Epilepsy self-management: a comparison of self-efficacy and outcome expectancy for medication adherence and lifestyle behaviors among people with epilepsy
Epilepsy self-management: a comparison of self-efficacy and outcome expectancy for medication adherence and lifestyle behaviors among people with epilepsy
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DOI：
10.1016/s1525-5050(03)00057-x
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发表时间：
2003-06-01
影响因子：
2.6
通讯作者：
DiIorio, C
中科院分区：
文献类型：
--
作者：
Kobau, R;DiIorio, C
本研究的目的是描述108名成人癫痫患者对药物、癫痫发作和生活方式管理行为的自我效能感信念和结果预期。参与者对癫痫自我效能和癫痫结果预期量表做出了反应。确定了可改变的行为风险因素，如遵循药物剂量计划的信心、药物补充计划、应对药物不良反应、获得充足睡眠、避免饮酒和获得社会支持。与健康生活方式行为相比，更大比例的人报告药物管理行为的自我效能更高。这项研究的发现扩展了先前对慢性病的研究，表明个体可能坚持药物治疗，但不坚持预防和治疗慢性病所必需的健康生活方式行为。低自我效能感的个体将受益于提高效能感信念的干预措施，以增强他们采用和保持良好自我管理实践的能力。(C) 2003 Elsevier Science（美国）版权所有。
The purpose of this study was to describe self-efficacy beliefs and outcome expectancies toward medication, seizure, and lifestyle management behaviors among 108 adults with epilepsy. Participants responded to an adapted version of the Epilepsy Self-Efficacy and Epilepsy Outcome Expectancy scales. Modifiable behavioral risk factors such as confidence for following medication dosing schedule, planning for medication refills, coping with adverse effects of medication, getting sufficient sleep, avoiding alcohol, and obtaining social support were identified. A larger proportion of persons reported higher self-efficacy for medication management behaviors than for healthful lifestyle behaviors. Findings from this study extend previous research on chronic disease that showed that individuals may be adherent with medication therapy, but not with healthful lifestyle behaviors necessary for the prevention and treatment of chronic disease. Individuals with low self-efficacy would benefit from interventions that increase efficacy beliefs to enhance their ability to adopt and maintain good self-management practices. (C) 2003 Elsevier Science (USA). All rights reserved.