心理干预和健康教育对癫患者认知功能影响的研究.docVIP

心理干预和健康教育对癫患者认知功能影响的研究 作者：陈湛愔 林海峰 陈文荣 陈逢俭 作者单位：广东湛江中心人民医院神经内科 湛江 524037 　　【摘要】 目的 研究和探讨心理干预和健康教育对癫患者认知功能的影响。方法 收集湛江中心人民医院神经内科门诊和住院的癫患者386例，分别进行韦氏智能、情感、生存质量等测定，并进行心理干预和健康教育，观察治疗前后认知功能的差异。结果 386例癫患者中，认知水平低于正常者（IQ值≤ 90分）297例（76.94%）, 认知水平低下者（IQ值≤70分）217例（56.22%）。回归分析显示患者职业、文化程度、病程、发作次数等对患者认知功能影响显著。相关分析显示认知功能水平与患者的焦虑抑郁情感评分呈显著负相关，与患者的情绪、精力、认知功能、用药顾虑显著相关，而患者的焦虑抑郁情绪与其情绪、精力、认知功能显著相关。心理干预治疗后，患者认知功能、情感障碍、生存质量明显改善。结论 抗癫药可造成癫患者认知功能的损害，积极有效规范化的心理治疗和健康教育对患者的认知功能、情感障碍、社会生存质量均有明显的改善。 　　【关键词】 癫;认知障碍;情感障碍;心理干预;健康教育 　　Research on the influence of psychotherapy and health education on epilepsy patients affective disorder and cognitive impairment Chen Zhanyin, Lin Haifeng, Chen Wenrong, et al.Department of Neurology, Zhanjiang Central Peoples Hospital of Guangdong, Zhanjiang 524037,China　【Abstract】 Objective To investigate the influence of different antiepileptic drugs upon epileptic patientscognitive function and the impact of affective disorder upon their cognitive impairment.Methods Total 386 outpatients and inpatients from Department of Neurology, Zhanjiang Central Peoples Hospital were collected and another 56 cases as control group.The patients were tested by 24item Hamilton Depression Rating Scale (HAMDS) and Wechsler Adult Intelligence Scale (WAIS) and prescribed antidepressant.Applying psychotherapy and health education, researchers compared and analyzed features of epileptics cognitive function and affective disorder.Results In 386 cases, 297 of them（76.94%）were lower than normal intelligence level（IQ≤ 90分）, 217 cases belonged to（56.22%）mental retardation（IQ≤70分）.There were significant differences in different drug taken groups on their cognitive function and affective disorder.The results of multiple stepwise linear regression indicated that the main influence factors of the cognitive impairment were education level and job, and the influence of the age and sex were not remarkable.Profession, education, course of disease, attack times and secondar