CAJ | 학술논문

目的探讨癫痫儿童的生活质量(QOL)及其影响因素.方法应用美国"癫痫儿童生活质量量表"测试96例人选的癫痫患儿和50例健康对照儿童,评估其社会心理状况,分析影响因素.结果癫痫患儿生活质量明显低于健康儿,主要表现为对发作的恐惧、长期用药的担忧及社会交往困难;起病年龄、病程、就诊年龄影响其生活质量(P＜0.05或P＜0.01);心理抑郁、家庭环境、发作担忧、记忆功能、药物影响和发作频率等因素对QOL的影响较大,相关程度呈递减趋势.结论癫痫患儿QOL明显降低,加强对癫痫儿童的综合治疗,控制发作是提高其QOL的前提.
목적 탐토전간인동적생활질량(QOL)급기영향인소.방법 응용미국"전간인동생활질량량표"측시96례인선적전간환인화50례건강대조인동,평고기사회심리상황,분석영향인소.결과 전간환인생활질량명현저우건강인,주요표현위대발작적공구、장기용약적담우급사회교왕곤난;기병년령、병정、취진년령영향기생활질량(P＜0.05혹P＜0.01);심리억욱、가정배경、발작담우、기억공능、약물영향화발작빈솔등인소대QOL적영향교대,상관정도정체감추세.결론 전간환인QOL명현강저,가강대전간인동적종합치료,공제발작시제고기QOL적전제.
Objective To study the quality of life and influencing factors in children with epilepsy.Methods The psychology of 96 children with epilepsy and 50 normal children were evaluated with the American quality of life and the affecting factors were analyzed.Results The quality of life of the epilepsy children was remarkably lower than that of normal children.The main presentation was seizure worry,side effects of drugs and difficulty of social intercourse.The age of initial presentation.the course of ease and so on affected quality of life in children with epilepsy(P＜0.05 or P＜0.01).The factors such as depression,family.environment,memory function,drug influence and seizure worry played important roles in decreasing order of importance.Conclusion QOL of children with epilepsy was remarkablely lower than normal children.General comprehensive care should be applied to children with epilepsy.Adequate drug treatment to control the seizure attack was very important.