R. Madhavan Nair Center for Comprehensive Epilepsy Care, Sree Chitra Tirunal Institute for Medical Sciences and Technology, Trivandrum, Kerala, India.
Epilepsy Behav. 2009 Nov;16(3):495-500. doi: 10.1016/j.yebeh.2009.08.020. Epub 2009 Sep 26.
We examined employment outcome and its determinants in 172 south Indian patients who had undergone anterior temporal lobectomy (ATL) for medically refractory epilepsy. Despite seizure-free outcome in the majority, a significant change in post-ATL employment status occurred only in those involved in skilled jobs. Although factors such as younger age at surgery, shorter duration of epilepsy, longer post-ATL follow-up duration, and lower income were associated with favorable employment outcome in univariate analysis, only shorter duration of epilepsy was independently predictive in the multivariate model. A majority of homemakers appreciated marked improvement in their own day-to-day activities. Our patients did not express their desire to work as a principal aim of epilepsy surgery. To enhance occupational attainment, patients require, before epilepsy surgery, occupational assessment to identify their individual abilities and limitations and counseling in formulating realistic goals. After surgery, they require continued support in vocational training and job seeking.
我们研究了 172 名在印度南部接受经前颞叶切除术（ATL）治疗药物难治性癫痫的患者的就业结果及其决定因素。尽管大多数患者癫痫无发作，但只有从事技术工作的患者的术后就业状况发生了显著变化。尽管手术年龄较小、癫痫持续时间较短、ATL 后随访时间较长和收入较低等因素与单因素分析中的良好就业结果相关，但在多因素模型中只有癫痫持续时间较短是独立预测因素。大多数家庭主妇对自己日常活动的显著改善表示赞赏。我们的患者并没有将工作作为癫痫手术的主要目标。为了提高职业成就，患者在癫痫手术前需要进行职业评估，以确定他们的个人能力和局限性，并在制定现实目标方面进行咨询。手术后，他们需要在职业培训和求职方面持续得到支持。
