癫痫患儿心理行为变化与生活质量低下的相关性研究

The study of psychological behavior change and the quality of life in children with epilepsy

目的研究分析癫痫患儿的心理行为变化与生活质量低下的相关性,探讨改善癫痫患儿心理行为与生活质量的治疗对策。方法研究纳入2015年3月–2015年10月于河北省人民医院住院治疗的40例癫痫患儿和社区40名正常儿童,应用癫痫患者生活质量量表、日常生活能力量表和患者疾病不确定感量表进行综合评分,统计分析两组日常生活能力、疾病不确定感和生活质量方面的差异。结果癫痫组多项日常生活能力、生活质量(62.3±12.1)低于正常组(82.7±7.1),疾病不确定感(86.2±22.4)高于正常组(71.3±17.2),差异具有统计学意义(P<0.05)。结论癫痫患儿存在广泛的心理、行为异常,生活质量严重低下。需要尽早采用医疗干预措施,减轻癫痫患儿心理障碍,提高日常行为能力,降低疾病不确定感,全面改善癫痫患儿生活质量。

Objective We studied the change of psychological behavior and quality of life in children with epilepsy, to explore the treatment strategy to improve their psychological behavior and quality of life. Methods Collected forty children with epilepsy from Hebei General Hospital during March 2015 to October 2015 and 40 normal children in this study. ＂Epilepsy patients quality of life scale＂, ＂Daily life ability scale＂ and ＂Sense of uncertainty in hospitalized patients disease scale＂ test were performed to the participants. The difference of daily psychological behavior ability, sense of uncertainty in illness and quality of life between the two groups were analyzed. Results The epilepsy children’s daily life ability and the quality of life are lower than normal children（P〈0.05）, the disease uncertainty is higher than normal children（P〈0.05）. Conclusion The epilepsy children had serious psychological and behavior disorders and lower life quality. Some medical intervention should be taken to alleviate the psychological burden, improve the ability of daily life,reduce the uncertainty in illness, and comprehensively improve the quality of life of children with epilepsy.