癫痫患者生活质量影响因素分析

Influencing factors of quality of life in patients with epilepsy

目的 调查和分析影响癫痫患者生活质量的相关因素,为采取相应措施提高癫痫患者的生活质量提供理论依据.方法 选择自2007年7月至2008年12月在广州医学院第二附属医院癫痫中心就诊的门诊及住院癫痫患者65例,采用癫痫患者生活质量表-31（中文版）对患者进行问卷调查,以患者的年龄、性别、文化程度、发作类型、病程、认知功能、用药依从性、发作担忧作为自变量,以生活质量表-31（中文版）中相关评分作为应变量,多元线性回归分析应变量和自变量之间的线性关系.结果 文化程度、病程可以影响癫痫患者的记忆力（标准化回归系数分别为0.380、0.264）;年龄可以影响患者的社会活动（标准化回归系数为-0.303）;性别影响患者的发作（标准化回归系数为0.332）.结论 影响癫痫患者生活质量的因素是年龄、性别、病程、文化程度等,且病程与文化程度影响最大.

Objective To investigate and analyze the related factors influencing the quality of life in patients with epilepsy, and provide a theoretical basis for taking appropriate measures to improve the quality of life in patients with epilepsy. Methods Sixty-five patients with epilepsy visiting our hospital from July 2007 to December 2008 were chosen in our study. The table-31 for quality of life in patients with epilepsy （Chinese version） was performed on them. The age, gender, education degree,seizure types, course of disease, cognitive function, medication compliance and fear of attack were considered as the independent variable; related factors in the table-31 for quality of life were adopted as dependent variable; multiple linear regression analysis was performed on these 2 variables. Results Education degree and course of disease could affect the memory of patients with epilepsy （standardized regression coefficients were 0.380 and 0.264, respectively）. Age could affect the social activities of the patients （standardized regression coefficient was -0.303）. Gender could affect the attack of the patients （standardized regression coefficient was 0.332）. Conclusion The influencing factors of quality of life in patients with epilepsy are age, gender, education degree, course of disease; and education degree and course of disease enjoy the greatest influence.