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1、影响癫痫患者照顾者生活质量的因素调查研究张旭芬郑米娅晏玉奎浙江省湖州市中心医院急诊科浙江省湖州市中心医院神经内科摘要:目的探讨癫痫患者照顾者生活质量及其影响因素。方法选择2016年7/12017年5月在我院治疗的癫痫患者98例的主要照顾者为调查对象设为试验组。另选择同期在我院健康体检者100例为对照组。记录癫痫患者及照顾者一般资料,癲痫患者照顾者生活质量,癫痫相关知识知晓情况,心理状态评定,对照组生活质量。结果试验组BP、GH、VT、SF、RE、MH评分均显著低于对照组,差异有统计学意义(P<0.05)。试验组98例,焦虑58例,抑郁72例,癫痫知识知晓率:良好
2、5例,一般71例,差22例。单因素分析结果显示,照顾者焦虑、抑郁、癫痫知识知晓率低、患者年龄>60岁、病程>10年、全身强直痉挛发作照顾者生活质量较低,差异有统计学意义(P<0.05)。多因素分析结果显示患者病程、患者发作类型、照顾者合并抑郁是影响照顾者生活质量的影响因素,(P<0.05)。结论癫痫患者照顾者整体生活质量较差,患者病程越长、发作类型为全身强直痉挛发作、照顾者合并抑郁是影响照顾者总体生活质量的独立因素。关键词:癫痫;照顾者;生活质量;影响因素;焦虑;抑郁;收稿日期:2017-08-12基金:浙江省医药卫生科技计划项目(2016ZHB022)Stud
3、yonthefactorsaffectingthequalityoflifeofcaregiversofpatientswithepilepsyZHANGXufenZHENGMiyaYANYukuiDepartmentofEmergencyMedicine,HuzhouCityCentralHospitalinZhejiangProvince;DepartmentofNeurology,HuzhouCityCentralHospitalinZhejiangProvince;Abstract:ObjectiveToexplorethequalityoflifeof
4、caregiversofepilepsypatientsanditsinfluencingfactors.MethodsThemaincaregiversof98patientswithepilepsywhoweretreatedinourhospitalfromJuly2016toMay2017wereenrolledasexperimentalgroup.And100casesofhealthysubjectsinourhospitalwereselectedascontrolgroupinthesameperiod.Thegeneralinformatio
5、nofepilepsypatientsandcaregivers,thequalityofcaregiversofpatientswithepilepsy,epilepsy-relatedknowledge,mentalstateassessment,thequalityoflifeofthecontrolgroupwererecorded.ResultsThescoresofBP,GH,VT,SF,REandMHinexperimentalgroupweresignificantlylowerthanthoseinthecontrolgroup,andthed
6、ifferencewasstatisticallysignificant(P<0.05).Therewere58casesofanxiety,72casesofdepressionin98casesoftheexperimentalgroup.Therewere5casesofgoodknowledgeofepilepsyawareness,71casesofgeneralknowledgeofepilepsyawarenessand22casesofpoorknowledgeofepilepsyawareness.Theresultsofunivariatea
7、nalysisshowedthatthequalityoflifeinpatientswithcaregiveranxiety,depression,lowepilepsyknowledgeawarenessrate,theage^60yearsold,course^lOyearsandgeneraltonicspasmonsetwaslow,andthedifferencewasstatisticallysignificant(P<0.05).TheMultivariateanalysisshowedthatthecourseofthepatient,thet
8、ypeofepisode