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Year : 2015  |  Volume : 16  |  Issue : 2  |  Page : 42-49

Effectiveness of structured educational intervention on knowledge, attitude, and practice of self-management strategies among people with epilepsy

1 Public Health Nurse, North Eastern Indira Gandhi Regional Institute of Health and Medical Sciences, Shillong
2 Professor, College of Nursing, CMC, Vellore, India

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Source of Support: None, Conflict of Interest: None

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In India, the prevalence of epilepsy is about 5.35/1000 and in Vellore it is 3.83/1000. People with epilepsy often have inadequate knowledge of the causes of epilepsy. Educational interventions have been associated with improvements in knowledge, seizure outcomes and coping among people with epilepsy. The main objective of the study was to assess and compare the knowledge, attitude and practice on self-management strategies among people with epilepsy before and after the structured educational intervention. A quasi-experimental study design was used to interview 52 people with epilepsy on self-management strategies of epilepsy with a semi-structured questionnaire and an attitude scale before and after a structured educational intervention using multimedia presentation. A booklet on self-management strategies was also given to the study subjects. Descriptive and inferential statistics were used to analyze the data. The pre-test knowledge of self-management strategies of all people with epilepsy in the study is inadequate compared to 51(98.1%) in the post-test. In the pre-test, 15 (28.8%) people with epilepsy had favourable attitude compared to 18 (34.6%) in the post-test and 30(57.7%) people with epilepsy in the pre-test had adequate practice compared to 40 (76.9%) in the post-test. There were statistically significant increase in knowledge (p<0.001), attitude (p<0.001), and practice scores (p<0.001).There were significant association between post-test attitude with place of treatment (p<0.001), pre-test and post-test practice with place of treatment (p<0.001) and with regularity of treatment (p<0.05). People with epilepsy need to be empowered with more knowledge and skill to have good seizure control.

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