Empowerment and treatment adherence in patients with epilepsy

Revista Científica de la Sociedad de Enfermería Neurológica (English ed.) Pub Date : 2026-07-01 Epub Date: 2026-02-07 DOI:10.1016/j.sedeng.2026.500187

Isabel Manzanares Téllez, Cecilia Cuzco Cabellos, Noelia López Ramón, Estefanía Conde Blanco, Mar Carreño Martínez

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Abstract

Introduction

Epilepsy, as a chronic disease with a significant impact on quality of life, requires specialized care and health education for self-management. Patient empowerment can influence health outcomes such as treatment adherence.

Objective

To measure the level of empowerment in patients with epilepsy in relation to their treatment adherence and educational factors.

Methods

A descriptive, observational, and cross-sectional study with a gender perspective was conducted. The participants were patients followed at the Epilepsy Unit. Data collection included the Empowerment Questionnaire (PELC-E), a treatment adherence questionnaire, and an ad-hoc survey with sociodemographic, clinical, and educational variables. Descriptive analyses were performed for categorical and quantitative variables, and a linear regression model was applied to identify variables associated with empowerment. The study was approved by the Ethics Committee.

Results

Two hundred responses were collected from participants, with a mean age of 44.7 (±14) years, and characteristics typical of drug-resistant patients. Empowerment was significantly associated with treatment adherence (P = ,02). High treatment adherence was also related to high satisfaction with the health education received (P < ,01). Satisfaction regarding education on antiepileptic drugs correlated positively with empowerment and treatment adherence (P < ,01). Educational factors such as participation in associations or health education sessions were correlated with empowerment (P = ,027) (P = ,011), respectively.

Conclusion

Educational factors play a key role in patient empowerment and treatment adherence in patients with epilepsy.

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癫痫患者的赋权和治疗依从性

癫痫作为一种严重影响生活质量的慢性疾病，需要专门的护理和健康教育来进行自我管理。患者赋权可影响健康结果，如治疗依从性。目的了解癫痫患者的授权水平与治疗依从性和教育因素的关系。方法采用性别视角的描述性、观察性、横断面研究。参与者是在癫痫病房随访的患者。数据收集包括授权问卷（PELC-E）、治疗依从性问卷以及包含社会人口、临床和教育变量的特别调查。对分类变量和定量变量进行描述性分析，并采用线性回归模型识别与赋权相关的变量。这项研究得到了伦理委员会的批准。结果共收集到200例应答者，平均年龄44.7（±14）岁，具有耐药患者的典型特征。授权与治疗依从性显著相关（P = ，02）。治疗依从性高与健康教育满意度高相关（P <； ，01）。抗癫痫药物教育满意度与授权和治疗依从性呈正相关（P <； ，01）。教育因素，如参加协会或健康教育会议，分别与赋权相关（P = ，027）（P = ，011）。结论教育因素在癫痫患者的患者赋权和治疗依从性中起关键作用。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Revista Científica de la Sociedad de Enfermería Neurológica (English ed.)

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