成人癫痫患者生活质量影响因素分析及护理对策

高艳; 许华山; 魏婷婷; 朱克云; 马银瑞; 陆春苗

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成人癫痫患者生活质量影响因素分析及护理对策

高艳 , 许华山 , 魏婷婷 , 朱克云 , 马银瑞 , 陆春苗

文章导航 > 蚌埠医学院学报 > 2011, 36 > 4: (413-416)

引用本文:

Citation:

成人癫痫患者生活质量影响因素分析及护理对策

1. 安徽省蚌埠市第三人民医院神经内科, 安徽蚌埠 233000;
2. 蚌埠医学院精神医学系, 安徽蚌埠 233030;
3. 安徽省蚌埠市第三人民医院神经外科, 安徽蚌埠 233000

作者简介: 高艳(1977一),女,护师.

通讯作者: 许华山, 副教授.huashan985@sohu.com ;

中图分类号: R742.1

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

1. Department of Neurology, Bengbu Third People's Hospital, Bengbu Anhui 233000;
2. Department of Psychologic Medicine, Bengbu Medical College, Bengbu Anhui 233030, China;
3. Department of Neurosurgery, Bengbu Third People's Hospital, Bengbu Anhui 233000

Corresponding author: XU Hua-shan, 副教授.huashan985@sohu.com ;

CLC number: R742.1

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。
- 癫痫 /
- 生活质量 /
- 影响因素 /
- 护理对策
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.
- epilepsy /
- quality of life /
- influencing factors /
- nursing strategy

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成人癫痫患者生活质量影响因素分析及护理对策

通讯作者: 许华山, 副教授.huashan985@sohu.com;

作者简介: 高艳(1977一),女,护师.

1. 安徽省蚌埠市第三人民医院神经内科, 安徽蚌埠 233000;
2. 蚌埠医学院精神医学系, 安徽蚌埠 233030;
3. 安徽省蚌埠市第三人民医院神经外科, 安徽蚌埠 233000

收稿日期: 2010-06-20

关键词:

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。

English Abstract

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

Corresponding author: XU Hua-shan, 副教授.huashan985@sohu.com

1. Department of Neurology, Bengbu Third People's Hospital, Bengbu Anhui 233000;
2. Department of Psychologic Medicine, Bengbu Medical College, Bengbu Anhui 233030, China;
3. Department of Neurosurgery, Bengbu Third People's Hospital, Bengbu Anhui 233000

Received Date: 2010-06-20

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.