癫患儿的生活质量及心理干预的研究  

Research on quality of life and Psychological intervention in epileptic children

作　　者：唐铁钰[1] 张新江[1] 符长标[1] 张融[2] 

机构地区：[1]江苏省扬州市第一人民医院神经内科,225001 [2]江苏省扬州市第一人民医院儿科,225001

出　　处：《卒中与神经疾病》2009年第1期44-46,共3页Stroke and Nervous Diseases

摘　　要：目的研究癫儿童的生活质量状况,分析影响其生活质量的相关因素,并对存在的心理问题进行干预,观察干预治疗的作用。方法应用新的癫儿童的生活质量量表对83例癫儿童进行生活质量的评估,以癫知识集体讲座与个别心理咨询相结合的方法对存在的心理问题进行干预。结果癫儿童的生活质量明显低于正常儿童,主要表现在对发作的恐惧、长期用药的担忧、认知功能的障碍及社会交往的困难;经过心理咨询患儿心理问题减轻、生活质量显著提高,咨询后3个月追踪观察干预效果比较稳定。结论癫患儿的生活质量明显低下,积极控制患儿病情,加强健康教育普及癫相关知识,是提高患儿生活质量的有效途径。Objective To assess the quality of life（QOL） and influencing factors of children with epilepsy, assess the effect of psychological education plus individual consultation on mental disturbance. Methods Before and after the psychological intervention （psychological education plus individual consultation）, the QOL of 83 epileptic children and 83 normal children were assessed with a new quality of life measure for children with epilepsy（QOLCE）. Results The QOL of epileptic children was much lower than that of the control group. The influencing factors were worrying about the seizure attacks, side effect of anticonvulsants, impairment of cognitive function and limitation of social function. After comprehensive intervention, quality of life improved. Conclusions Besides rational drug treatment, comprehensive help, especially psychological intervention should be applied to children with epilepsy to improve their QOL.

关 键 词：癫痫 儿童 生活质量 心理干预 

分 类 号：R742.1[医药卫生—神经病学与精神病学]