Konya Meram State Hospital, Pediatric Clinic, Konya, Turkey.
Necmettin Erbakan University, Faculty of Nursing, Konya, Turkey.
Epilepsy Behav. 2024 Nov;160:110015. doi: 10.1016/j.yebeh.2024.110015. Epub 2024 Sep 5.
This study aimed to examine seizure self-efficacy and quality of life of children with epilepsy and to evaluate the relationship between these parameters.
The study was conducted between November 2022 and November 2023 in the Pediatric Neurology Outpatient Clinic of a university hospital with 200 children aged 9-14 who met the inclusion criteria and accepted the study. The data were collected using the "Child Descriptive Form," "Seizure Self-Efficacy Scale in Children with Epilepsy," and "KIDSCREEN-27 Health-Related Quality of Life Scale". The data were evaluated using the IBM SPSS Statistics Standard Concurrent User V 26 statistical package program. Number, percentage, mean-standard deviation, median, minimum and maximum values, Cronbach's Alpha coefficient, Shapiro Wilk normality test, Independent Sample t-test, Analysis of Variance (ANOVA), Bonferroni test, Pearson correlation coefficient, linear regression analysis, Durbin-Watson value and normality of residuals Q-Q graphs were used in the evaluation of the data. A value of p < 0.05 was considered statistically significant.
It was determined that 53 % of the children participating in the study were male, and the median age was 12 years. The mean total score of the seizure self-efficacy scale was 3.13 ± 1.03, and the mean total score of the health-related quality of life scale was 89.83 ± 15.63. There was a statistically significant positive correlation between the dimension of individual seizure control and total score of health-related quality of life and physical well-being, emotional well-being and social support, and peer dimensions (p < 0.05). A statistically significant positive correlation was determined between the effect of environment on seizure control and health-related quality of life total score, physical well-being, social support, and peer and school environment dimensions (p < 0.05). A statistically significant positive correlation was determined between seizure self-efficacy total score and health-related quality of life total score and physical well-being, emotional well-being, social support, and peer dimensions (p < 0.05).
The study results reveal that high self-efficacy levels of children with epilepsy improve the quality of life of children with epilepsy.
本研究旨在考察癫痫患儿的癫痫自我效能感和生活质量，并评估这两个参数之间的关系。
本研究于 2022 年 11 月至 2023 年 11 月在一所大学医院的儿科神经病学门诊进行，纳入了符合纳入标准并接受研究的 200 名 9-14 岁的儿童。使用“儿童描述性表格”、“癫痫儿童癫痫自我效能感量表”和“KIDSCREEN-27 健康相关生活质量量表”收集数据。使用 IBM SPSS Statistics Standard Concurrent User V 26 统计软件包程序对数据进行评估。使用数字、百分比、均值-标准差、中位数、最小值和最大值、Cronbach's Alpha 系数、Shapiro Wilk 正态性检验、独立样本 t 检验、方差分析（ANOVA）、Bonferroni 检验、皮尔逊相关系数、线性回归分析、Durbin-Watson 值和残差 Q-Q 图的正态性对数据进行评估。p 值<0.05 被认为具有统计学意义。
研究中 53%的儿童为男性，中位数年龄为 12 岁。癫痫自我效能感量表的总分为 3.13±1.03，健康相关生活质量量表的总分为 89.83±15.63。个体癫痫控制维度与健康相关生活质量和身体幸福感、情感幸福感和社会支持以及同伴维度的总分之间存在显著正相关（p<0.05）。环境对癫痫控制的影响与健康相关生活质量总分、身体幸福感、社会支持以及同伴和学校环境维度之间存在显著正相关（p<0.05）。癫痫自我效能感总分与健康相关生活质量总分以及身体幸福感、情感幸福感、社会支持和同伴维度之间存在显著正相关（p<0.05）。
研究结果表明，癫痫患儿的自我效能感水平较高可提高癫痫患儿的生活质量。
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