Joseph Hepsi Bai, Digal Malini, Benny Anna, Singh Dolly, Vijayan Lakshmi, Kaur Sukhsimran, Noshi Tumyir
College of Nursing, All India Institute of Medical Sciences, Bhubaneswar, Odisha, India.
J Educ Health Promot. 2023 Jun 30;12:200. doi: 10.4103/jehp.jehp_985_22. eCollection 2023.
Epilepsy is one of the most common chronic disorders of the central nervous system. The quality of life of children with epilepsy is influenced by various factors including their sleep. To assess the quality of life and sleep habits among children with epilepsy and to determine the association of QOL and sleep habits, with sociodemographic and clinical variables.
A cross-sectional study was carried out among 50 epileptic children aged 4-18 years, recruited using a convenient sampling technique from the IPDs and OPDs of the Paediatrics department of a tertiary care hospital in Eastern India. The data were collected using QOLCE-16 and CSHQ from parents of children with epilepsy. The collected data were analyzed using descriptive and inferential statistics such as ANOVA and Pearson correlation test.
The overall mean score of QOL was 50.78 ± 17.98, with the cognitive domain having the highest mean score of 65.50 ± 27.79 and the social domain having the lowest mean score of 29.87 ± 22.81. The overall mean sleep score was found to be 56.98 ± 8.13. Daytime sleepiness, parasomnias, and bedtime resistance were found to be frequent sleep problems in children with epilepsy. There was a significant negative correlation between QOL and sleep disturbances in children with epilepsy (r = -0.65, ≤ 0.001).
The QOL of children with epilepsy should be improved to reduce the effect of sleep problems. Epilepsy children should be treated appropriately with due focus on medication compliance as it was found to be one of the determinants in improving their QOL.
癫痫是中枢神经系统最常见的慢性疾病之一。癫痫患儿的生活质量受包括睡眠在内的多种因素影响。评估癫痫患儿的生活质量和睡眠习惯，并确定生活质量与睡眠习惯同社会人口统计学及临床变量之间的关联。
对50名4至18岁的癫痫患儿进行了一项横断面研究，采用方便抽样技术从印度东部一家三级护理医院儿科的住院部和门诊部招募。通过癫痫患儿家长使用儿童生活质量核心量表16项版（QOLCE - 16）和儿童睡眠习惯问卷（CSHQ）收集数据。使用描述性和推断性统计方法（如方差分析和皮尔逊相关检验）对收集的数据进行分析。
生活质量的总体平均得分为50.78±17.98，其中认知领域的平均得分最高，为65.50±27.79，社会领域的平均得分最低，为29.87±22.81。总体平均睡眠得分为56.98±8.13。白天嗜睡、异态睡眠和就寝时间抗拒被发现是癫痫患儿常见的睡眠问题。癫痫患儿的生活质量与睡眠障碍之间存在显著负相关（r = - 0.65，P≤0.001）。
应改善癫痫患儿的生活质量以减轻睡眠问题的影响。癫痫患儿应得到适当治疗，同时要充分关注药物依从性，因为它是改善患儿生活质量的决定因素之一。
