成人癫痫患者社会支持与生态学执行功能的相关研究

The study on the correlation between social support and ecological executive function in adult patients with epilepsy

目的 探讨成人癫痫患者社会支持、生态学执行功能特点以及两者的相关性.方法 应用社会支持评定量表（SSRS）和执行功能行为评定量表成人自评问卷（BRIEF-A）对65例癫痫患者和60例性别、年龄、受教育程度等与之匹配的正常成人进行社会支持和生态学执行功能评定,采用独立样本t检验、Pearson相关性分析和多元逐步回归分析对数据进行统计分析.结果 （1）癫痫组SSRS总分、主观支持、客观支持及支持利用度[分别为（37.01±6.74）分、（19.51±4.77）分、（7.18±2.73）分、（7.45±1.75）分]均低于对照组[分别为（40.89±8.54）分、（23.52±2.85）分、（11.02±2.43）分、（9.55±2.88）分],BRIEF总分及行为管理指数、元认知指数两个维度得分[分别为（55.12± 10.49）分、（53.74± 10.35）分、（56.60±10.99）分]均明显高于对照组[分别为（48.10±6.3）分、（47.18±5.84）分、（48.16±6.23）分],差异有统计学意义（P＜0.01）.（2）相关性分析显示：SSRS总分、主观支持、客观支持及支持利用度与BRIEF总分、元认知指数及行为管理指数均呈显著负相关（P＜0.01）.发作类型及SSRS总分与BRIEF总分显著相关（P＜0.01）.结论 癫痫患者缺乏社会支持,存在生态学执行功能障碍;社会支持缺乏与患者生态学执行功能障碍显著相关.

Objective To explore the social support and characteristics of ecological executive function in adult patients with epilepsy,and their correlation.Methods Evaluate the social support and ecological executive function in 65 cases of adult epilepsy patients and 60 normal ones of the same gender,age group and educational level using the Social Support Rating Scale （SSRS） and the Behavior Rating Inventory of Executive Function-adult version （BRIEF-A）.The date were statistically analyzed with independent sample t test,Pearson correlation analysis and multiple stepwise regression analysis.Results The scores of adult epilepsy patients in global executive composite,subjective support,objective support and support utilization of SSRS（respectively,37.01±6.74,19.51 ± ±4.77,7.18±2.73,7.45± 1.75） were lower than those of the control group（respectively,40.89±8.54,23.52±2.85,11.02±2.43,9.55±2.88）.The scores of adult epilepsy patients in global executive composite （GEC）,behavioral regulation index（BRI） and metacognition index（MI） of BRIEF（respectively,55.12± 10.49,53.74± 10.35,56.60± 10.99） were significantly higher than those of the control group （respectively,48.10± 6.3,47.18± 5.84,48.16± 6.23） （P〈0.01）.SSRS scores,subjective support,objective support and support utilization were obviously negative to BRIEF scores,behavioral regulation index （BRI） and metacognition index （MI） （P〈 0.01）.Seizure type and SSRS scores were closely related to BRIEF （P〈0.01）.Conclusion The epilepsy patients show a lack of social support and ecological executive function dysfunction.The lack of social support is significantly related with ecological executive dysfunction.