健康教育对癫痫患者焦虑、抑郁及生活质量影响.docVIP

健康教育对癫痫患者焦虑、抑郁及生活质量影响[摘要] 目的 探讨健康教育对癫痫患者焦虑、抑郁及生活质量的影响。方法 研究对象为来我院治疗的癫痫患者120例，随机分为两组：对照组60例采用常规健康教育，研究组60例在常规教育的基础上给予个性化的健康教育，患者的负性情绪及生活质量的评定分别采用Zung焦虑自评量表（SAS）、抑郁自评量表（SDS）及生活质量指数评定量表（QOL）进行评定。结果 健康教育前两组的SAS、SDS、QOL量表评分比较差异无统计学意义（P＞0.05），健康教育后研究组各量表的评分明显优于对照组（P＜0.05）。结论 个性化的健康教育可以明显改善癫痫患者焦虑、抑郁的负性情绪，促进其身心健康，提高其生活质量。 [关键词] 癫痫；健康教育；焦虑；抑郁；生活质量 [中图分类号] R494 [文献标识码] B [文章编号] 1673-9701（2011）26-114-02 Influence of Health Education on Anxious，Depression and the Life Quatity of Epileptic Patients FAN Guoqin Department of Neurosurgery，Xiangshan County the First People’ s Hospital， Xiangshan 315700，China [Abstract] Objective To study the Influence of health education on negative emotions of anxious and depression and the life quatity of epileptic patients. Methods A total of 120 cases of epileptic patients visited out hospital were selected，they were randomly divided into two groups：the control group of 60 cases were given routine health education，the research group of 60 cases were given individualized health education based on routine health education. Negative emotions and the life quatity of epileptic patients were evaluated by SAS，SDS and QOL. Results SAS，SDS and QOL score were no significant difference between control group and research group before health education（P＞0.05）. All of above scale score in the research group were better than those in the control group after health education，had significant difference between two groups（P＜0.05）. Conclusion Individualized health education can improve the negative emotions of anxious and depression，enhance their physical and mental health，improving their life quatity. [Key words] Epileptic；Health education；Anxious；Depression；Life quatity 癫痫是一组反复发作的神经异常放电所致的暂时性中枢神经系统功能失常的慢性疾病[1]。临床发作的特点为突发性、反复性及短暂性，表现为运动、感觉、意识、自主神经、精神等不同障碍，使患者容易产生抑郁、焦虑等负性情绪，严重影响其生活质量[2]。健康教育是一种有计划、有组织、有评价的教育活动，能够改变人们的不健康行为，提高其健康水平。随着现代医学模式的转变，癫痫的治疗不仅仅是控制疾病的发作，对全面改善患者的健康状况也显得尤为重要，同时患者对健康知识和健康技能的需求也明显增加，健康教育的效果直接影响其治疗和康复[3]。本研究对60例癫痫患者采用个性化的健