Zaldívar BM, Morales CLM, Fernández ME, Quintanal CN

Language: Spanish
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Page: 1-25
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ABSTRACT

Objective: To characterize the coping capacity and quality of life of patients with drug-resistant epilepsy treated with temporal lobectomy.
Methods: We present a descriptive and correlational study of 16 patients with drug-resistant epilepsy who underwent temporal lobectomy at the International Neurological Restoration Center in 2016 first semester. Demographic variables (age, sex, schooling and marital status) and psychological variables (self-knowledge of the disease, self-esteem, assertiveness, lifestyle, coping styles and quality of life) were used. A semi-structured interview, the Coopersmith self-esteem inventory, the assertiveness scale and the health promoter lifestyle questionnaire were applied. The QOLIE-31 quality of life scale and the Lazarus coping mode scale were used. Non parametric statistics were used with significance level p≤ 05.
Results: Twelve patients reported an adequate self-knowledge of their disease. The assertiveness behaved in middle levels in 9 patients and in high average values in 4 patients. 75% of cases were observed with a lifestyle not favorable for their health. However, the majority had a total mean quality of life of 83 ± 13 SD (assessment of good quality of life). There were differences in lifestyle, self-knowledge of the disease and quality of life in relation to the result of temporal lobectomy.
Conclusions: Predominant in patients a health risk coping capacity, characterized by a non-health promoting lifestyle, with adequate levels of self-esteem and assertiveness, and an appropriate self-knowledge of the disease. A heterogeneous profile is found in the coping styles and good quality of life in the patients. The lifestyle is positively related to the quality of life, aspect modulated by the persistence or not of epileptic seizures after the temporal lobectomy.