Self-management in epilepsy: Why and how you should incorporate self-management in your practice.
Self-management in epilepsy: Why and how you should incorporate self-management in your practice.
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DOI：
10.1016/j.yebeh.2016.11.015
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发表时间：
2017-03
期刊：
影响因子：
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通讯作者：
Centers for Disease Control and Prevention Managing Epilepsy Well Network
中科院分区：
文献类型：
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作者：
Helmers SL;Kobau R;Sajatovic M;Jobst BC;Privitera M;Devinsky O;Labiner D;Escoffery C;Begley CE;Shegog R;Pandey D;Fraser RT;Johnson EK;Thompson NJ;Horvath KJ;Centers for Disease Control and Prevention Managing Epilepsy Well Network
癫痫给那些受此病影响的人以及家庭成员和提供者带来许多挑战[1，2]。癫痫提供者经常就癫痫和相关的健康问题对患者进行教育和咨询。然而，癫痫患者几乎所有的时间都不在医生的办公室里。提供者不能支持和监测治疗依从性、情绪或提高患者的健康行为、应对技能和日常生活质量。提供者也可能无法识别或治疗常见的并存疾病，如抑郁、焦虑、认知障碍和睡眠障碍，这些疾病会对癫痫控制和生活质量产生不利影响[3-4]。往往缺乏一个多学科团队，或者没有足够的临床接触时间，提供者不能完全满足癫痫患者的这些和相关的心理社会需求[5]。引进和鼓励
Epilepsy presents many challenges for those affected by the disease as well as for family members and providers [1, 2]. Epilepsy providers routinely educate and counsel patients on their epilepsy and related health issues. Yet, people with epilepsy spend almost all of their time outside of their doctor’s office. Providers cannot support and monitor treatment adherence, mood, or enhance their patients’ healthful behaviors, coping skills, and quality of life on a daily basis. Providers may also fail to recognize or treat common co-morbidities such as depression, anxiety, cognitive impairment, and sleep disorders that can adversely affect seizure control and quality of life [3–4]. Often lacking a multidisciplinary team, or having insufficient time in clinical encounters, providers cannot fully address these and related psychosocial needs of their patients with epilepsy [5]. Introducing and encouraging