多元随访干预对成年癫痫患者急性发作次数的影响

Effect of multiple follow-up intervention on the number of acute seizures in adult epilepsy patients

目的探讨多元随访干预对成年癫痫患者急性发作次数的影响。方法选取2020-05—2022-05首都医科大学附属北京天坛医院收治的174例成年癫痫患者,观察组和对照组各87例。对照组出院后通过电话进行常规随访,观察组采取多元随访干预,时间6个月。比较2组患者随访期间依从性、干预前与随访期间的急性发作次数与持续时间、生活质量[采用癫痫患者生活质量量表(QOLIE-31)评估]。结果2组患者的急性发作次数与持续时间均较干预前明显降低(P<0.05),观察组低于对照组(P<0.05)。观察组随访期间总依从率为97.70%,高于对照组的89.66%(P<0.05)。2组患者随访结束时生活质量各项评分均较干预前升高(P<0.05),观察组高于对照组(P<0.05)。结论多元随访干预可有效提高患者服药依从性,减少患者急性发作,促进生活质量的提升。

Objective To explore the effect of multiple follow-up intervention on the number of acute sei-zures in adult epilepsy patients.Methods A total of 174 adult patients with epilepsy who were admitted fromMay 2020 to May 2022 in the Beijing Tiantan Hospital,Capital Medical University were selected and divided intoobservation group and control group,with 87 cases in each group.The control group received routine follow-up bytelephone after discharge,and observation group received multivariate follow-up intervention for 6 months.Thecompliance during the follow-up period,the number and duration of acute attacks,and the quality of life(assessedby the quality of life scale for epilepsy(QOLIE-31))before intervention and during follow-up period were com-pared between two groups.Results During follow-up period,the number and duration of acute attacks in twogroups were significantly lower than those before intervention(P<0.05),and the observation group was lower thancontrol group(P<0.05).During follow-up period,the total compliance rate of observation group was 97.70%,which was higher than 89.66%in control group(P<0.05).The scores of quality life at the end of follow-up intwo groups were all higher than those before intervention(P<0.05),and the observation group was higher thancontrol group(P<0.05).Conclusion Multivariate follow-up intervention can effectively improve patients’medica-tion compliance,reduce patients’acute attacks,and promote the improvement of quality of life.