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癫痫患儿的生活质量。

Quality of life in children with epilepsy.

作者信息

Nadkarni Jayashree, Jain Arti, Dwivedi Rashmi

机构信息

Department of Pediatrics, Gandhi Medical College and Kamla Nehru Hospital, Bhopal, Madhya Pradesh, India.

出版信息

Ann Indian Acad Neurol. 2011 Oct;14(4):279-82. doi: 10.4103/0972-2327.91948.

DOI:10.4103/0972-2327.91948
PMID:22346017
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3271467/
Abstract

BACKGROUND

Epilepsy is a chronic medical condition with many co-morbid features. It has been observed that children with epilepsy (CWE) have a compromised quality of life (QOL).

OBJECTIVE

To assess the QOL in CWE and to study the various factors affecting QOL among CWE.

MATERIALS AND METHODS

The sample consisted of 102 CWE aged 5-15 years of either sex. QOL was measured by Quality of Life in Childhood Epilepsy (QOLCE) questionnaire, a 76-item, parent-reported questionnaire. Cronbach alpha was used to determine the internal consistency of the subscales and Pearson correlation to determine construct validity. The t-test and analysis of variance were used to compare mean QOLCE scores.

RESULTS

Factors affecting QOL included age, place of residence, socioeconomic condition, maternal education, seizure type and frequency and number of antiepileptic drugs.

CONCLUSION

CWE have a relatively compromised QOL and comprehensive care needs to go beyond the attempt of controlling seizures.

摘要

背景

癫痫是一种具有多种共病特征的慢性疾病。据观察,癫痫患儿的生活质量受到损害。

目的

评估癫痫患儿的生活质量,并研究影响癫痫患儿生活质量的各种因素。

材料与方法

样本包括102名年龄在5至15岁之间的癫痫患儿,性别不限。生活质量通过《儿童癫痫生活质量》(QOLCE)问卷进行测量,这是一份由家长报告的76项问卷。使用Cronbach阿尔法系数来确定子量表的内部一致性,并使用皮尔逊相关性来确定结构效度。采用t检验和方差分析来比较QOLCE平均得分。

结果

影响生活质量的因素包括年龄、居住地点、社会经济状况、母亲教育程度、癫痫发作类型和频率以及抗癫痫药物的数量。

结论

癫痫患儿的生活质量相对受损,综合护理需要超越控制癫痫发作的尝试。

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本文引用的文献

1
Language in pediatric epilepsy.小儿癫痫中的语言问题。
Epilepsia. 2009 Nov;50(11):2397-407. doi: 10.1111/j.1528-1167.2009.02199.x. Epub 2009 Jul 14.
2
Impact of pediatric epilepsy on Indian families: influence of psychopathology and seizure related variables.小儿癫痫对印度家庭的影响:精神病理学及癫痫相关变量的影响
Epilepsy Behav. 2006 Aug;9(1):145-51. doi: 10.1016/j.yebeh.2006.04.011. Epub 2006 May 24.
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Frequent seizures and polytherapy can impair quality of life in persons with epilepsy.频繁发作和联合治疗会损害癫痫患者的生活质量。
Neurol India. 2005 Mar;53(1):46-50. doi: 10.4103/0028-3886.15054.
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Correlates of quality of life with epilepsy.癫痫与生活质量的相关性。
Indian J Pediatr. 2005 Feb;72(2):131-5. doi: 10.1007/BF02760697.
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Recurrent seizures and behavior problems in children with first recognized seizures: a prospective study.首次确诊癫痫儿童的复发性癫痫发作及行为问题:一项前瞻性研究。
Epilepsia. 2002 Dec;43(12):1564-73. doi: 10.1046/j.1528-1157.2002.26002.x.
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Predictors of parental adjustment to children's epilepsy in rural India.印度农村地区父母对孩子癫痫适应情况的预测因素
Child Care Health Dev. 2002 Jul;28(4):295-300. doi: 10.1046/j.1365-2214.2002.00278.x.
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Social integration of children with epilepsy in rural India.印度农村癫痫儿童的社会融合。
Soc Sci Med. 2002 Jun;54(12):1867-74. doi: 10.1016/s0277-9536(01)00154-x.
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Epilepsy in rural South African children--prevalence, associated disability and management.南非农村儿童癫痫——患病率、相关残疾情况及管理
S Afr Med J. 2000 Mar;90(3):262-6.
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Validation of a new quality of life measure for children with epilepsy.一种针对癫痫患儿的新的生活质量测量方法的验证。
Epilepsia. 2000 Jun;41(6):765-74. doi: 10.1111/j.1528-1157.2000.tb00240.x.
10
Risk factors for poor health-related quality of life in adolescents with epilepsy.癫痫青少年健康相关生活质量低下的风险因素。
Epilepsia. 1999 Dec;40(12):1715-20. doi: 10.1111/j.1528-1157.1999.tb01588.x.