Miller Wendy R, Otte Julie L, Pleuger Madona
Questions or comments about this article may be directed to Wendy R. Miller, PhD RN CCRN, at
J Neurosci Nurs. 2016 Jul-Aug;48(4):179-84. doi: 10.1097/JNN.0000000000000214.
Epilepsy is the most common chronic neurological disease in the United States, and 70% of diagnoses occur in late adolescence or adulthood. A disease of the brain, epilepsy can affect sleep. Lack of adequate or high-quality sleep can cause decrements in quality of life. Adults living with epilepsy are at especially high risk for sleep alterations, and these changes in sleep can worsen their epilepsy. The purpose of the study was to describe the perceived effect of epilepsy on sleep in adults who developed epilepsy in late adolescence or adulthood. Research questions included (a) "In adults with epilepsy, what is the perceived change in ability to sleep well because of having epilepsy?"; (b) "In adults with epilepsy, is there a significant relationship between perceived changes in ability to sleep well and perceived changes in overall life because of having epilepsy?"; and (c) "In adults with epilepsy, is there a significant relationship between perceived changes in ability to sleep well because of having epilepsy and total Life Changes in Epilepsy Scale (LCES) scores?".
One hundred seventy-four adults with epilepsy were recruited. Utilizing data collected via the LCES, a quantitative descriptive/correlational design was utilized. Analyses were carried out to answer each research question.
The mean score for the sleep item of the LCES was 2.76 (SD = 1.31), indicating an overall negative change in ability to sleep well. There was a statistically significant, strong positive relationship between the sleep and overall life changes items of the LCES (Pearson r = .476, p < .0000) and also between the sleep item and total LCES scores (Pearson r = .620, p < .0000).
Findings from this study contribute to the extant literature by revealing epilepsy-related changes in sleep as perceived by adults living with epilepsy specifically because of having epilepsy. On the basis of findings rendered from this sample, having epilepsy can lead to perceived negative changes in a person's ability to sleep well, and these negative changes are significantly correlated with negative overall life changes. Recommendations for clinical practice and research can be made based on current results.
癫痫是美国最常见的慢性神经系统疾病，70%的诊断发生在青春期末期或成年期。癫痫作为一种脑部疾病，会影响睡眠。缺乏充足或高质量的睡眠会导致生活质量下降。成年癫痫患者尤其容易出现睡眠改变，而这些睡眠变化会使他们的癫痫病情恶化。本研究的目的是描述癫痫对青春期末期或成年期患癫痫的成年人睡眠的感知影响。研究问题包括：（a）“在成年癫痫患者中，因患癫痫而感知到的睡眠良好能力有何变化？”；（b）“在成年癫痫患者中，因患癫痫而感知到的睡眠良好能力变化与因患癫痫而感知到的整体生活变化之间是否存在显著关系？”；以及（c）“在成年癫痫患者中，因患癫痫而感知到的睡眠良好能力变化与癫痫生活变化总量表（LCES）总分之间是否存在显著关系？”
招募了174名成年癫痫患者。利用通过LCES收集的数据，采用定量描述性/相关性设计。进行分析以回答每个研究问题。
LCES睡眠项目的平均得分为2.76（标准差 = 1.31），表明睡眠良好能力总体呈负面变化。LCES的睡眠项目与整体生活变化项目之间存在统计学上显著的强正相关关系（皮尔逊相关系数r = 0.476，p < 0.0000），睡眠项目与LCES总分之间也存在显著关系（皮尔逊相关系数r = 0.620，p < 0.0000）。
本研究结果通过揭示成年癫痫患者因患癫痫而感知到的与癫痫相关的睡眠变化，为现有文献做出了贡献。基于该样本的研究结果，患癫痫会导致一个人睡眠良好能力出现感知到的负面变化，并且这些负面变化与整体生活的负面变化显著相关。可根据当前结果提出临床实践和研究的建议。
