Adherence to Epilepsy’s Medical Recommendations

The primary problem in the treatment of epilepsy is poor seizure control. Several studies have shown that non-adherence to doctors’ recommendations regarding drug dosage, time of drug administration as well as lifestyle modifications are the most frequent causes of the persistence or reoccurrence of...

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Main Authors: Anna Jopowicz, Agnieszka Piechal, Elżbieta Bronisz, Iwona Kurkowska-Jastrzębska
Format: Article
Language:English
Published: MDPI AG 2024-03-01
Series:Brain Sciences
Subjects:
Online Access:https://www.mdpi.com/2076-3425/14/3/255
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author Anna Jopowicz
Agnieszka Piechal
Elżbieta Bronisz
Iwona Kurkowska-Jastrzębska
author_facet Anna Jopowicz
Agnieszka Piechal
Elżbieta Bronisz
Iwona Kurkowska-Jastrzębska
author_sort Anna Jopowicz
collection DOAJ
description The primary problem in the treatment of epilepsy is poor seizure control. Several studies have shown that non-adherence to doctors’ recommendations regarding drug dosage, time of drug administration as well as lifestyle modifications are the most frequent causes of the persistence or reoccurrence of seizures, other than cases of misdiagnosis and poor drug selection. The aim of this study was to assess the prevalence of non-compliance with medical recommendations, both in relation to medicine dosage, regularity of administration and lifestyle, and also to determine the factors affecting patients with diagnosed epilepsy. This study was carried out on a total of 169 patients diagnosed with epilepsy who were under the care of an outpatient neurology clinic. The assessment of compliance was performed using the Patient Rating of Compliance Scale (PRCS), Clinician Rating Scale (CRS) and authors’ scale. Depending on the scale used, varying degrees of non-compliance were noted. They were as follows—65.3% on the authors’ scale, 10% on the PRCS and 9% on the CRS. The following factors influenced compliance with doctors’ recommendations: type of epilepsy, consumption of alcoholic beverages, frequency of follow-up visits to the neurology clinic, type of pharmacotherapy and number of medicines taken.
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spelling doaj.art-e7d5b4917ddd4d7e87d01dbf0f580eff2024-03-27T13:28:46ZengMDPI AGBrain Sciences2076-34252024-03-0114325510.3390/brainsci14030255Adherence to Epilepsy’s Medical RecommendationsAnna Jopowicz0Agnieszka Piechal1Elżbieta Bronisz2Iwona Kurkowska-Jastrzębska3Department of Rehabilitation, Eleonora Reicher National Institute of Geriatrics, Rheumatology and Rehabilitation, Spartańska 1, 02-637 Warsaw, PolandSecond Department of Neurology, Institute of Psychiatry and Neurology, Sobieskiego 9, 02-957 Warsaw, PolandSecond Department of Neurology, Institute of Psychiatry and Neurology, Sobieskiego 9, 02-957 Warsaw, PolandSecond Department of Neurology, Institute of Psychiatry and Neurology, Sobieskiego 9, 02-957 Warsaw, PolandThe primary problem in the treatment of epilepsy is poor seizure control. Several studies have shown that non-adherence to doctors’ recommendations regarding drug dosage, time of drug administration as well as lifestyle modifications are the most frequent causes of the persistence or reoccurrence of seizures, other than cases of misdiagnosis and poor drug selection. The aim of this study was to assess the prevalence of non-compliance with medical recommendations, both in relation to medicine dosage, regularity of administration and lifestyle, and also to determine the factors affecting patients with diagnosed epilepsy. This study was carried out on a total of 169 patients diagnosed with epilepsy who were under the care of an outpatient neurology clinic. The assessment of compliance was performed using the Patient Rating of Compliance Scale (PRCS), Clinician Rating Scale (CRS) and authors’ scale. Depending on the scale used, varying degrees of non-compliance were noted. They were as follows—65.3% on the authors’ scale, 10% on the PRCS and 9% on the CRS. The following factors influenced compliance with doctors’ recommendations: type of epilepsy, consumption of alcoholic beverages, frequency of follow-up visits to the neurology clinic, type of pharmacotherapy and number of medicines taken.https://www.mdpi.com/2076-3425/14/3/255adherencecomplianceepilepsytreatment
spellingShingle Anna Jopowicz
Agnieszka Piechal
Elżbieta Bronisz
Iwona Kurkowska-Jastrzębska
Adherence to Epilepsy’s Medical Recommendations
Brain Sciences
adherence
compliance
epilepsy
treatment
title Adherence to Epilepsy’s Medical Recommendations
title_full Adherence to Epilepsy’s Medical Recommendations
title_fullStr Adherence to Epilepsy’s Medical Recommendations
title_full_unstemmed Adherence to Epilepsy’s Medical Recommendations
title_short Adherence to Epilepsy’s Medical Recommendations
title_sort adherence to epilepsy s medical recommendations
topic adherence
compliance
epilepsy
treatment
url https://www.mdpi.com/2076-3425/14/3/255
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AT agnieszkapiechal adherencetoepilepsysmedicalrecommendations
AT elzbietabronisz adherencetoepilepsysmedicalrecommendations
AT iwonakurkowskajastrzebska adherencetoepilepsysmedicalrecommendations