朱遂强，罗利俊，唐敏，阮旭中.成年癫痫患者生存质量的研究[J].中华物理医学与康复杂志,2003,(5):.-
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| 成年癫痫患者生存质量的研究 |
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| DOI： |
| 中文关键词: 癫痫 生存质量 心理治疗 成年人 |
| 英文关键词: Epilepsy Quality of life Psychological intervention Adult |
| 基金项目: |
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| 摘要点击次数: 3845 |
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| 中文摘要: |
| 目的研究成年癫痫患者的生存质量、影响因素及心理干预治疗效果。 方法对符合入选标准的64例癫痫患者和对照者64例，进行癫痫患者生存质量量表-31（QOLIE-31）的评估，并在癫痫组中，随机抽取35例进行心理干预治疗。 结果癫痫组较对照组QOL明显降低（P<0.01）。多种因素：心理抑郁、发作担扰、家庭环境、记忆功能、药物影响、发作频率等对QOL影响较大，相关程度呈递减趋势。心理干预治疗后，癫痫患者QOL明显改善，QOL各项得分及总评分均有明显提高（P<0.01）。 结论成年癫痫患者QOL明显降低, 发作担扰、心理抑郁、家庭环境对QOL影响较大，应用抗癫痫药物控制痫性发作是提高QOL的基本方法，但心理干预治疗是提高QOL的重要途径。 |
| 英文摘要: |
| Objective To study the quality of life，its related factors and the effect of psychological intervention in adults with epilepsy. MethodsThe QOLIE-31 was administered in 64 adults with epilepsy who met the entry criteria， 64 healthy volunteers who had the similar personal characters served as control. The psychological intervention was given to 35 patients who were selected at random from the epileptic group. ResultsCompared with the control group， QOL score was lower in epileptic group (P<0.01). Multiple linear regression analysis revealed several important factors correlated to the QOL of the patients. In decreasing order of importance， these factors are psychological depression， worries about onest of seizure， family environment， memory function， side effects of anti-epileptics drugs (AEDS)， and seizure frequency. After psychological intervention， the QOL was obviously improved with significant difference(P<0.01) in the group receiving psychological intervention，as compared with those who did not receive psychological therapy. ConclusionQOL in adults with epilepsy is lower than that in the control group. Worries about seizure onest, depression and family environment play an important role in QOL. Using anti-epileptic drugs to control the episodes of epilepsy is the basic treatment to improve the QOL. Nevertheless, the psychological intervention is indispensable and an important way of improving the QOL in epileptic adults. |
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