健康教育路径对成年癫痫患者一般自我效能和生活质量的影响

Effect of health education pathway on the general self-efficacy and life quality of adult patients with epilepsy

目的探讨健康教育路径对成年癫痫患者一般自我效能和生活质量的影响。方法选取163例成年癫痫患者为研究对象，对其实施健康教育路径，实施前后采用施沃兹一般自我效能量表和癫痫患者生活质量量表（QOLIE-31）进行评定，比较实施前后不同时点的评分并分析其与教育时间的相关性。结果成年癫痫患者实施健康教育路径1周后一般自我效能（25．6±6．7）分，生活质量（46．2±10．2）分，与教育前（24．6±6．9），（45．5±11．2）分比较差异无统计学意义（F=4．688，0．684；P〉0．05），但教育1月后一般自我效能（27．3±6．3）分，生活质量（49．1±10．5）分与教育3月后一般自我效能（29．6±6．5）分，生活质量（54．3±10．8）分均高于教育前，差异均有统计学意义（F=22．845，18．870，63．797，92．659；P〈0．01）。并且一般自我效能与QOLIE-31评分与教育时间呈正相关性（r=0．279，0．314；P〈0．01）。结论健康教育路径对成年癫痫患者一般自我效能、生活质量有积极的影响，且随着教育时间增加教育措施效果更好。

Objective To analyze the effects of health education pathway on general self-efficacy and quality of life in adults with epilepsy. Methods Totals of 163 adult patients with epilepsy were selected, and they were investigated with Schwarzer general self-efficacy scale and the QOLIE-31 scale, before and after they received health education pathway. Then, different time score was compared and the relationship between score and education time were analysed. Results Before implemented health education pathway , the score of general self-efficacy scale and QOLIE-31 scale in adult patients with epilepsy was （24.6 ± 6.9 ） and （45.5± 11.2 ） , and after one week, the score was （ 25.6 ± 6.7 ） and （ 46.2 ± 10.2 ） respectively, there was no statistical significance （F = 4. 688,0. 684;P 〉 0. 05 ）. After one month, the score of self-efficacy scale and QOLIE-31 scale was（27.3 ±6.3） and （49.1 ± 10.5） , and after three months,the score was （29.6 ±6.5） and （54.3 ± 10.8 ）, which higher than before education and the difference was statistical significance （ F = 22. 845,18. 870, 63.797,92. 659;P 〈0. 01 ）. General self-efficacy and quality of life were positively correlated with education time（ r = 0. 279,0. 314 ;P 〈 0. 01 ）. Conclusions The health education pathway implementation have a positive effect on self-efficacy and quality of life in adults with epilepsy and with the education time increaseing , the education effects better.