ArticleBMC nursing2025
Factors influencing self-management in patients with epilepsy: a systematic review and meta-analysis.
Article in BMC nursing, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
2 citing papers in PubMed.
- A network analysis of ego depletion and self-management in patients with epilepsy: differences across seizure frequencies.Frontiers in psychiatry · 2025Article
- Medication self-management in patients with epilepsy: a narrative review of current status, influencing factors, and intervention strategies.Frontiers in neurology · 2025Review
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Authors and funding
7 authors.
Funding
Abstract
backgroundSelf-management is significant for the quality of life, physical and mental health, and prognosis of patients with epilepsy. There is evidence that various factors significantly affect the level of self-management in people with epilepsy, however, the reported factors affecting self-management vary greatly. Therefore, it is particularly important to further unify and clarify the factors affecting self-management in people with epilepsy.
aimsThis study aimed to identify the influencing factors of epilepsy self-management, and provide help for researchers to develop more accurate intervention strategies and interventions.
designA systematic review and meta-analysis. DATA SOURCES: From online databases, including PubMed, Web of Science, CINAHL, Embase, Cochrane Library, China National Knowledge Infrastructure, China Science and Technology Journal Database and Wan Fang Data. REVIEW
methodsTwo independent systematic searches of English and Chinese databases were conducted by two graduate students with evidence-based training. The searches combined MeSH terms and free terms and covered the period from the establishment of the databases to October 31, 2024. References were managed using EndNote 20. Then, two reviewers independently screened literature, assessed study eligibility using the Agency for Healthcare Research and Quality (AHRQ) and extracted data. After conducting a quality assessment of the included literature, meta-analysis was performed by using the obtained data. The degree of heterogeneity was also indicated by using I
resultsIn 10 cross-sectional studies were selected from 2720 studies, Education, Gender, Income level, Employment, Marital status, Age, Duration of disease, Self-efficacy may be key factors affecting self-management in patients with epilepsy. Meanwhile, the meta-analysis result of Education(0.53, 95% confidence interval (CI):0.25 ~ 0.58), Gender(0.35, 95%CI:0.18 ~ 0.51), Income level(0.41, 95%CI:0.18 ~ 0.51), Employment(-0.49, 95%CI: -0.63 ~ 0.36), Marital status(-0.28, 95%CI: -0.43 ~ 0.13), Age(0.12, 95%CI:0.01 ~ 0.23), Duration of disease(0.47, 95%CI:0.11 ~ 0.83), Self-efficacy(0.28, 95%CI:0.21 ~ 0.35) were statistically significant (P<0.05) and result of Frequency of seizure(0.3, 95%CI:-0.63 ~ 1.22) was not significant(P>0.05).
conclusionThe status of self-management in patients with epilepsy in some regions is still not optimistic. In this review, self-management in patients with epilepsy is affected by many factors, including education, age, self-efficacy, employment, marital status, duration of disease, gender, income level. These factors may provide more targeted interventions and education to improve the self-management and quality of life of epilepsy patients. REGISTRATION: www.crd.york.ac.uk CRD42024619449, registered 10/12/2024.
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