癫痫患者生活质量与心理韧性及社会支持的关系  

Relationship between quality of life of epilepsy patients and psychological resilience and social support

作　　者：黄阿敏 王芬[1] 袁媛[1] 黄圣明[1] HUANG A'min;WANG Fen;YUAN Yuan;HUANG Shengming(Department of Neurology,Luohe Central Hospital,Luohe 462000,China)

机构地区：[1]河南省漯河市中心医院神经内科,462000

出　　处：《中国健康心理学杂志》2024年第12期1787-1791,共5页China Journal of Health Psychology

基　　金：河南省医学科技攻关计划(联合共建)(编号:LHGJ20191412)。

摘　　要：目的:探讨癫痫患者生活质量与心理韧性及社会支持的关系,为改善癫痫患者的生活质量提供理论依据。方法:选取2021年3月-2024年3月于某院神经内科住院的76例癫痫患者设为癫痫组,同期选取76例在本院体检的健康者为对照组。以心理弹性量表(CD-RISC)和社会支持评定表(SSRS)评估两组患者的心理韧性和社会支持水平,采用癫痫患者生活质量量表(QOLIE-31)评估患者的生活质量,通过Pearson相关性分析癫痫患者QOLIE-31评分与CD-RISC评分及SSRS评分相关性。结果:癫痫患者QOLIE-31中发作担忧、QOL自查、情绪健康、精力状态、认知功能、药物影响、社会功能、QOL总分评分均低于对照组(t=13.131,11.047,13.202,13.640,8.414,7.729,8.351,8.794;P<0.001);癫痫组患者CD-RISC中坚韧、乐观、自强各评分及CD-RISC总分显著低于对照组(t=8.687,2.248,7.254,12.099;P<0.05);癫痫组患者SSRS量表中客观支持评分、主观支持评分、社会利用度、社会支持总分各评分显著低于对照组(t=3.120,8.459,3.220,5.604;P<0.005);经Pearson相关性分析癫痫患者生活质量QOLIE-31评分与CD-RISC量表中坚韧、乐观、自强、CD-RISC总分呈正相关(r=0.628,0.556,0.635,0.659;P<0.05);癫痫患者QOLIE-31评分与SSRS中主观支持、客观支持、社会利用度、社会支持总分呈正相关(r=0.596,0.529,0.641,0.603;P<0.05)。结论:癫痫患者生活质量水平较低,可受心理韧性及社会支持水平的影响,临床可以从提高癫痫患者的心理韧性及社会支持水平入手,从而提高癫痫患者的生活质量。Objective:To explore the relationship between the quality of life of epileptic patients and psychological resilience and social support,and to provide theoretical basis for improving the quality of life of epileptic patients.Methods:Seventy-six patients with epilepsy hospitalized in the department of neurology of our hospital from March 2021 to March 2024 were selected as the epilepsy group,and 76 healthy people in our hospital were selected as the control group during the same period.Connor-DavidsonResilience Scale(CD-RISC)and Social Support Rating Scale(SSRS)were used to evaluate the level of psychological resilience and social support of patients in the two groups,and the quality of life of patients with epilepsy(QOLIE-31)was used to evaluate the quality of life of patients.Pearson correlation was used to analyze the correlation between QOLIE-31 score and CD-RISC score and SSRS score.Results:The seizure anxiety,QOL self-examination,emotional health,energy state,cognitive function,drug influ ence,social function and total score of QOL in epileptic patients were lower than those in the control group(t=13.131,11.047,13.202,13.640,8.414,7.729,8.351,8.794;P<0.001);The scores of toughness,optimism and self-improvement in CD-RISC and the total score of CD-RISC in epilepsy group were significantly lower than those in control group(t=8.687,2.248,7.254,12.099;P<0.05);The scores of objective support,subjective support,social utilization and total social support in SSRS scale of epilepsy group were significantly lower than those in control group(t=3.120,8.459,3.220,5.604;P<0.005);Pearson correlation analysis showed that QOLIE-31 score of epileptic patients was positively correlated with tenacity,optimism,self-improvement and total CD-RISC score in CD-RISC scale(r=0.628,0.556,0.635,0.659;P<0.05);The QOLIE-31 score of epileptic patients was positively correlated with subjective support,objective support,social utilization and total score of social support in SSRS(r=0.596,0.529,0.641,0.603;P<0.05).Conclusion:The quality of l

关 键 词：癫痫患者 生活质量 心理韧性 社会支持 社会利用度 

分 类 号：R395.4[哲学宗教—心理学] R749.1[医药卫生—医学心理学]