge and self-management behaviors of epilepsy patients in an outpatient setting.
• To evaluate the effectiveness of a newly implemented epilepsy self-management protocol using the Epilepsy Self-Management Scale (ESMS).

Main Methods:

• Developed and implemented an evidence-based epilepsy self-management protocol involving patient evaluation (ESMS), individualized education, and follow-up.
• Utilized Pender's health promotion model and Rogers' diffusion of innovation theory.
• Assessed patient self-management using the ESMS before and after protocol implementation with 20 participants.

Main Results:

• ESMS scores significantly increased from pre- to post-implementation, indicating improved self-management.
• Seizure and information management were identified as the most challenging self-management areas for patients.
• Protocol modifications suggested include enhanced safety information (e.g., medical alert bracelets, driving regulations).

Conclusions:

• The Epilepsy Self-Management Scale (ESMS) is a suitable tool for assessing patient self-management behaviors in epilepsy.
• Epilepsy self-management protocols should incorporate both verbal and written educational components.
• Enhanced patient education on self-management strategies can potentially lead to better health outcomes for individuals with epilepsy.