贵州医科大学学报

2016, v.41;No.186(03) 351-355

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影响癫痫儿童生活质量的相关因素分析
Analysis about the Influence Factors to the Quality of Life in Children with Epilepsy

聂珊;贾秀英;
NIE Shan;JIA Xiuying;Teaching Division of Gynecology and Pediatric Nursing,Guizhou Medical University;

摘要(Abstract):

目的:探讨影响癫痫(EP)患儿生活质量的相关因素。方法:收集92例EP患儿人口学资料(年龄、性别、EP发作频率、家庭子女数及收入),EP患儿及监护人共同填写家庭疾病知识调查表及EP患儿生活质量量表(QOLCE),用焦虑自评量表(SAS)测评患儿监护人焦虑程度,比较不同暴露因素下QOLCE各维度得分及单因素方差分析,同时对QOLCE各维度与影响因素进行多元回归分析。结果:单因素方差分析显示患儿年龄、发作频率及家长疾病知识得分及焦虑程度是影响EP患儿生活质量的相关因素(P<0.05),多元逐步回归分析显示患儿年龄与发作频率进入生活质量各维度回归方程,偏回归系数分别在0.216~0.571和-0.653~-0.542(P<0.05);家长疾病知识得分进入患儿躯体功能、情感健康和社会功能回归方程,偏回归系数在0.145~0.501(P<0.05);家长SAS评分进入患儿躯体功能、情感健康、社会功能、行为功能回归方程,偏回归系数在-0.606~-0.375(P<0.05)。结论:EP患儿年龄、EP发作频率、家长对疾病知识的掌握情况和焦虑程度是影响患儿生活质量的相关因素。
Objective: To investigate the influence factors to the quality of life in children with epilepsy( EP). Methods: Demographic data of 92 EP children were collected in this study( information concerning age,gender,seizure frequency,number of children and income); EP children and guardians filled out QOLCE,SAS was adopted to evaluate anxiety level of guardians; comparing various dimensions scores of QOLCE under different exposure factors and one-factor analysis of variance; multivariate regression analysis was carried out on various dimensions of QOLCE and influencing factors.Results: Single factor analysis of variance shows that age,seizure frequency,parents' score of knowledge about epilepsy and their anxiety level are relevant factors to quality of life of EP children( P <0. 05). Single factor analysis of variance showed that age,seizure frequency,family economy,parents' score of knowledge about epilepsy and their anxiety have impact on QOLCE,Multiple regression analysis showed that children's age and seizure frequency entered the regression equation of each dimension in QOLCE,partial regression coefficients were 0. 216 to 0. 571,- 0. 653 to- 0. 542 respectively( P< 0. 05); parents' knowledge of EP entered the regression equation of physical function,mental health and social function,partial regression coefficient were 0. 145 to 0. 501( P < 0. 05); parents' SAS score entered the regression equation of physical function,mental health,social function,behavior function in QOLCE,partial regression coefficient were- 0. 606 to- 0. 375( P < 0. 05). Conclusion: Age,seizure frequency,parents' knowledge about EP and their anxiety level were the influence factors to the quality of life in children with epilepsy. It's important to improve those parents' knowledge and provide psychological counseling for them.

关键词(KeyWords): 癫痫;儿童;生活质量;影响因素;知识;焦虑
epilepsy;children;quality of life;influence factors;knowledge;anxiety

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作者(Author): 聂珊;贾秀英;
NIE Shan;JIA Xiuying;Teaching Division of Gynecology and Pediatric Nursing,Guizhou Medical University;

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DOI: 10.19367/j.cnki.1000-2707.2016.03.031

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