BACKGROUND & AIMS:
: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.
背景与目标:
:在癫痫文献中有充分的报道指出,使用抗癫痫药(AED)会导致骨质流失。使用经过验证的工具来评估知识,健康行为,生活质量和污名,以确定它们对自我保护的自我保护作用以及对骨保护和自我管理行为的影响。该成人癫痫患者的平均年龄为45岁,暴露于AED的时间为20年。五十名受试者是高加索人,四十四名是非高加索人。通过单因素方差分析,根据种族,医疗救助,身份和癫痫发作频率,自我效能有显着差异。还指出了基于种族,教育和收入的知识差异。回归分析显示,最能预测钙的自我效能,运动和自我管理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。医疗管理因素因模型而异。总体生活质量是钙和运动自我效能的积极预测指标。