伴有精神症状癫痫患者术后生存质量及自我效能评价分析

Analysis on Quality of Life and Self-Efficacy Evaluation of Epilepsy Patients Accompanied by Mental Symptoms after Surgery

目的 :调查分析伴有精神症状的癫痫患者术后生存质量,探讨自我效能与患者生存质量的相关性。方法 :对138例癫痫患者行立体定向手术治疗,术后随访3年,采用癫痫患者生存质量量表-31(quality of life in epilepsy-31,QOLIE-31)和慢性病自我效能量表(self-efficacy scale for chronic,SESC)等对患者生存质量和自我效能进行评估,并探讨两个量表的特点及主要影响因素,找出两者之间的联系。结果 :手术对于男女患者的疗效无显著差异。单因素方差分析术后患者总体健康水平、社会功能、情绪健康,女性患者高于男性患者,两者之间的差异显著(P<0.01)。结论 :立体定向手术治疗癫痫有较好疗效(>73%),但患者术后的生存质量总体较低,女性患者总体略高于男性,但无显著差异。患者自我效能水平与生存质量各个方面都显著相关,通过持续的术后回访、健康宣教,患者自我效能水平可以得到提高,生存质量较前有所改善。

Objective： To investigate and analyse the quality of life after epilepsy surgery, and to discuss the relationship between self-efficacy and quality of life of the epileptic patients with mental symptoms. Methods： Postoperative three years follow-up studies were carried out on 138 cases of epileptic patients underwent stereotactic operation therapy. The quality of life and self-efficacy of epileptic were assessed by the two scales of quality of life in epilepsy-31 （QOLIE-31 ） and self-efficacy of chronic disease. The characteristics of the two scales and the main influencing factors were discussed, also the connection between them were found out. Results： There were no significant differences in surgical effect between the male and female patients. One-Way AN OVA statistics showed that the general health level, social function and emotional health of female patients were higher than those of the male. There were significant differences between them （P〈O.O 1 ）. Conclusion： The stereotactic operation had a good effect in treatment of epilepsy （ 〉73% ）, but the quality of life of patients was generally low. The quality of life of female patients was slightly higher than that of the male, but the differences were not significant. The level of self-efficacy and quality of life of patients were significantly correlated in various aspects. The self-efficacy level and quality of life can be improved through continuous postoperative follow-up and health education.