摘要
目的:研究成人癫痫患者生活品质与社会支持和焦虑抑郁状况的相关性,并分析生活品质的影响因素。方法:连续收集安徽医科大学附属省立医院癫痫门诊及住院的癫痫患者73例和正常对照组50例,所有受检者均完成一般情况调查表、癫痫患者生活质量量表-31(QOLIE-31)、社会支持量表(SSRS)、汉密尔顿焦虑抑郁量表(HAMA、HAMD)的评定,统计各量表得分并进行分析。结果:①癫痫组与正常对照组相比,癫痫患考生活质量量表中各分项得分均低于对照组,差异有统计学意义(P<0.05);②癫痫组在客观支持、主观支持及支持总分得分上均低于对照组,在HAMA、HAMD得分上高于对照组,差异有统计学意义(P<0.05);③癫痫组患者的性别、年龄、婚姻状况、病程、发病频率、服药数量、焦虑抑郁状况与生活品质分项呈负相关;而学历、控制与否、主观支持、客观支持、支持总分与生活品质分项呈正相关;④多元逐步线性回归分析显示,抑郁量表得分、支持总分为生活品质总分的预测因素。结论:癫痫患者焦虑抑郁情绪常见,获得的社会支持较低,从而生活品质差,应及时对患者的焦虑抑郁状况进行干预,给予患者更多支持和帮助,提高其生活品质。
Objective:To study the correlation of quality of life with social support and anxiety and depression in adult patients with epilepsy,and to analyze the influencing factors of their quality of life.Methods:73 cases as the control group and 50 normal cases as the epilepsy group were consecutively collected from the outpatient departments and wards from Affiliated Hospital of Anhui Medical University and were involved in the study,and all cases completed Quality of life in Epilepsy Inventory-31(QOLIE-31),Social support scale(SSRS),Hamilton anxiety scale(HAMA)and Hamilton depression scale(HAMD),and the scores of all scales were counted and analyzed.Results:1.The scores of each item in the quality of life of patients with epilepsy were lower than those of the control group,and the difference was statistically significant(P<0.05).2.The scores of objective support?subjective support and total support in the epilepsy group were lower than those in the control group,and the scores of depression and anxiety scales were higher than those in the control group,with statistically significant difference(P<0.05).3.The patients gender,age,marital status,course of disease,seizure frequency,the amounts of medication,depression scale scores,anxiety scale scores were negatively correlated with the scores of quality of life.Education background,control status,subjective support,objective support and total scores were positively correlated with quality of life.4.Multiple stepwise linear regression analysis showed that depression scale scores and total support scores were predictors of overall quality of life scores of the patients.Conclusion:Depression and anxiety are common for patients with epilepsy.With low social support,the quality of their life was poor.The early psychological intervention,enough support and help are indispensable for the patients in order to improve their quality of life.
作者
张苗苗
赵江明
李洁
丁如雅
ZHANG Miaomiao;ZHAO Jiangming;LI Jie(Department of Neurology,Anhui Provincial Hospital Affiliated to Anhui Medical University,Hefei,230001,Anhui,China)
出处
《癫痫与神经电生理学杂志》
2020年第2期81-86,共6页
Journal of Epileptology and Electroneurophysiology(China)
基金
安徽省科技攻关计划项目(NO:1401045019)。
关键词
癫痫
生活品质
社会支持
焦虑
抑郁
epilepsy
quality of life
social support
anxiety
depression
