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

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。

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（P0.05）.The scores in general self-efficacy,coping style and social support were significantly different between the epilepsy group and the normal control group（P0.05）.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（P0.05）,while it was positively associated with the economic status,social support,self-efficacy,ability of solving problems and seeking help（P0.05）.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.