高艳, 许华山, 魏婷婷, 朱克云, 马银瑞, 陆春苗. 成人癫痫患者生活质量影响因素分析及护理对策[J]. 蚌埠医学院学报, 2011, 36(4): 413-416.
    引用本文: 高艳, 许华山, 魏婷婷, 朱克云, 马银瑞, 陆春苗. 成人癫痫患者生活质量影响因素分析及护理对策[J]. 蚌埠医学院学报, 2011, 36(4): 413-416.
    GAO Yan, XU Hua-shan, WEI Ting-ting, ZHU Ke-yun, MA Yin-rui, LU Chun-miao. Factors affecting the life quality of adults with epilepsy and the nursing strategy[J]. Journal of Bengbu Medical College, 2011, 36(4): 413-416.
    Citation: GAO Yan, XU Hua-shan, WEI Ting-ting, ZHU Ke-yun, MA Yin-rui, LU Chun-miao. Factors affecting the life quality of adults with epilepsy and the nursing strategy[J]. Journal of Bengbu Medical College, 2011, 36(4): 413-416.

    成人癫痫患者生活质量影响因素分析及护理对策

    Factors affecting the life quality of adults with epilepsy and the nursing strategy

    • 摘要: 目的: 分析影响成人癫痫患者生活质量的因素并探讨其护理对策。方法: 采用一般情况问卷、生活质量问卷、社会支持问卷、应对方式问卷和自我效能感问卷对84例癫痫患者进行评定,并随机取60名健康人为对照组。结果: 癫痫组的生活质量明显低于对照组(P<0.05)。癫痫组和对照组的自我效能感、应对方式和社会支持分差异均有统计学意义(P<0.05)。生活质量总分与性别、婚姻状况、学历、职业、发作类型无相关性,与发作频率、病程、自责、幻想和退避呈负相关关系(P<0.05),与经济情况、支持总分、解决问题、求助、合理化、自我效能呈正相关关系(P<0.05)。多元逐步回归分析显示,对癫痫患者生活质量总分影响最大的是自责、幻想、自我效能感、经济情况及近3个月发作频率。结论: 癫痫患者的生活质量受生物、心理、社会因素的综合影响,从生物、心理、社会3个方面进行整体护理,才能有效地提高患者的生活质量。

       

      Abstract: Objective: To analyze the factors affecting the quality of life (QOL) of adults with epilepsy,and to explore the nursing strategies.Methods: Eighty-four patients with epilepsy were evaluated by general condition questionnaire,quality of life (QOL) in epilepsy inventory-31,social support scale,coping style questionnaire and general self-efficacy scale,and sixty healthy persons acted as control.Results: The QOL of the epilepsy group was significantly poor as compared with that of the normal control (P<0.05).The scores in general self-efficacy,coping style and social support were significantly different between the epilepsy group and the normal control group (P<0.05).The QOL score had no correlation with the gender,marriage,academic level,occupation or the type of seizure;the QOL score was negatively associated with the seizure frequency,duration of epilepsy,degree of delusion,self-reproach and retreat (P<0.05),while it was positively associated with the economic status,social support,self-efficacy,ability of solving problems and seeking help (P<0.05).Multiple regression analysis showed that the factors affecting the quality of life of the epilepsy patients were self-reproach,delusion,self-efficacy,economic status and seizure frequency in the recent 3 months.Conclusions: The life quality of the adults with epilepsy is affected by biological,psychological and social factors,and multiple interferences may help to enhance their QOL.

       

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