成人症状性癫痫患者生活质量及自我效能评价分析

Evaluation Analysis of Quality of Life and Self-efficacy in Patients with Adult Symptomatic Epilepsy

目的:评估成人症状性癫痫患者的生活质量及探讨自我效能与成人症状性癫痫患者生活质量的相关性。方法:选取2011年1月-2015年1月就诊于本院的成人症状性癫痫患者112例及非癫痫的健康对照者100例。对两组研究对象的生活质量、自我效能采用癫痫患者生活质量调查表、自评抑郁量表及慢性病自我效能量表进行评估,探讨自活质量及自我效能的特点及主要影响因素,分析两者之间的相关性。结果:成人症状性癫痫患者年收入较健康对照者低,其他入选基线指标比较差异均无统计学意义(P>0.05)。成人症状性癫痫组的生活质量调查表所包括的8个方面评分均较健康对照组低,处于中下等水平,差异均有统计学意义(P<0.01)。成人症状性癫痫组的自评抑郁量表评分(63.24±5.61)分低于健康对照组的(33.80±8.33)分,差异有统计学意义(P<0.01)。成人症状性癫痫患者慢性病自我效能量表评分均数为(6.70±1.27)分。93.75%的患者处于中等及以上水平,6.25%患者处于低级水平。曲线估计Estimation模块分析显示自我效能与对发作的担忧、综合生活质量、情绪健康、药物影响及总体健康存在相关性,最终在生活质量总分中存在统计学意义(P<0.05)。结论:成人症状性癫痫患者的总体生活质量及自我效能水平较低,自我效能水平与生活质量存在相关性。

Objective：To assess the quality of life in adult symptomatic epilepsy and explore the correction between self-efficacy and quality of life in adult patients with symptomatic epilepsy.Method：A total of 112 patients with adult symptomatic epilepsy and 100 cases of healthy control admitted to our hospital from January 2011 to January 2015 were selected.The quality of life in epilepsy questionnaire,self-rating depression scale,chronic disease self-efficacy scale were used to assess the quality of life and self-efficacy in patients,the influencing factors and the relations between self-efficacy and quality of life were also evaluated.Result：The annual income of the adult symptomatic epilepsy group was significantly lower than that in healthy controls,there were no statistically significant differences in other selected baseline indicators（P〉0.05）.The scores of the quality of life questionnaire eight aspects in the adult symptomatic epilepsy group were significantly lower than those in the healthy control group,in the middle and lower levels,the differences were statistically significant（P〈0.01）.The self-rating depression scale score of adult symptomatic epilepsy group was（63.24±5.61）scores,which was significantly lower than（33.80±8.33） of the healthy control group,the difference was statistically significant（P〈0.01）.The score of chronic disease self-efficacy scale of adult symptomatic epilepsy group was（6.70±1.27）scores,93.75% of the patients in the middle and above level,6.25% of patients in the lower level.The Estimation module analysis indicated that there were correlations between self-efficacy and the seizure worry,overall quality of life,emotional wellbeing,medication on effects and the overall health,there was statistical significance in the total score of life quality（P〈0.05）.Conclusion：The adult symptomatic epilepsy patients has low overall quality of life and low self-efficacy,selfefficacy has a wide correlation with quality of life in adult symptomatic epilepsy patients.