Information recalled by women taking anti-epileptic drugs for epilepsy: a questionnaire study

被引:32
作者
Bell, GS
Nashef, L
Kendall, S
Solomon, J
Poole, K
Johnson, AL
Moran, NF
McCarthy, M
McCormick, D
Shorvon, SD
Sander, JW
机构
[1] UCL, Inst Neurol, Dept Clin & Expt Epilepsy, London WC1N 3BG, England
[2] UCL Hosp NHS Trust, Natl Hosp Neurol & Neurosurg, Neuroepidemiol Unit, London WC1N 3BG, England
[3] Kings Coll Hosp London, Kings Healthcare, London SE5 9RS, England
[4] Kent & Canterbury Hosp, Kent & Canterbury Hosps NHS Trust, Canterbury CT1 3NG, Kent, England
[5] Univ Hertfordshire, Fac Hlth & Human Sci, Hatfield AL10 9AB, Herts, England
[6] Inst Publ Hlth, MRC, Biostat Unit, Cambridge CB2 2SR, England
[7] UCL, Dept Epidemiol & Publ Hlth, London WC1E 6BT, England
[8] Guys Hosp, Guys & St Thomas Hosp NHS Trust, London SE1 9RT, England
关键词
women with epilepsy; information recall; anti-epileptic drugs; questionnaire;
D O I
10.1016/S0920-1211(02)00135-3
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Women with epilepsy have different needs from men, particularly associated with childbearing. Despite clinical guidelines, the care of women with epilepsy remains suboptimal. The aim of this study was to establish whether women with epilepsy recall being given information on topics relating to childbearing. Design of study and methods included a postal questionnaire study of 795 women with epilepsy and of childbearing age. The respondents were identified through both general practices and hospital clinics as part of the Clinical Standards Advisory Group study into Epilepsy Services. Of those women who considered the questions personally relevant, 38-48% recalled receiving information about contraception, pre-pregnancy planning, folic acid and teratogenicity, with lower overall proportions among adolescent women. The proportions that recalled receiving information about vitamin K, safety in child-care and breast-feeding were lower at 12, 24 and 24%, respectively. While it is recognised that information provided may not be recalled, our results suggest that further measures are required to improve the effectiveness of information provision in the UK in relation to women of childbearing age with epilepsy. (C) 2002 Elsevier Science B.V. All rights reserved.
引用
收藏
页码:139 / 146
页数:8
相关论文
共 17 条
[1]   The epidemiology of epilepsy: the size of the problem [J].
Bell, GS ;
Sander, JW .
SEIZURE-EUROPEAN JOURNAL OF EPILEPSY, 2001, 10 (04) :306-316
[2]   Failure of periconceptual folic acid to prevent a neural tube defect in the offspring of a mother taking sodium valproate [J].
Craig, J ;
Morrison, P ;
Morrow, J ;
Patterson, V .
SEIZURE-EUROPEAN JOURNAL OF EPILEPSY, 1999, 8 (04) :253-254
[3]   Best practice guidelines for the management of women with epilepsy [J].
Crawford, P ;
Appleton, R ;
Betts, T ;
Duncan, J ;
Guthrie, E ;
Morrow, J .
SEIZURE-EUROPEAN JOURNAL OF EPILEPSY, 1999, 8 (04) :201-217
[4]   Gender difference in management of epilepsy - what women are hearing [J].
Crawford, P ;
Lee, P .
SEIZURE-EUROPEAN JOURNAL OF EPILEPSY, 1999, 8 (03) :135-139
[5]  
DEBLAY MF, 1982, LANCET, V1, P1247
[6]   Population based, prospective study of the care of women with epilepsy in pregnancy [J].
Fairgrieve, SD ;
Jackson, M ;
Jonas, P ;
Walshaw, D ;
White, K ;
Montgomery, TL ;
Burn, J ;
Lynch, SA .
BRITISH MEDICAL JOURNAL, 2000, 321 (7262) :674-675
[7]   How much risk does a woman with active epilepsy pose to her newborn child in the puerperium? A pilot study [J].
Fox, C ;
Betts, T .
SEIZURE-EUROPEAN JOURNAL OF EPILEPSY, 1999, 8 (06) :367-369
[8]   Folic acid antagonists during pregnancy and the risk of birth defects [J].
Hernández-Díaz, S ;
Werler, MM ;
Walker, AM ;
Mitchell, AA .
NEW ENGLAND JOURNAL OF MEDICINE, 2000, 343 (22) :1608-1614
[9]   Antiepileptic medication and oral contraceptive interactions: A national survey of neurologists and obstetricians [J].
Krauss, GL ;
Brandt, J ;
Campbell, M ;
Plate, C ;
Summerfield, M .
NEUROLOGY, 1996, 46 (06) :1534-1539
[10]   RECALL OF RECOMMENDATIONS AND ADHERENCE TO ADVICE AMONG PATIENTS WITH CHRONIC MEDICAL CONDITIONS [J].
KRAVITZ, RL ;
HAYS, RD ;
SHERBOURNE, CD ;
DIMATTEO, MR ;
ROGERS, WH ;
ORDWAY, L ;
GREENFIELD, S .
ARCHIVES OF INTERNAL MEDICINE, 1993, 153 (16) :1869-1878