The Influence of Telemedicine and Compassionate Care on the Quality of Life and Mental Health of Patients with Epilepsy in Northeastern China During the COVID-19 Crisis
Deshuang Tao,1,2,* Tangwu Zhong,2,* Juli Wang1 1Epilepsy Department of Jiamusi Central Hospital, Jiamusi City, Heilongjiang Province, 154002, People’s Republic of China; 2Jiamusi University, Jiamusi City, Heilongjiang Province, 154007, People’s Republic of China*These authors...
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| Formato: | article |
| Lenguaje: | EN |
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Dove Medical Press
2021
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| Acceso en línea: | https://doaj.org/article/807b594e78d5443188a6177780775366 |
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| Sumario: | Deshuang Tao,1,2,* Tangwu Zhong,2,* Juli Wang1 1Epilepsy Department of Jiamusi Central Hospital, Jiamusi City, Heilongjiang Province, 154002, People’s Republic of China; 2Jiamusi University, Jiamusi City, Heilongjiang Province, 154007, People’s Republic of China*These authors contributed equally to this workCorrespondence: Juli Wang Tel +86 18724540130Email wjl198981@163.comPurpose: To understand the influence of telemedicine and compassionate care on the quality of life and mental health of patients with epilepsy (PWE) in northeastern China during the COVID-19 crisis.Patients and Methods: Physicians in the epilepsy department conducted a questionnaire survey on PWE on February 2020. The Quality Of Life In Epilepsy-31 (QOLIE-31), Generalized Anxiety Disorder 7-Item Scale (GAD-7) and Patient Health Questionnaire-9 (PHQ-9) were used. The intervention (IG) group received compassionate care and follow-up through telemedicine equipment every week, while the nonintervention (NIG) group did not receive. The questionnaire survey was conducted again three month later.Results: Ninety patients were recruited: mean age 39.91± 15.57 in the IG, 37.39± 11.69 in the NIG, 46 (51.1%) were men. Twenty patients had difficulty in purchasing antiepileptic drugs (AEDs). Seven patients reported seizure in the last 1 month. Only 1 patient (2.2%) consulted the emergency department. Up to 84 patients’ lives were affected. Fifteen (33.3%) of the IG and 20 (44.4%) of the NIG patients stated that their family income had decreased, and among them, 13 (28.9%) in the IG group and 10 (22.2%) in the NIG group stated that they were unemployed. 3 months later, the interaction between groups and time of QOLIE-31 was significant, F (1, 88) = 16.996, p< 0.001; the interaction between group and time on the PHQ-9 was significant, F (1, 88)= 14.992, p< 0.001; the interaction between group and time on the QAD-7 was significant, F (1, 88)= 6.026, p< 0.001.Conclusion: Our study found that during the COVID-19 outbreak, when patients were in a lockdown, telemedicine and compassionate care were effective and successful in managing PWE in northeastern China. It is a valid method to decrease anxiety and depression and improve the patients’ quality of life. Further research is necessary about compassionate care methods for PWE.Keywords: telemedicine, compassionate care, QOLIE-31, GAD-7, COVID-19, epilepsy |
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