癫痫患者疾病感知与心理弹性水平的相关性

Correlation between illness perception and mental resilience of patients with epilepsy

目的观察癫痫(EP)患者心理弹性水平情况,分析疾病感知(IP)与心理弹性水平的关系,以指导早期干预、提高EP患者心理弹性水平。方法选取郑州市第九人民医院2019-02—2020-05收治的77例EP患者为研究对象,采用心理弹性量表(CD-RISC)评估患者心理弹性水平并分组;设计基线资料调查问卷,采集并比较患者基线资料,重点比较患者IP情况[采用简易IP问卷(BIPQ)评估],分析EP患者IP与心理弹性水平的关系。结果 77例EP患者,29例心理弹性水平低下,占37.66%;心理弹性水平低下组社会支持、自我效能感、IP敏感度评分均低于心理弹性水平正常组,差异有统计学意义(P<0.05);组间其他资料比较差异无统计学意义(P>0.05)。经单因素分析后建立多元回归模型行多因素分析,结果显示社会支持低下、自我效能感一般、IP敏感度低下均为EP患者心理弹性水平低下的影响因素(OR>1,P<0.05),其中IP敏感度低下带来的影响最显著,可能作为独立危险因素。经双变量Pearson直线相关性检验显示,IP与心理弹性水平呈正相关(r>0,P<0.05)。结论 EP患者心理弹性水平不容乐观,可能与患者IP敏感度低下有关,临床应重视观察EP患者心理弹性水平现状,并早期给予IP敏感度低下的EP患者针对性干预,以提高心理弹性水平,可能对治疗疾病有积极意义。

Objective To observe the psychological resilience level of patients with epilepsy(EP)and to analyze the relation⁃ship between the patient’s illness perception(IP)and the psychological resilience level,in order to guide early intervention and im⁃prove the psychological resilience of EP patients.Methods A total of 77 EP patients treated in our hospital from February 2019 to May 2020 were selected as the research objects.According to the Psychological Resilience Scale(CD-RISC)to assess the psychologi⁃cal resilience level of patients and divided them into groups;designed a baseline data survey questionnaire,collected and compared patients’baseline data,a mainly compared the IP status[using simple IP questionnaire(BIPQ)assessment]of patients,and analyzed the relationship between IP and psychological resilience level of EP patients.Results Among 77 EP patients,29 patients had a low level of psychological resilience,accounting for 37.66%;the social support,self-efficacy,and IP sensitivity scores of the low-psycho⁃logical elasticity group were lower than those of the normal-psychological elasticity group,and the difference was statistically signifi⁃cant(P<0.05),compared other data between groups,the difference was not statistically significant(P>0.05).After single factor analy⁃sis,a multiple regression model was established and multi-factor analysis was performed.The results showed that low social support,general self-efficacy,and low IP sensitivity were all influencing factors for the low level of mental resilience in EP patients(OR>1,P<0.05).Among them,the impact of low IP sensitivity was the most significant,which might be an independent risk factor;the results of the bivariate Pearson linear correlation test showed that IP was positively correlated with the level of psychological resilience(r>0,P<0.05).Conclusion The psychological resilience level of EP patients is not optimistic,which may be related to the patients’low IP sensitivity.Clinically,the observation of the current status of the psychological resilience of EP patients should be focused on,and ear⁃ly targeted interventions are given to EP patients with low IP sensitivity to improve the psychological resilience level,which may be of positive significance to help the smooth treatment of the disease.