The effect of an educative-supportive program based on the continuous care model on daily living activities and sleep...

The impairment of sleep quality and the occurrence of frequent nocturnal awakenings significantly contribute to the reduction of effective sleep duration in individuals diagnosed with epilepsy. This deterioration not only compromises overall life satisfaction but also adversely affects cognitive functioning and concentration on daily living activities. Therefore, the imperative for enhanced management strategies for this disorder among individuals with epilepsy is critically important. This study is designed to systematically assess the impact of an educational-support program grounded in the Continuous Care Model on the daily living activities and sleep quality of individuals with epilepsy.

This clinical trial was conducted in 2023, involving 70 patients diagnosed with epilepsy, who were selected through purposive sampling and subsequently randomized into intervention and control groups. The intervention group participated in a 12-week program formulated according to the principles of the Continuous Care Model. Data collection was executed utilizing a demographic questionnaire, the Barthel Activities of Daily Living Scale, and the Pittsburgh Sleep Quality Index (PSQI). Statistical analyses were performed using SPSS software version 22 to evaluate the data.

The study population consisted of 42.9 % females and 57.1 % males, with a mean age of 37.8 ± 16.6 years. The mean age for the intervention group was 34.9 ± 12.9 years, while the control group had a mean age of 40.7 ± 19.4 years. Prior to the intervention, no statistically significant differences were identified between the intervention and control groups concerning the mean scores for daily living activities (P = 0.24) and sleep quality (P = 0.377). However, immediately following the intervention and at the two-month follow-up, statistically significant differences were observed between the two groups in the mean scores for daily living activities (P < 0.001) and sleep quality (P < 0.001).

The implementation of a structured care program based on the Continuous Care Model has demonstrated beneficial effects on both daily living activities and sleep quality in individuals with epilepsy. Given its safety profile, cost-effectiveness, and proven efficacy, the integration of this model into standard care practices is strongly advocated to enhance the functional capabilities and sleep quality of individuals living with epilepsy.