目的：探讨健康教育对提高癫痫患者治疗依从性的作用。 方法：研究对象为180例合格的癫痫患者，随机分入健康教育组（90例，在常规健康教育的基础上由健康教育护士实施系统干预，包括指导患者按时服药、定期接受复查和做好“服药日记”的记录，以及定期电话回访患者以监督治疗依从性）和对照组（90例，接受常规健康教育）。随访12个月，最终健康教育组有79例患者以及对照组有76例患者可纳入分析。比较2组干预前后治疗依从性评分和治疗依从率的差异。 结果：2组患者干预前和干预2个月时治疗依从性评分和治疗依从率的差异均无统计学意义（P值均＞0.05）；干预6和12个月时，健康教育组的治疗依从性评分和治疗依从率均显著高于对照组（P值均＜0.05）。 结论：健康教育护士通过指导癫痫患者按时服药和接受复查，同时督促患者做好“服药日记”记录，有助于提高癫痫患者的治疗依从性，进而提高治疗效果。

Objective: To evaluate the role of health education in improving treatment compliance of patients with epilepsy. Methods: A total of 180 eligible patients with epilepsy were recruited in this study and randomly divided into the health education group (n = 90, on the basis of routine health education, the health education nurses carried out systematic intervention, including guiding the patients to take the medicine regularly, take a visit to the clinic regularly and have a record of medication diary, and calling back regularly to supervise the patients’ treatment compliance) and the control group (n = 90, only receiving routine health education). After a follow-up of 12 months, 79 patients in the health education group and 76 patients in the control group were included in the final analysis. The differences in treatment compliance score and compliance rate between the 2 groups before and after intervention were examined. Results: There were no statistically significant differences in treatment compliance score and compliance rate between 2 groups before intervention and at 2 months since the start of intervention (both P > 0.05). However, at 6 and 12 months, the treatment compliance score and the compliance rate were both higher in the health education group than those in the control group (both P < 0.05). Conclusion: Nurses’ health education through guiding the epilepsy patients to take medicine on time and take a regular visit to the clinic, as well as urging the patients to have a medication diary record, is helpful to enhance the treatment compliance of epilepsy patients, and improve the outcomes of treatment.