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INTERNATIONAL JOURNAL OF SCIENTIFIC DEVELOPMENT AND RESEARCH International Peer Reviewed & Refereed Journals, Open Access Journal ISSN Approved Journal No: 2455-2631 | Impact factor: 8.15 | ESTD Year: 2016
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ABSTRACT Background: Epilepsy is one of the common occurring diseases, the annual incidence rate of epilepsy in children aged 1–14 years was 70.4/100,000 children. Adherence to antiepileptic drugs is crucial in achieving seizure control, hence it is essential to rule out the barriers causing nonadherence; there is lack of information on adherence to antiepileptic drugs and the barriers that affect this among children. Aim: To measure impact of barriers to medication adherence in children with epilepsy with an emphasis of severity assessment. Methodology:The present study is a prospective cross-sectional study carried out for 6months of period (Nov 2021- May 2022) in 124 paediatric inpatients. Patients included in this study were children with age1-12years of both genders,children withhistory of seizures and are under the therapy with at least oneantiepileptic drugin the last 1year.Data was collected from the structured data collection proforma,severity was assessed by using GASE scale and medication adherence and barriers were measured by PEMSQ scale. Results:The incidence of Epilepsy in paediatric was found to be (46.69%) among this 124 paediatric satisfy the inclusion criteria. Among 124 paediatrics males (52.42%) were more compared to females (47.58%) and mostly in the age of 2-4 years (45.16%) the sociodemographic of patient caretaker was high inprimary education (46.77%), from rural region (48.38%) with income of lower middle class(89.5%). GTCS type of seizures is mostly common (74.19%) and the commonly prescribed antiepileptic drug was sodium valproate.Severity was assessed and reveals that somewhat severe cases were more(50.80%). There was a significant difference shown between sociodemographic parameters and PEMSQ scale measured. Conclusion: There was no significant difference in the assessment of Global assessment severity scale and PEMSQ score.There was proper adherence to antiepileptic medication in the study except for “I have transportation available to bring my child for follow up” children caregivers disagree the statement, for which the most commonly endorsed barrier was It is difficult to get from the pharmacy”. Hence there was insignificant impact on adherence to antiepileptic medication.
Keywords:
Epilepsy, Medication adherence, Barriers, Antiepileptic drug
Cite Article:
"IMPACT OF BARRIERS TO MEDICATION ADHERENCE IN CHILDREN WITH EPILEPSY WITH AN EMPHASIS OF SEVERITY ASSESSMENT", International Journal of Science & Engineering Development Research (www.ijsdr.org), ISSN:2455-2631, Vol.8, Issue 5, page no.1393 - 1406, May-2023, Available :http://www.ijsdr.org/papers/IJSDR2305221.pdf
Downloads:
000223171
Publication Details:
Published Paper ID: IJSDR2305221
Registration ID:206191
Published In: Volume 8 Issue 5, May-2023
DOI (Digital Object Identifier):
Page No: 1393 - 1406
Publisher: IJSDR | www.ijsdr.org
ISSN Number: 2455-2631
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