中华行为医学与脑科学杂志
中華行為醫學與腦科學雜誌
중화행위의학여뇌과학잡지
CHINESE JOURNAL OF BEHAVIORAL MEDICINE AND BRAIN SCIENCE
2015年
3期
227-229
,共3页
癫痫%社会支持%生态%执行功能
癲癇%社會支持%生態%執行功能
전간%사회지지%생태%집행공능
Epilepsy%Social support%Ecological%Executive function
目的 探讨成人癫痫患者社会支持、生态学执行功能特点以及两者的相关性.方法 应用社会支持评定量表(SSRS)和执行功能行为评定量表成人自评问卷(BRIEF-A)对65例癫痫患者和60例性别、年龄、受教育程度等与之匹配的正常成人进行社会支持和生态学执行功能评定,采用独立样本t检验、Pearson相关性分析和多元逐步回归分析对数据进行统计分析.结果 (1)癫痫组SSRS总分、主观支持、客观支持及支持利用度[分别为(37.01±6.74)分、(19.51±4.77)分、(7.18±2.73)分、(7.45±1.75)分]均低于对照组[分别为(40.89±8.54)分、(23.52±2.85)分、(11.02±2.43)分、(9.55±2.88)分],BRIEF总分及行为管理指数、元认知指数两个维度得分[分别为(55.12± 10.49)分、(53.74± 10.35)分、(56.60±10.99)分]均明显高于对照组[分别为(48.10±6.3)分、(47.18±5.84)分、(48.16±6.23)分],差异有统计学意义(P<0.01).(2)相关性分析显示:SSRS总分、主观支持、客观支持及支持利用度与BRIEF总分、元认知指数及行为管理指数均呈显著负相关(P<0.01).发作类型及SSRS总分与BRIEF总分显著相关(P<0.01).结论 癫痫患者缺乏社会支持,存在生态学执行功能障碍;社会支持缺乏与患者生态学执行功能障碍显著相关.
目的 探討成人癲癇患者社會支持、生態學執行功能特點以及兩者的相關性.方法 應用社會支持評定量錶(SSRS)和執行功能行為評定量錶成人自評問捲(BRIEF-A)對65例癲癇患者和60例性彆、年齡、受教育程度等與之匹配的正常成人進行社會支持和生態學執行功能評定,採用獨立樣本t檢驗、Pearson相關性分析和多元逐步迴歸分析對數據進行統計分析.結果 (1)癲癇組SSRS總分、主觀支持、客觀支持及支持利用度[分彆為(37.01±6.74)分、(19.51±4.77)分、(7.18±2.73)分、(7.45±1.75)分]均低于對照組[分彆為(40.89±8.54)分、(23.52±2.85)分、(11.02±2.43)分、(9.55±2.88)分],BRIEF總分及行為管理指數、元認知指數兩箇維度得分[分彆為(55.12± 10.49)分、(53.74± 10.35)分、(56.60±10.99)分]均明顯高于對照組[分彆為(48.10±6.3)分、(47.18±5.84)分、(48.16±6.23)分],差異有統計學意義(P<0.01).(2)相關性分析顯示:SSRS總分、主觀支持、客觀支持及支持利用度與BRIEF總分、元認知指數及行為管理指數均呈顯著負相關(P<0.01).髮作類型及SSRS總分與BRIEF總分顯著相關(P<0.01).結論 癲癇患者缺乏社會支持,存在生態學執行功能障礙;社會支持缺乏與患者生態學執行功能障礙顯著相關.
목적 탐토성인전간환자사회지지、생태학집행공능특점이급량자적상관성.방법 응용사회지지평정량표(SSRS)화집행공능행위평정량표성인자평문권(BRIEF-A)대65례전간환자화60례성별、년령、수교육정도등여지필배적정상성인진행사회지지화생태학집행공능평정,채용독립양본t검험、Pearson상관성분석화다원축보회귀분석대수거진행통계분석.결과 (1)전간조SSRS총분、주관지지、객관지지급지지이용도[분별위(37.01±6.74)분、(19.51±4.77)분、(7.18±2.73)분、(7.45±1.75)분]균저우대조조[분별위(40.89±8.54)분、(23.52±2.85)분、(11.02±2.43)분、(9.55±2.88)분],BRIEF총분급행위관리지수、원인지지수량개유도득분[분별위(55.12± 10.49)분、(53.74± 10.35)분、(56.60±10.99)분]균명현고우대조조[분별위(48.10±6.3)분、(47.18±5.84)분、(48.16±6.23)분],차이유통계학의의(P<0.01).(2)상관성분석현시:SSRS총분、주관지지、객관지지급지지이용도여BRIEF총분、원인지지수급행위관리지수균정현저부상관(P<0.01).발작류형급SSRS총분여BRIEF총분현저상관(P<0.01).결론 전간환자결핍사회지지,존재생태학집행공능장애;사회지지결핍여환자생태학집행공능장애현저상관.
Objective To explore the social support and characteristics of ecological executive function in adult patients with epilepsy,and their correlation.Methods Evaluate the social support and ecological executive function in 65 cases of adult epilepsy patients and 60 normal ones of the same gender,age group and educational level using the Social Support Rating Scale (SSRS) and the Behavior Rating Inventory of Executive Function-adult version (BRIEF-A).The date were statistically analyzed with independent sample t test,Pearson correlation analysis and multiple stepwise regression analysis.Results The scores of adult epilepsy patients in global executive composite,subjective support,objective support and support utilization of SSRS(respectively,37.01±6.74,19.51 ± ±4.77,7.18±2.73,7.45± 1.75) were lower than those of the control group(respectively,40.89±8.54,23.52±2.85,11.02±2.43,9.55±2.88).The scores of adult epilepsy patients in global executive composite (GEC),behavioral regulation index(BRI) and metacognition index(MI) of BRIEF(respectively,55.12± 10.49,53.74± 10.35,56.60± 10.99) were significantly higher than those of the control group (respectively,48.10± 6.3,47.18± 5.84,48.16± 6.23) (P<0.01).SSRS scores,subjective support,objective support and support utilization were obviously negative to BRIEF scores,behavioral regulation index (BRI) and metacognition index (MI) (P< 0.01).Seizure type and SSRS scores were closely related to BRIEF (P<0.01).Conclusion The epilepsy patients show a lack of social support and ecological executive function dysfunction.The lack of social support is significantly related with ecological executive dysfunction.