title: Promoting self-care in epilepsy: the views of patients on the advice they had received from specialists, family doctors and an epilepsy nurse.
abstract: The aim of the study was to examine patients' satisfaction with information and advice on epilepsy and self-care provided by medical specialists, general practitioners and a special nurse. We interviewed patients following a trial of nurse-run clinics for epilepsy in general practice. 44 patients, two-thirds of whom had at least one epilepsy attack in the prior 6 months were seen in their homes in the south of England. A recurring theme from interview data was that patients perceived the doctors' time as too limited to explain the condition and how to manage it, whilst the nurse had the time and expertise to do so. Overall the nurse trained in epilepsy care was valued highly for providing advice and support, especially in explaining the social aspects of epilepsy. Patients expressed the belief that they would have benefited most by seeing a special nurse at the time when epilepsy was first diagnosed.
authors.affiliation: Department of General Practice, UMDS Guy's and St Thomas's Medical School, London, UK. gp@umds.ac.uk
authors.forename: L
authors.initials: L
authors.lastname: Ridsdale
authors.forename: M
authors.initials: M
authors.lastname: Morgan
authors.forename: C
authors.initials: C
authors.lastname: O'Connor
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002983:Clinical Competence / Q000592:standards; D004827:Epilepsy / Q000175:diagnosis / Q000517:prevention & control* / Q000523:psychology*; D005194:Family Practice / Q000592:standards*; D005260:Female; D006801:Humans; D008297:Male; D008511:Medicine / Q000592:standards*; D008875:Middle Aged; D020380:Needs Assessment; D009720:Nurse Clinicians / Q000592:standards*; D015404:Nursing Methodology Research; D010353:Patient Education as Topic / Q000379:methods*; D017060:Patient Satisfaction; D012648:Self Care / Q000379:methods* / Q000523:psychology*; D012944:Social Support; D013038:Specialization; D011795:Surveys and Questionnaires; D013997:Time Factors