Zhang Su-Hua, Wang Jie-Hua, Liu Hong-Yu, Zhang Yue-Xia, Lin Ya-Ling, Wu Bi-Yu
Department of Neurology, Quanzhou First Hospital, Quanzhou 362000, Fujian Province, China.
Department of Nursing, Quanzhou First Hospital, Quanzhou 362000, Fujian Province, China.
World J Psychiatry. 2024 May 19;14(5):670-677. doi: 10.5498/wjp.v14.i5.670.
Epilepsy is a nervous system disease characterized by recurrent attacks, a long disease course, and an unfavorable prognosis. It is associated with an enduring therapeutic process, and finding a cure has been difficult. Patients with epilepsy are predisposed to adverse moods, such as resistance, anxiety, nervousness, and anxiety, which compromise treatment compliance and overall efficacy.
To explored the influence of intensive psychological intervention on treatment compliance, psychological status, and quality of life (QOL) of patients with epilepsy.
The clinical data of 105 patients with epilepsy admitted between December 2019 and July 2023 were retrospectively analyzed, including those of 50 patients who underwent routine intervention (control group) and 55 who underwent intensive psychological intervention (research group). Treatment compliance, psychological status based on the Self-Rating Anxiety Scale (SAS) and Depression Scale Self-Rating Depression Scale (SDS) scores, hope level assessed using the Herth Hope Scale (HHS), psychological resilience evaluated using the Psychological Resilience Scale, and QOL determined using the QOL in Epilepsy-31 Inventory (QOLIE-31) were comparatively analyzed.
Treatment compliance in the research group was 85.5%, which is significantly better than the 68.0% of the control group. No notable intergroup differences in preinterventional SAS and SDS scores were identified ( > 0.05); however, after the intervention, the SAS and SDS scores decreased significantly in the two groups, especially in the research group ( < 0.05). The two groups also exhibited no significant differences in preinterventional HHS, Connor-Davidson Resilience Scale (CD-RISC), and QOLIE-31 scores ( > 0.05). After 6 months of intervention, the research group showed evidently higher HHS, CD-RISC, tenacity, optimism, strength, and QOLIE-31 scores ( < 0.05).
Intensive psychological intervention enhances treatment compliance, psychological status, and QOL of patients with epilepsy.
癫痫是一种以反复发作、病程长且预后不佳为特征的神经系统疾病。它与持久的治疗过程相关，且难以找到治愈方法。癫痫患者易出现抵触、焦虑、紧张等不良情绪，这会影响治疗依从性和整体疗效。
探讨强化心理干预对癫痫患者治疗依从性、心理状态及生活质量的影响。
回顾性分析2019年12月至2023年7月收治的105例癫痫患者的临床资料，其中50例行常规干预（对照组），55例行强化心理干预（研究组）。比较分析两组患者的治疗依从性、基于焦虑自评量表（SAS）和抑郁自评量表（SDS）评分的心理状态、使用赫思希望量表（HHS）评估的希望水平、使用心理弹性量表评估的心理弹性以及使用癫痫生活质量量表31项条目（QOLIE - 31）测定的生活质量。
研究组治疗依从率为85.5%，显著高于对照组的68.0%。干预前两组SAS和SDS评分差异无统计学意义（>0.05）；但干预后，两组SAS和SDS评分均显著下降，尤其是研究组（<0.05）。两组干预前HHS、康纳 - 戴维森弹性量表（CD - RISC）和QOLIE - 31评分差异也无统计学意义（>0.05）。干预6个月后，研究组HHS、CD - RISC、坚韧、乐观、力量和QOLIE - 31评分明显更高（<0.05）。
强化心理干预可提高癫痫患者的治疗依从性、改善心理状态并提高生活质量。
