Long-term follow-up after comprehensive rehabilitation of persons with epilepsy, with emphasis on participation in employment or education

Abstract

The objective was to describe current situation for patients with epilepsy after rehabilitation with emphasis on employment and education and to investigate if clinical factors at admission were associated with increase in employment or education. All patients that participated in a comprehensive rehabilitation were eligible. Data were collected from medical records at admission to the rehabilitation, at discharge and from a structured telephone interview at follow up 1-17 years after. In total 124 patients participated in the follow-up. Participation in employment or education improved from admission to follow-up in 38 patients. In univariable analysis active epilepsy with tonic-clonic seizures at admission was significantly associated with increased participation in employment or education at follow-up, so was decreased frequency of tonic-clonic seizures from admission to follow-up. The significance of the associations disappeared in adjusted multivariable analysis. Participation in employment or education was improved for many patients at follow up.

Rehabilitation in patients with newly diagnosed epilepsy: A controlled, 1‐year follow‐up study on a specialized inpatient rehabilitation program

“…These results probably contribute to the improved overall QoL and overall health in the rehabilitation group. The higher percentage of seizure‐free patients at follow‐up is in line with earlier non‐controlled studies in patients with chronic epilepsy from two different epilepsy rehabilitation programs 28,39 …”

“…The higher percentage of seizure-free patients at follow-up is in line with earlier non-controlled studies in patients with chronic epilepsy from two different epilepsy rehabilitation programs. 28,39 More patients from the rehabilitation group had applied for an early disability pension at follow-up, compared to the control group and to the rehabilitation group on admission. This could be a result of the rehabilitation treatment, that is, patients had decided not to re-enter the labor market despite rehabilitation interventions and support.…”

Ergebnisse der Rehabilitation in einer stationären Einrichtung der Behindertenhilfe für junge Erwachsene mit Epilepsie und leichten intellektuellen Beeinträchtigungen

“…Über Verbesserungen von klinischen Variablen, der berufl ichen Situation und gesundheitsbezogenen Lebensqualität wurde bereits bei deutschen Epilepsiepatienten berichtet, die an einem mehrwöchigen, klinische und psychosoziale Aspekte umfassenden Rehabilitationsprogramm teilnahmen [ 7 ] . Positive langfristige Folgen eines mehrwöchigen Rehabilitationsprogramms auf die Beschäftigungssituation schwedischer Epilepsiekranker sind ebenfalls dokumentiert worden [ 8 ] . Außerdem wurden in den letzten Jahren für unterschiedliche Altersgruppen von Epilepsiekranken und für ihre Angehörigen sowie Betreuer Patientenschulungen entwickelt und deren Eff ekte überprüft [ 9 -12 ] .…”

Desempenho ocupacional, qualidade de vida e adesão ao tratamento de pacientes com epilepsia

“…O atendimento dos pacientes com epilepsia é feito pela equipe multiprofissional. Como componente da equipe o terapeuta ocupacional está capacitado para otimizar o desempenho ocupacional dos indivíduos, para possibilitar a realização suas atividades cotidianas, permitindo maior qualidade de vida 20,21,22 .…”