Assessment of Quality of Life of Epileptic Patients in Ethiopia

Muche, Esileman Abdela; Ayalew, Mohammed Biset; Abdela, Ousman Abubeker

doi:10.1155/2020/8714768

Cited by 14 publications

(15 citation statements)

References 30 publications

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“…This finding is consistent with study findings from Jimma University (49.7%) and Addis Ababa at Amanuel specialized hospital (45.8%) [ 27 , 28 ]. It is also in line with a study conducted at the University of Gondar Referral Hospital which has revealed that 44.2% of participants were found to have a poor quality of life [ 31 ]. Researchers in Italy have reported a consistent finding that 43.3% of patients had poor quality of life at a health institution study [ 32 ].…”

Section: Discussionsupporting

confidence: 87%

“…Having moderate to severe anxiety and depression, and other co-morbidities resulted in decreased quality of life in epileptic patients. This finding is supported by studies conducted in China [ 52 ], Ethiopia [ 31 , 49 ], and Kenya [ 53 ]. This could be due to the effect of these problems on quality of life, particularly, in the domains of lethargy/fatigue, and emotional well-being [ 53 ].…”

Section: Discussionsupporting

confidence: 70%

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Quality of life and its associated factors among epileptic patients attending public hospitals in North Wollo Zone, Northeast Ethiopia: A cross-sectional study

et al. 2021

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Background Epilepsy is thought to be caused by witchcraft, evil spirit, and God’s punishment for sins in many developing countries. As a result, people with epilepsy and their families usually suffer from stigma, discrimination, depression, and other psychiatric problems. Thus, this study aimed to assess the quality of life and its associated factors among epileptic patients attending public hospitals in North Wollo Zone, Northeast Ethiopia. Methods An institution-based cross-sectional study design was employed in this study. A simple random sampling technique was utilized. Health-related quality of life was measured based on the total score of the Quality of Life in Epilepsy Inventory (QOLIE-31) instrument. Data were entered into Epi-data 3.1 statistical package and exported to SPSS Version 20 for further analysis. Linear regression models were used to assess the relationship between quality of life and the independent variables. Statistically significant values were declared at a P-value of < 0.05. Results A total of 395 patients participated in the study making the response rate 98.5%. The mean age of the participants was 32.39 ±10.71 years. More than half, 199 (50.4%) of epileptic patients had an overall weighted average health related quality of life score of mean and above. Male sex (B = 4.34, 95%CI, 0.41, 8.27, P = 0.03), higher educational status (B = 7.18, 95%CI, 1.39, 13.00, P = 0.015) and age at onset of epilepsy (B = 0.237, 95%CI, 0.02, 0.45, P = 0.035) were associated with increased health related quality of life score. On the other hand, family history of epilepsy (B = -4.78, 95%CI,-9.24,-0.33, P = 0.035), uncontrolled seizure (B = -11.08, 95%CI,-15.11,-7.05, P < 0.001), more than 5 pre-treatment number of seizures (B = -4.86, 95%CI,-8.91,-0.81, P = 0.019), poor drug adherence (B = -11.65, 95%CI,-16.06,-7.23, P < 0.001), having moderate (B = -4.526, 95%CI,-8.59,-0.46, P = 0.029) to sever (B = -12.84, 95%CI,-18.30,-7.37, P < 0.001) anxiety and depression, believing that epilepsy is caused by evil spirit (B = -7.04, 95%CI,-11.46,-2.61, P = 0.002), drinking alcohol (B = -5.42, 95%CI,-10.72,-0.13, P = 0.045), and having other co-morbidities (B = -9.35, 95%CI,-14.35,-4.36, P < 0.001) were significantly negatively associated with the health related quality of life score among epileptic patients. Conclusions Only around half of the epileptic patients have a good health-related quality of life. In addition, multiple variables including family history, uncontrolled seizure, and poor drug adherence were associated with quality of life among epileptic patients. Hence, targeting these variables in epilepsy management is recommended.

