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目的了解291名门诊就诊成年癫痫患者的生存质量及其影响因素。方法选取2005年7月至2006年7月在北京天坛医院癫痫门诊就诊的癫痫患者,用成年癫痫患者生存质量量表-31中文版对符合调查标准的患者进行生存质量测量和评价。结果生存质量得分为(56.46±16.58)分;生存质量各项目得分分别为:发作担忧(45.01±25.25)分、生活质量自我评价(56.12±16.37)分、感情幸福(59.35±19.56)分、认知功能(58.58±22.41)分、精力和疲劳(59.12±18.98)分、药物作用(40.45±24.44)分、社会功能(53.00±26.36)分;单因素分析结果显示,不同文化程度、是否存在自我报告药物副作用以及不同服药情况患者生存质量不同(P<0.05);多元线性回归分析显示,文化程度、是否存在自我报告药物副作用影响患者生存质量(P<0.05)。结论癫痫患者的生存质量低;药物副作用、服药情况以及文化程度是影响癫痫患者生存质量的主要因素。
Objective To understand the quality of life and its influencing factors in 291 outpatients with adult epilepsy. Methods From July 2005 to July 2006, patients with epilepsy in the epilepsy clinic of Beijing Tiantan Hospital were enrolled in this study. The quality of life was measured and evaluated in the Chinese version of the Quality of Life Inventory for Adult Epilepsy. Results The quality of life score was (56.46 ± 16.58) points. The items of quality of life were as follows: seizure worry (45.01 ± 25.25), quality of life self assessment (56.12 ± 16.37), feeling happy (59.35 ± 19.56) (58.58 ± 22.41) points, energy and fatigue (59.12 ± 18.98) points, drug effect (40.45 ± 24.44) points and social function (53.00 ± 26.36) points respectively. The results of univariate analysis showed that there were different levels of self Reported side effects of drugs and quality of life in patients with different medication (P <0.05); Multiple linear regression analysis showed that there was self-reported drug adverse effects on quality of life (P <0.05). Conclusion The quality of life of patients with epilepsy is low. The side effects of drugs, medication and education level are the main factors affecting the quality of life in patients with epilepsy.