Relationship between Demographic, Clinical, Psychosocial Factors and Health-related Quality of Life among Persons with Epilepsy in Zaria Northern Nigeria
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Date
2020-05
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SCIENCEDOMAIN international
Abstract
Introduction:Thereisagrowingglobalinterestontheeffectofepilepsyonthesubjectivehealth-relatedqualityoflife(HRQoL)ofthesufferers.Severaldemographic,clinical,andpsychosocialfactorshavebeenattributedascontributorytothepoorHRQoLinpatients(persons)withepilepsy(PWE).Aim:Thisstudyevaluatedtherelationshipbetweendemographic,clinicalandpsychosocialcharacteristicsofPWEandtheirHRQoL StudyDesign:Across-sectionalstudy.PlaceandDurationofStudy:StudycarriedoutatNeurologyclinicofAhmaduBelloUniversityTeachingHospitalKadunaState,NigeriafromSeptember2013toDecember2014.Methodology:ConsecutivelypresentingPWEonfollow-upforatleast1year,18yearsandabovewererecruitedafterobtainingethicalapprovalandinformedconsent.StructuredquestionnaireandtheWorldHealthOrganizationQualityof Life(WHOQOL-Bref)instrumentwereutilizedforthestudy.ThedatawasanalyzedusingSPSSversion17withp-valuesetatlessthan0.05.Results:Theparticipantswereonehundredwithmedianageof29years.ThefactorsfoundtohavesignificantrelationshipwithHRQoLweredemographicvariableslikemaritalstatus(F=3.250,p=0.025)andmonthlyincome(t=-2.883;p=0.005);psychosocialfactorslikepresenceofperceivedstigmaordiscrimination(χ2=2.427,p=0.017),presenceofdepressivesymptomintheprecedingmonth(χ2=3.164,p=0.002)andavailabilityofsocialsupport(χ2=3.328,P=0.001).TherewasnosignificantrelationshipfoundbetweenclinicalfactorsandHRQoLofPWE(p>0.05).Conclusion:Thedemographicfactors(maritalstatusandmonthlyincome)andpsychosocialfactors(stigma,depressionandsocialsupport)hadasignificantrelationshipwithHRQoLinPWE.Thereisaneedtoofferevidence-basedandfocusedcaretothesufferersofthisillness
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Keywords
Relationship, demographic, clinical, psychosocial, health related quality of life, persons with epilepsy
Citation
Emmanuel Uzodinma Iwuozo, Reginald Onyeadumarakwe Obiako, Terhemen Joseph Igbudu, Adesola Ogunniyi. Relationship between Demographic, Clinical, Psychosocial Factors and Health-related Quality of Life among Persons with Epilepsy in Zaria Northern Nigeria. Journal of Advances in Medicine and Medical Research. 2020 May; 32(7): 73-82