Intervención psicoeducativa dirigida a personas con epilepsia y sus familiares

Fundamento: las personas con epilepsia y su familia se afectan con la enfermedad y sus consecuencias psicosociales. Objetivo : comprobar  los efectos de la intervencion psicoeducativa, en personas con epilepsia y su familia para el logro de la aceptacion de la enfermedad y el afrontamiento a esta en los pacientes y  familiares. Metodologia : se realizo un diseno experimental con 60 pacientes seleccionados intencionalmente con diagnostico de epilepsias, se conformaron dos grupos de 30 sujetos por designacion aleatoria. Se aplico una entrevista al enfermo y su familia antes y despues de la intervencion. Los resultados fueron analizados con tecnicas no parametricas. Las variables fueron: aceptacion de la enfermedad, afrontamiento a la epilepsia por el paciente y afrontamiento a las crisis por el familiar conviviente. Resultados : los pacientes del grupo estudio la aceptacion  como afrontamiento a la enfermedad se duplico y desaparecio el miedo tras la intervencion, observandose diferencias significativas antes y despues. El afrontamiento de la familia a las crisis se modifico favorablemente diferenciando el comportamiento del grupo de estudio y de control. Conclusiones : la intervencion psicoeducativa logro mejorar la aceptacion y el afrontamiento adecuado de la enfermedad de manera significativa; tambien modifico favorablemente el afrontamiento de las familias a las crisis. DeCS: EPILEPSIA/psicologia, SALUD DE LA FAMILIA/educacion, NUCLEO FAMILIAR/psicologia, MEDICINA DE LA CONDUCTA/educacion Palabras clave: psicologia, epilepsia, salud, familia, medicina de la conducta, educacion SUMMARY Background: the persons with epilepsy and their family are affected with a disease and its psychosocial consequences. Objective: to test the effects of psycho-educative intervention, in persons with epilepsy and their family to achieve the disease acceptance and how patients and families should face it. Methodology: an experimental design with 60 intentionally selected patients with epilepsy diagnosis; two groups of 30 subjects by random designation were made. An interview to the patient and his family before and after the intervention was applied. Results were analyzed with non-parametrical techniques. The variables used were: disease acceptance, confrontation with epilepsy by patient and confrontation with crisis by the family that lives with. Results: patients from the disease acceptance study group confrontation with the disease was doubled and fear after intervention disappeared, observing significant differences before and after. Confrontation with crisis by the family member was favorably modified differentiating the behavior and control of the study group. Conclusions: psycho-educative intervention achieved to better acceptation and adequate confrontation of the disease significantly, the confrontation with crisis by the family members was also favorably modified. MeSH:  EPILEPSY /psychology, FAMILY HEALTH /education, NUCLEAR FAMILY/psychology, BEHAVIORAL MEDICINE/education Keywords:  psychology, epilepsy, health, family, behavioral medicine, education