Retrospective Study
Copyright ©The Author(s) 2024. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Psychiatry. May 19, 2024; 14(5): 670-677
Published online May 19, 2024. doi: 10.5498/wjp.v14.i5.670
Effects of intensive psychological intervention on treatment compliance, psychological status, and quality of life of patients with epilepsy
Su-Hua Zhang, Jie-Hua Wang, Hong-Yu Liu, Yue-Xia Zhang, Ya-Ling Lin, Bi-Yu Wu
Su-Hua Zhang, Jie-Hua Wang, Hong-Yu Liu, Yue-Xia Zhang, Ya-Ling Lin, Department of Neurology, Quanzhou First Hospital, Quanzhou 362000, Fujian Province, China
Bi-Yu Wu, Department of Nursing, Quanzhou First Hospital, Quanzhou 362000, Fujian Province, China
Author contributions: Zhang SH and Wu BY designed the research and wrote the first manuscript; Zhang SH, Wang JH, Liu HY, Zhang YX, Lin YL and Wu BY contributed to conceiving the research and analyzing data; Zhang SH and Wu BY conducted the analysis and provided guidance for the research; all authors reviewed and approved the final manuscript.
Institutional review board statement: This study was reviewed and approved by the Ethics Committee of Quanzhou First Hospital.
Informed consent statement: All study participants, or their legal guardian, provided informed written consent prior to study enrollment.
Conflict-of-interest statement: There is no conflict of interest.
Data sharing statement: All data and materials are available from the corresponding author.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Bi-Yu Wu, MNurs, Chief Nurse, Department of Nursing, Quanzhou First Hospital, No. 1028 Anji South Road, Fengze District, Quanzhou 362000, Fujian Province, China. Wby202308@126.com
Received: February 19, 2024
Revised: April 4, 2024
Accepted: April 10, 2024
Published online: May 19, 2024
Processing time: 86 Days and 23.9 Hours
Abstract
BACKGROUND

Epilepsy is a nervous system disease characterized by recurrent attacks, a long disease course, and an unfavorable prognosis. It is associated with an enduring therapeutic process, and finding a cure has been difficult. Patients with epilepsy are predisposed to adverse moods, such as resistance, anxiety, nervousness, and anxiety, which compromise treatment compliance and overall efficacy.

AIM

To explored the influence of intensive psychological intervention on treatment compliance, psychological status, and quality of life (QOL) of patients with epilepsy.

METHODS

The clinical data of 105 patients with epilepsy admitted between December 2019 and July 2023 were retrospectively analyzed, including those of 50 patients who underwent routine intervention (control group) and 55 who underwent intensive psychological intervention (research group). Treatment compliance, psychological status based on the Self-Rating Anxiety Scale (SAS) and Depression Scale Self-Rating Depression Scale (SDS) scores, hope level assessed using the Herth Hope Scale (HHS), psychological resilience evaluated using the Psychological Resilience Scale, and QOL determined using the QOL in Epilepsy-31 Inventory (QOLIE-31) were comparatively analyzed.

RESULTS

Treatment compliance in the research group was 85.5%, which is significantly better than the 68.0% of the control group. No notable intergroup differences in preinterventional SAS and SDS scores were identified (P > 0.05); however, after the intervention, the SAS and SDS scores decreased significantly in the two groups, especially in the research group (P < 0.05). The two groups also exhibited no significant differences in preinterventional HHS, Connor-Davidson Resilience Scale (CD-RISC), and QOLIE-31 scores (P > 0.05). After 6 months of intervention, the research group showed evidently higher HHS, CD-RISC, tenacity, optimism, strength, and QOLIE-31 scores (P < 0.05).

CONCLUSION

Intensive psychological intervention enhances treatment compliance, psychological status, and QOL of patients with epilepsy.

Keywords: Intensive psychological intervention; Epilepsy; Treatment compliance; Psychological status; Quality of life

Core Tip: Epilepsy is a common chronic disease of the nervous system. Current treatment of epilepsy is mainly based on symptomatic treatment. Patients with poorly controlled seizures are at a higher risk of depression than those with well-controlled seizures. This study mainly explores the influence of intensive psychological intervention on the treatment compliance, psychological status, and quality of life of patients with epilepsy.