Background and objective: Adherence to medications is the backbone to effectiveness of a treatment. Adherence to antiepileptic drugs (AEDs) is essential to prevent the risk of seizures recurrence. The aims were to study the effect of teaching strategies on adherence to antiepileptic drugs, recurrence of seizures, and identify factors affecting the adherence level among epileptic patients.Methods: Research design: Quasi-experimental design. Setting: Neurology Department at Neurological and Psychiatric Assiut University Hospital. Sample: A purposive sample of sixty male and female adult patients diagnosed with epilepsy. Tools: Tool I-Patient assessment sheet. Tool II-Morisky Medication Adherence Scale. Tool III-Liverpool Seizure Severity Scale.Results: There was a statistically significant difference between pre and post applying of teaching strategies as regard drug adherence and recurrence of seizures among epileptic patients (p < .001). Also, forgetfulness, side effects of medications, and absence of family or friend were the main factors of non- adherence to AEDs.Conclusions and recommendations: Teaching strategies had statistical significant effects on adherence to antiepileptic drugs and on reducing recurrence of seizures among epileptic patients. Simple educational pamphlet for epileptic patients and their family members to improve adherence to AEDs should be available in Neurology Department and Outpatient Neurology Clinics.
Objective: Fall is common in patient with stroke. The aim of the study was to evaluate the effect of an educational rehabilitation program on prevention of falls after stroke.Methods: Quasi-experimental design was utilized. Setting: Neurology Department and Outpatient Clinics at Neurology, Psychiatry and Neurosurgery Hospital at Assiut University. Sample: Sixty adult patients diagnosed with stroke. Patients were equally divided into two equal groups (study and control) 30 patients each. Tools: Tool I-Patient assessment sheet. Tool II-Morse Fall Scale.Results: A statistically significant improvement of circumstances and consequences of falls and decreasing the injuries due to fall (p < .01) among the study group in comparison to the control group ones where, study group showed a decrease in the number of falling episodes (2.07 ± 0.78 vs. 5.4 ± 1.73), an improve in their ability to get up independent (83% vs. 23.3%), no need for medical attention (3.3% vs. 66.7%), and no restriction to their activities after falling (0.0% vs. 56.7%).Conclusions: The educational rehabilitation program had a statistically significant effect on the improvement of circumstances and consequences of falls and decreasing the injuries due to fall among the study group than among the control group. Recommendation: Simple illustrated educational booklets should be available for stroke patients. Replication of this study on a larger sample with extending the follow-up period to 6 months is suggested.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.