癫痫儿童的心理障碍及其干预

Study on Psychological Disturbance in Children With Epilepsy and Intervention.

【目的】 研究癫痫儿童的心理状况及干预治疗效果。 【方法】 应用美国“癫痫儿童生活质量量表”测试 90例癫痫患儿和 5 0例正常对照儿 ,评估其心理状况 ,并对存在的问题进行干预。 【结果】 64 .7%的癫痫患儿存在心理障碍 ,主要表现为对发作的恐惧、长期用药的担忧及社会交往困难 ,生活质量明显低于正常儿 ,两组相比各项指标差异显著。干预治疗后患儿心理状况明显改善 ,各项指标前后比较差异显著 (P <0 .0 1) ,而未干预者改善不明显。 【结论】 癫痫儿童存在心理障碍 ,在抗癫痫药物治疗的基础上对其存在的心理障碍进行心理治疗是必不可少的 ,是提高癫痫儿童生活质量的唯一途径。

To study psychological state in epileptic children and their psychological intervention. Epilepsy interventory in USA was used to study quality of life in 90 children with epilepsy and 50 normal children.Their psychological state was evaluated and the psychological intervention was given. The psychological disturbance was existed in 64.7% children with epilepsy.Worrying about seizure attacks and the side effect of anticonvulsants impairment of cognitive function and limitation of social function were dominatly expressed.The quality of life of epileptic children was significantly lower than that of normal children.There was significantly difference between the epileptic children and normal children in all aspects.After psychological intervention,the psychological disturbance in lots of children with epilepsy was obviously improved with significant difference ( P <0.01),and noneinterventing epileptic children's psychological state was obviously unchanged. [Conclusion] The psychological disturbance was existed in lots of children with epilepsy.Besides rational drug treatment,psychological intervention was indispossible and psychological intervention was the basic way of improving the quality of life in epileptic children.