心理治疗对青春期癫痫患者康复效用性研究

关键词：心理治疗  青春期  癫痫

Keywords:psychotherapy  adolescence  epilepsy

摘要：

      摘要 目的：探索心理治疗对青春期癫痫患者康复的有效性。 方法：选取73例在我院就诊，年龄在11—17岁之间，明确诊断为癫痫，并正在接受抗癫痫药物治疗的青春期癫痫患者。分为心理治疗组（心理治疗合并抗癫痫药物治疗）和对照组（抗癫痫药物治疗，不给予心理行为干预），采用自我效能量表、青春期癫痫患者生存质量量表进行评定，评定分为初测、疗后测和随访，共计3次。 结果：自我效能量表评定：心理治疗组初测为3.72±2.01，疗后测为8.03±2.33，初测与疗后测结果比较差异有显著性（P＜0.05）；对照组初测为3.68±1.27，疗后测为3.87±1.44，初测与疗后测结果比较差异无显著性；随访结果维持在疗程后水平。生存质量量表评定：心理治疗组初测为191.25±28.36，疗后测为65.42±17.76，初测与疗后测结果比较差异有显著性（P＜0.05）；随访为82.11±22.39，与初测比较差异有显著性（P＜0.05）；心理治疗组疗后测及随访时总体生存质量提高，有显著性意义。对照组生存质量初测为201.05±24.81，疗后测为197.42±19.83，初测与疗后测结果比较无明显差异（P＞0.1）；随访评定结果为193.08±13.06，与初测结果比较差异不明显（P＞0.1）；对照组患者生存质量提高不明显，与初测比较无显著性差异。 结论：心理治疗合并抗癫痫药物治疗对于青春期癫痫患者康复效果明显，可提高患者的自我效能和生存质量。

Abstract:

      Abstract Objective: To explore rehabilitation effectiveness of psychological therapy on adolescent patients with epilepsy. Method: Seventy-three patients of 11—17 years old, with definite diagnosis of epilepsy, were receiving antiepileptic drugs for adolescent epilepsy. All patients were divided into psychotherapy group (treated with psychological treatment combined with antiepileptic drugs, n=35) and control group (treated with antiepileptic drugs, without psychological intervention,n=38). The self-efficacy scale and quality of life for adolescents (QOLIE-AD-48) in epilepsy scale were used for assessment of initial test, post treatment test and follow-up, a total of 3 times. Result: In psychotherapy group post treatment test and follow-up evaluation results of self-efficacy scale and QOLIE-AD-48 scale compared with initial test there were significant improvements; while in control group there was no significant change. Conclusion: Psychological treatment combined with antiepileptic drugs therapy, can improve self-efficacy and quality of life of adolescent patients with epilepsy. The curative effect is significant, is beneficial for patients' mental and physical growth and is worth in clinical promotion and application.