成年女性癫痫患者生活质量影响因素及自我效能评价分析

目的：探讨成年女性癫痫患者生活质量影响因素及自我效能评价。方法：收集女性癫痫患者共138例（研究组）及女性健康体检者265例（对照组），分别采用癫痫患者生活质量调查表（Qo．LIE-31中文版）、自评抑郁量表（SDS）、焦虑自评量表（SAS）、慢性病自我效能量表评价患者及对照生活质量、抑郁、焦虑及自我效能水平并分析。结果：研究组与对照组生活质量总分其差异有统计学意义，且8个项目每一项差异均有统计学意义（P均〈0．05）。成人女性癫痫患者抑郁占86．23％，焦虑占78．99％。癫痫患者轻、中、重度抑郁、焦虑得分与对照组无抑郁、焦虑组得分，其差异均具有统计学意义（P均〈0．05）。高级、中级水平生活效能患者的生活质量总分与低级水平者其差异有统计学意义（P均〈0．05）。结论：成年女性癫痫患者生活质量水平低，抑郁、焦虑发生率高，且均是生活质量的重要危险因素。通过提升成年女性癫痫患者的自我效能水平可改善生活质量。

Impact Factors of Quality of Life and Self-efficacy Evaluation Analysis in Adult Female Epilepsy Patients

Objective： To investigate impact factors of quality of life and self-efficacy evaluation in a- dult female epilepsy patients. Method： A total of 138 cases of women with epilepsy （study group} and 265 cases of healthy subjects （ control group } were collected. Epileptic patients quality of life questionnaire （ QO- LIE-31 Chinese version}, Self-rating Depression Scale （SDS）, Self-rating Anxiety Scale （SAS}, and chronic disease, self-efficacy scale evaluation were used to evaluate the quality of life, depression, anxiety and self-efficacy levels in patients and control group and then generally analyzing. Result： The quality of score in the study group was significantly lower than the control group, and every one of the eight projects were significantly lower than those in the control group （P 〈0.05 ）. Adult female epilepsy patients with de- pression accounted for 86.23%, anxiety accounted for 78.99%. Epilepsy patients with mild, moderate and severe depression or anxiety patients scores were significantly lower than those without depression, anxiety Quality of life score in patients with an advanced or intermediate level of life performance were higher than the lower level （ P 〈0.05 }. Conclusion： The low level of the quality of life occurred in adult women with epilepsy. High incidence of depression, anxiety was important risk factor of the quality of life. Quality of life can be improved by raising the level of self-efficacy in adult women with epilepsy.