Impact of Applying Evidence-Based Guidelines for Epileptic Patient on their Knowledge, Self Efficacy, Drug Adherence and Quality of Life

Abstract

Background: Epilepsy is considered as a chronic brain disorder characterized by recurrent derangement of
the nervous system caused by sudden extreme discharge of the cerebral neurons.
Aim: To evaluate the impact of applying evidence-based guidelines for epileptic patient on their knowledge,
self efficacy, drug adherence and quality of life.
Design: A Quasi-experimental design conducted on 54 epileptic patients underlying three phases;
assessment, planning, implementing,and evaluating phase which emphasized on estimating the effect of the
evidence based guidelines implementation before (Pre-test) and re-interviewed after one month and four
months (follow-up) of implementation for the guidelines.
Results: Reflected that there are a significant positive correlation were found between epileptic patient’s self
efficacy and their family history, level of education and between total epileptic patients knowledge and their
marital status in the posttest phase (Ps = .040, .013, .049) respectively.
Conclusion: The majority of epileptic patients had low self efficacy and quality of life levels in the pre
implementation of guidelines phase comparing to Post and follow-up guideline implementation phases.
Also, the majority of them had high knowledge and perception level in the item related to disease crisis,
perception of anticonvulsant drugs and adherence at post and follow-up guidelines implementation phases.
Relevance to Clinical Practice: There are obvious needs to activate implementation of epileptic guidelines
manual in the hospitals.