dc.contributor.author | Koile, Eve | |
dc.date.accessioned | 2023-01-31T08:56:53Z | |
dc.date.available | 2023-01-31T08:56:53Z | |
dc.date.issued | 2022 | |
dc.identifier.uri | http://erepository.uonbi.ac.ke/handle/11295/162163 | |
dc.description.abstract | Background: Epilepsy is a chronic non-communicable disease affecting the brain. Adherence
to drugs is a major issue in chronic diseases, with non-adherence being the largest predictor of
poorly epilepsy control. There are limited studies looking at non-adherence and seizure control
in primary level, health care facilities, hence this study.
Objectives: To determine the level of adherence to antiepileptic drugs and seizure control
among patients attending KAWE clinics in Nairobi county.
Methods: A descriptive cross-sectional study on 382 epileptic patients was done between
October and November 2021. Data collection was through a study proforma, and the morisky
medication assessment scale-4, tool.
P values and 95% confidence levels were calculated where applicable.
Results: Majority of the patients were adherent at 67.5% (258) while 32.5% (124) were nonadherent.
In terms of seizure control, 23.0% (88), 39.5% (151), 37.4% (143) patients had well-controlled,
partially controlled, and poorly controlled seizures respectively.
Non-adherence was found to be associated with forgetfulness, being separated and widowed,
increased seizure frequency in the past 6 months, level of seizure control, use of polytherapy
at the start of epilepsy treatment, longer duration of prescription refill time and the use of
alternative methods of treatment.
There was a significant association between non-adherence with both partial and poor seizure
control.
Conclusion: Adherence to AEDs among patients attending KAWE clinics was at 67.5% while
non-adherence at 32.5%. Poor control of epilepsy is still a major problem with a prevalence of
37.4%, and it is significantly associated with non-adherence to AED | en_US |
dc.language.iso | en | en_US |
dc.publisher | University of Nairobi | en_US |
dc.rights | Attribution-NonCommercial-NoDerivs 3.0 United States | * |
dc.rights.uri | http://creativecommons.org/licenses/by-nc-nd/3.0/us/ | * |
dc.subject | Adherence to Anti-epileptic Drugs and Seizure Control | en_US |
dc.title | Adherence to Anti-epileptic Drugs and Seizure Control Among Patients Attending Kawe Clinics in Nairobi County | en_US |
dc.type | Thesis | en_US |
dc.description.department | a
Department of Psychiatry, University of Nairobi, ; bDepartment of Mental Health, School of Medicine,
Moi University, Eldoret, Kenya | |