It is well reported in the epilepsy literature that use of antiepileptic drugs (AEDs) leads to bone loss. Validated instruments were administered to assess knowledge, health behavior, quality of life, and stigma, to determine their effects on self-efficacy for osteoprotective and self-management behaviors. This adult epilepsy population had a mean age of 45, with 20 years of AED exposure. Fifty subjects were Caucasian and 44 were non-Caucasian. By one-way ANOVA, there were significant differences in self-efficacy based on ethnicity, medical assistance, status, and seizure frequency. Differences in knowledge based on ethnicity, education, and income were also noted. Regression analysis revealed that the factors that most predict self-efficacy for calcium, exercise, and self-management do not parallel each other. Age and ethnicity were predictive of self-efficacy for epilepsy self-management only. Medical management factors varied among the models. Overall quality of life was a positive predictor for both calcium and exercise self-efficacy.

译文

癫痫文献中有很好的报道,使用抗癫痫药物 (aed) 会导致骨质流失。使用经过验证的仪器来评估知识,健康行为,生活质量和污名,以确定它们对骨保护和自我管理行为的自我效能的影响。该成年癫痫人群的平均年龄为45岁,AED暴露时间为20年。50名受试者是高加索人,44名是非高加索人。通过单因素方差分析,基于种族,医疗救助,状态和发作频率的自我效能存在显着差异。还注意到基于种族,教育和收入的知识差异。回归分析表明,最能预测钙,运动和自我管理自我效能的因素并不相互平行。年龄和种族仅能预测癫痫自我管理的自我效能。各模型之间的医疗管理因素各不相同。总体生活质量是钙和运动自我效能的积极预测指标。

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