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目的:研究女性癫癎患者社会心理及生活质量损害的特点及其影响因素。方法:对161例18～50岁女性(女性癫癎患者81例及健康女性80例)进行一般生活情况,疾病史及妇产科病史的调查。应用抗癫癎药物的不良反应量表,癫癎患者的生活质量-31项量表,焦虑自评量表,汉密尔顿抑郁量表,亚利桑那州女性性体验量表,进行社会心理和生活质量评定,比较其在癫癎患者与正常女性之间的差异并探索相关的影响因素。结果:女性癫癎患者存在广泛的社会心理及生活质量损害。女性患者在抑郁发生和性功能障碍与健康女性有明显差异。抑郁、性功能障碍、癫癎发作频率、抗癫癎药物的不良反应、个人收入、用药依从性是影响女性癫癎患者生活质量的重要因素。结论:育龄期女性癫癎患者需要更多的治疗和心理方面的关心指导,以利于提高其生活质量。
Objective: To study the characteristics and influential factors of social psychological and quality of life in female epilepsy patients. Methods: 161 cases of 18 ~ 50-year-old female (81 cases of female epilepsy and 80 healthy women) were investigated for general life, disease history and obstetrics and gynecology history. The adverse reaction scale of antiepileptic drugs, the quality of life of epilepsy patients -31 scale, self-rating anxiety scale, Hamilton Depression Scale, Arizona Female Sexuality Inventory, social psychology and quality of life assessment, Compare their differences between epileptic patients and normal women and explore the related factors. Results: There were a wide range of psychosocial and quality of life impairments in women with epilepsy. Female patients in depression and sexual dysfunction were significantly different from healthy women. Depression, sexual dysfunction, epileptic seizure frequency, adverse reactions to antiepileptic drugs, personal income, medication adherence are important factors affecting the quality of life of women with epilepsy. Conclusion: Women of childbearing age need more treatment and psychological care guidance in order to improve their quality of life.