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成人癲癇患者社會功能缺陷的特點及其影響因素

發(fā)布時間:2018-01-30 03:58

  本文關(guān)鍵詞: 癲癇 社會功能缺陷 影響因素 成人 出處:《臨床神經(jīng)病學雜志》2017年02期  論文類型:期刊論文


【摘要】:目的探討成人癲癇患者社會功能缺陷的特點及其影響因素。方法對79例成人癲癇患者(癲癇組)和54名性別、年齡、學歷、工作匹配的正常成人(對照組)進行社會功能缺陷篩選量表(SDSS)評分。比較兩組人群之間的差異。應(yīng)用多元逐步回歸分析影響SDSS評分的因素。結(jié)果癲癇組SDSS評分明顯高于對照組(P0.05),且其中婚姻職能、社會性退縮、家庭外的社會活動、家庭職能、個人生活自理、對外界的興趣和關(guān)心、責任心和計劃性各項得分均顯著高于對照組(均P0.05)。在單因素分析中,學歷、工作、發(fā)病年齡、病程、發(fā)作頻率、發(fā)作類型均為SDSS評分的影響因素(均P0.05);多元逐步回歸分析顯示,工作、發(fā)作頻率、發(fā)作類型分別為SDSS評分的重要影響因素(均P0.05)。結(jié)論成人癲癇患者的社會功能存在缺陷,受工作、發(fā)作頻率、發(fā)作類型的顯著影響,應(yīng)當引起關(guān)注。
[Abstract]:Objective to investigate the characteristics and influencing factors of social dysfunction in adult epileptic patients. Methods 79 adult epileptic patients (epilepsy group) and 54 adult epileptic patients were enrolled in this study. Job matched normal adults (control group) were evaluated with SDSS). Multiple stepwise regression analysis was used to analyze the factors influencing SDSS score. Results the SDSS score of epilepsy group was significantly higher than that of control group (P 0.05). And among them, marriage function, social withdrawal, social activities outside the family, family functions, personal life self-care, interest and concern for the outside world. The scores of responsibility and planning were significantly higher than those of the control group (all P 0.05). In univariate analysis, educational background, work, age of onset, course of disease, frequency of attack were significantly higher than those in control group. The type of attack was the influencing factor of SDSS score (all P 0.05). Multiple stepwise regression analysis showed that work, attack frequency and attack type were the important influencing factors of SDSS score (all P0.050.Conclusion Adult epileptic patients have social function defects and work. The significant influence of frequency and type of attack should be paid attention to.
【作者單位】: 安徽醫(yī)科大學第一附屬醫(yī)院神經(jīng)內(nèi)科;
【基金】:國家自然科學基金(81271444)
【分類號】:R742.1
【正文快照】: 癲癇是一種常見的慢性神經(jīng)功能紊亂疾病,影響全球近7000萬人,而其中的大多數(shù)癲癇患者生活在發(fā)展中國家,是發(fā)展中國家一個重大的公共衛(wèi)生問題[1]。在我國,癲癇的患病率為7‰,全國約有900萬患者,每年約新增45萬癲癇患者,癲癇已成為神經(jīng)系統(tǒng)疾病中僅次于腦卒中的第二大常見病。其

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