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目的探讨癫痫患者配偶的婚姻质量状况。方法采用自制的癫痫患者配偶一般状况调查表和中国人婚姻质量问卷对93例成年癫痫患者配偶(研究组)及用中国人婚姻质量问卷对91例正常人群配偶(对照组)进行调查。结果研究组婚姻质量总分及各因子分均低于对照组(P均<0.05),各年龄段研究组婚姻质量总分及各因子分均差于对照组(P均<0.05)。研究组女性婚姻质量各因子分及总分均差于对照组(P均<0.05);研究组男性在性格相容、化解冲突、经济安排、业余活动、情感与性、子女与婚姻、亲友关系等评分及总分均低于对照组(P均<0.05);研究组女性在夫妻交流、化解冲突、家庭角色评分及总分低于男性(P均<0.05)。小学研究组各因子分及总分低于对照组(P均<0.05);中学研究组在夫妻交流、业余活动、家庭角色低于对照组(P均<0.05);大专以上研究组在性格相容、夫妻交流、化解冲突、情感与性、家庭角色及总分与对照组比较有统计学差异(P<0.05或P<0.01)。结论癫痫患者配偶婚姻质量差于正常人群,在不同年龄阶段、性别及学历上均差于正常人群。可以进一步采用相关分析比较,找出相关因素进行心理及家庭干预以提高癫痫患者配偶婚姻质量水平。
Objective To investigate the marital status of spouses in patients with epilepsy. Methods Ninety-nine adult patients with epilepsy (study group) and 91 normal population spouses (control group) were surveyed by questionnaire of general spouse status of self-made epilepsy and Chinese marital quality questionnaire. Results The total score of marriage and the scores of each factor in the study group were lower than those in the control group (P <0.05). The total score of marriage and the scores of each factor in the study group were significantly lower than those in the control group (P <0.05). The study group men’s marital quality factors and scores were worse than the control group (P <0.05); study group men in character compatibility, conflict resolution, economic arrangements, leisure activities, emotion and sex, children and marriage, relatives and friends (P <0.05). The female students in the research group had less contact with each other than the male (P <0.05). (P <0.05). The study group in middle school had less communication and amateur activities and family roles than those in control group (all P <0.05) There was a significant difference (P <0.05 or P <0.01) between the two groups in terms of communication, conflict resolution, emotion and sexuality, family role and total score as compared with the control group. Conclusion The marital status of spouses in epilepsy patients is worse than that of the normal population. At different ages, the marital status and education are worse than the normal population. Correlation analysis can be further used to find out the relevant factors for psychological intervention and family intervention to improve marital quality of spouse marriages.