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Section: Discussionsupporting

confidence: 87%

Section: Discussionsupporting

confidence: 70%

Quality of life and its associated factors among epileptic patients attending public hospitals in North Wollo Zone, Northeast Ethiopia: A cross-sectional study

et al. 2021

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“…In our study self-assessment of patients about their lives was good 31.1 % (in score language 10/10), in Ethiopia more than the half have good quality of life (54.8%) which is higher than our study, this results inspite of we have higher educational level so the problem may be overall satisfaction of patients about quality of life related to the health system that patients dealing with and to lesser extent to the awareness of the patients [24,30].…”

Section: Discussioncontrasting

confidence: 64%

The quality of life among Sudanese Patients with Epilepsy, Khartoum, Sudan

Ibrahim

Ali²,

Ahmed

et al. 2021

Preprint

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Introduction:This is the first study done in the national center for neurological sciences, Khartoum state to assess the quality of life above hundred Sudanese epileptic patients, in the period from September to December 2020.Methodology: This is a descriptive cross sectional study, data was collected using interviewing questionnaire and this questionnaire was modified from SF-36 model.Results: Most of the patients are from the urban area (60.2%), housewives are most of them, most of the patients were single and from low socioeconomic status, the history of the disease was less than three years for most of the cases covered in this study, most type is generalized tonic clonic epilepsy, normal EEG finding in 75.7% and normal MRI brain in 78.6%, most of patients mentioned they have no attack in last month. Regarding mental health 47.6% feel sometimes depression, 75.7% associated with memory problems. Regarding physical health 51.5% feel energetic all of the time, 9.7% always associated with sleep disturbance, most of patients are not driving, neither having hobbies for leisure time. 63.1% don’t have any health problem, 32% feel stigma if attack happen in public. Commonest medication prescribed was carbamazepine and 73.8% are fully complaints with medication. 95.1% are not worried about long term medication use.Conclusion: lower level of education and manual labor associated with poor quality of life, epilepsy had bad impact on social life, there is global decrease in cognitive function, most of the patients don`t worry about side effects and duration of the medication usage

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“…Although Sudanese educational levels are generally higher, the impacts are still apparent. The lower self‐assessment/evaluation among the Sudanese patients may be attributed to the overall satisfaction of the patients with the healthcare system and the QOL factors related to it, in addition to the general awareness of the patients (Abadiga et al., 2019 ; Muche et al., 2020 ).…”

Section: Discussionmentioning

confidence: 99%

RETRACTED: The quality of life among Sudanese patients with epilepsy, Khartoum, Sudan

et al. 2022

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Introduction This is the first study done in the National Center for Neurological Sciences, Khartoum State, to assess the quality of life among more than 100 Sudanese epileptic patients, in the period from September to December 2020. Methodology This is a descriptive cross‐sectional study; data were collected using an interview‐based semi‐structured structured questionnaire and this questionnaire was modified from the SF‐36 model. Results Most of the patients were from urban areas and origin (60.2%), most of which were housewives; the majority of the patients were single and from low socioeconomic status, history of the disease was less than 3 years for most of the cases covered in this study, most of the cases were classified as generalized tonic clonic epilepsy, and normal EEG findings and normal MRI brain were found in 75.7% and 78.6%, respectively. Most patients mentioned that they experienced no attacks during the last month. Regarding mental health, 47.6% experienced symptoms of depression, and 75.7% had memory problems. In terms of physical health, 51.5% felt energetic all of the time, 9.7% experienced remarkable sleep disturbance, most of the patients are not driving nor have established hobbies during leisure time. 63.1% of the participants do not have health problems; 32% mentioned that they would feel stigmatized if an attack takes place in public. Commonest medication prescribed was carbamazepine, out of which 73.8% are fully compliant with their medication. 95.1% are not worried about long term use of medication. Conclusion Lower levels of education and manual labor are associated with poor quality of life. Epilepsy has an adverse impact on social life. There is a global decrease in cognitive function, and most of the patients are not worried about the side effects and duration of the medication usage.

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Assessment of Quality of Life of Epileptic Patients in Ethiopia

Cited by 14 publications

References 30 publications

Quality of life and its associated factors among epileptic patients attending public hospitals in North Wollo Zone, Northeast Ethiopia: A cross-sectional study

Quality of life and its associated factors among epileptic patients attending public hospitals in North Wollo Zone, Northeast Ethiopia: A cross-sectional study

The quality of life among Sudanese Patients with Epilepsy, Khartoum, Sudan

RETRACTED: The quality of life among Sudanese patients with epilepsy, Khartoum, Sudan

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