Tang Binmi, Fu Yaqian, Liu Birong, Yi Qifeng
Xiangya Nursing School, Central South University, Changsha, China.
Department of Nursing, Third Xiangya Hospital, Central South University, Changsha, China.
Front Neurol. 2022 Sep 13;13:994664. doi: 10.3389/fneur.2022.994664. eCollection 2022.
Epilepsy requires long-term or lifelong treatment, and patients are prone to financial, emotional and psychological burdens that can cause psychological changes during the treatment process. This study aimed to describe the prevalence and associated factors of Self-Perceived Burden (SPB) in Chinese adult epilepsy patients, informing the treatment and nursing of epilepsy.
A total of 143 adult epilepsy patients were included in this study, and the clinical questionnaire survey was conducted at the Third Xiangya Hospital of Central South University in Hunan, China, from March 2022 to June 2022. The sociodemographic and clinical characteristics of adult epilepsy patients were collected using a self-developed questionnaire, and the data on SPB, stigma and quality of life were collected through the Self-Perceived Burden Scale (SPBS), Kilifi Stigma Scale for Epilepsy (KSSE) and Quality of Life in Epilepsy Inventory-31 (QOLIE-31). Multiple linear regression analysis was used to determine the associated factors influencing SPB in adult epilepsy patients.
The average score of SPBS for the 143 adult epilepsy patients was 30.77 (SD = 9.06), and 89.5% of them had obvious SPB. The results of the univariate analysis showed that residence, monthly household income, duration of epilepsy, type of medication and electroencephalogram finding were associated with SPB ( < 0.05). In Spearman correlation analysis indicated that SPBS score were positively correlated with KSSE score ( = 0.510, < 0.05) while negatively correlated with QOLIE-31 score ( = -0.506, < 0.05). Multiple linear regression analysis revealed that factors such as KSSE, type of medication, residence and electroencephalogram finding accounted for 32.8% of the factors influencing SPB in adult epilepsy patients.
89.5% of adult epilepsy patients have varying degrees of SPB, which is associated with high stigma and poor quality of life. Therefore, during the treatment and nursing of adult epilepsy patients, clinical staff should pay attention to the psychological status of patients, help them reduce their psychological burden, and guide them to develop a healthy lifestyle.
癫痫需要长期或终身治疗，患者容易承受经济、情感和心理负担，这些负担可能导致治疗过程中的心理变化。本研究旨在描述中国成年癫痫患者自我感知负担（SPB）的患病率及相关因素，为癫痫的治疗和护理提供参考。
本研究共纳入143例成年癫痫患者，于2022年3月至2022年6月在中国湖南中南大学湘雅三医院进行临床问卷调查。使用自行编制的问卷收集成年癫痫患者的社会人口学和临床特征，并通过自我感知负担量表（SPBS）、基利菲癫痫耻辱量表（KSSE）和癫痫生活质量量表-31（QOLIE-31）收集SPB、耻辱感和生活质量的数据。采用多元线性回归分析确定影响成年癫痫患者SPB的相关因素。
143例成年癫痫患者的SPBS平均得分为30.77（标准差=9.06），其中89.5%的患者有明显的SPB。单因素分析结果显示，居住地、家庭月收入、癫痫病程、用药类型和脑电图检查结果与SPB相关（<0.05）。Spearman相关性分析表明，SPBS得分与KSSE得分呈正相关（=0.510，<0.05），而与QOLIE-31得分呈负相关（=-0.506，<0.05）。多元线性回归分析显示，KSSE、用药类型、居住地和脑电图检查结果等因素占影响成年癫痫患者SPB因素的32.8%。
89.5%的成年癫痫患者有不同程度的SPB，这与高耻辱感和低生活质量相关。因此，在成年癫痫患者的治疗和护理过程中，临床工作人员应关注患者的心理状态，帮助他们减轻心理负担，并引导他们养成健康的生活方式。
