健康教育对成年癫痫患者治疗依从性及生活质量的影响  

Effect of health education on treatment compliance and quality of life in adult patients with epilepsy

作　　者：张建平[1] 刘英[2] 张会军[1] 代全德[1] 

机构地区：[1]河南省商丘市第一人民医院神经内科,476100 [2]河南省商丘市第一人民医院体检中心,476100

出　　处：《中华健康管理学杂志》2009年第2期84-87,共4页Chinese Journal of Health Management

摘　　要：目的探讨健康教育对成年癫痫患者治疗依从性及生活质量的影响。方法将130例成年癫痫患者分为健康教育组（68例）和非健康教育组（62例），均给予规范化治疗，健康教育组对患者及家属普及癫痫相关知识及个别心理咨询，随访时间为6个月，采用成年癫痫患者生活质量量表-31（QOLIE-31）中文版进行评定。结果健康教育组患者及家属癫痫相关知识知晓率（94．12％）明显高于非健康教育组（29．03％）（χ^2=58．99，P〈0．05）；研究期间不规范用约（10．29％）及调整用药人次（27．94％）明显低于非健康教育组（27．42％，45．16％）（均P〈0．05）；3个月及6个月时发作频率减少50％以上者（79．41％，85．29％）及完全控制者（36．77％，42．65％）明显高于非健康教育组（51．61％，61．29％，20．97％，25．81％）（均P〈0．05）。研究结束时，两组患者QOL总分及各分项得分均较研究前有提高（均P〈0．05），其中健康教育组提高程度史为显著（均P〈0．05）。结论开展健康教育有助于提高癫痫患者治疗依从性，减少发作，提高生活质量。Objective To investigate the effect of health education on treatment compliance and the quality of life （QOL） in adult patients with epilepsy. Methods A total of 130 adults patients with epilepsy were assigned to the health-education group （ n = 68 ） and the non-health-education group （ n = 62）. All participants received standard treatment. In the health-education group, instructions on epilepsy prevention and treatment and individual psychological counseling were given to the patients or theirs families for 6 months. Quality of life in epilepsy-31 （ QOLIE-31, Chinese version） was used for evaluation. Results Knowing rate of epilepsy-related information in the health-education group （94. 12% ） was significantly higher than that in the non-health-education group （29. 03% ） （χ^2 = 58.99, P 〈 0. 05 ） ; patients with nonstandard treatment and experienced adjusted medication were significantly lower in the health-education group （ 10. 29% vs. 27.42%, and 27.94% vs. 45.16%, respectively ） （ P 〈 0. 05 ）. At 3 and 6 months, the patients whose attack rate decreased 〉 50% and had disease completely controlled in the heahh-education group （79.41% vs. 51.61%, 36.77% vs. 20.97%, 85.29% vs. 61.29%, 42.65% vs. 25.81%, respectively） were more than that in the non-health-education group. QOL scores were remarkablely increased after intervention in all the patients （ P 〈 0. 05 ）, especially in the health-education group （ P 〈 0. 05 ）. Conclusions More health education may be helpful in improving treatment compliance and QOL and reducing disease attack in epilepsy patients.

关 键 词：健康教育 成年人 癫痫 生活质量 

分 类 号：R4[医药卫生—临床医学] R742