摘要
[目的]探讨护理干预对成人癫痫病人自我效能及生活质量与焦虑抑郁状况的相关性影响。[方法]1周内分阶段给予癫痫病人护理干预,采用施沃兹一般自我效能量表(GSES)、癫痫病人生活质量评定量表(QOLIE-31)、中文版Zung焦虑自评量表(SAS)、Zung抑郁自评量表(SDS)对163例成人癫痫病人进行调查,并进行相关分析。[结果]癫痫病人在护理干预后不同阶段时对应的自我效能和焦虑抑郁状况呈现一定的负相关,且随着干预时间延长,自我效能和焦虑抑郁状况的相关性越强。癫痫病人在护理干预后不同阶段时对应的生活质量评分和焦虑、抑郁状况呈负相关,且随着干预时间延长,生活质量评分和焦虑、抑郁状况的相关性越强。虽然各量表评分结果与干预时间的相关性未呈现非常显著的关联,但自我效能量表评分和QOLIE-31量表评分与癫痫病人护理干预时间呈正相关性(r=0.279,r=0.314,P<0.001),而SAS和SDS量表评分与癫痫病人护理干预时间呈现负相关(r=-0.292,r=-0.288,P<0.001)。[结论]护理干预措施对成人癫痫伴有焦虑抑郁病人一般自我效能和生活质量均有积极影响,且随着干预时间增加干预措施效果更好。
Objective：To probe into the influence of nursing intervention on relativities among self-efficacy,life quality and anxiety and depression state of adult epilepsy patients.Methods：A total of 163 adult epilepsy patients were investigated after accepted phased nursing intervention for one week,by adopting general Schwarzer self-efficacy scale（GSES）,quality of life in epilepsy inventory（QOLIE-31）,the Chinese version of Zung self-rating anxiety scale（SAS）,and Zung self-rating depression scale（SDS）.Data of all cases and relations were analyzed in different phases before and after nursing intervention.Results： The corresponding self-efficacy and anxiety and depression state of epilepsy patients showed a negative correlation in different phases after nursing intervention.The longer of the intervention,the stronger correlation between the self-efficacy and anxiety and depression state of patients were.The corresponding quality of life scale scores and anxiety and depression state of epilepsy patients showed a negative correlation in different phases after nursing intervention.The longer the intervention,the stronger correlation the self-efficacy and anxiety and depression state of patients were.Although it had not showed a very significant correlation between the scale score results and the time of intervention,self-efficacy scale score and the QOLIE-31 score of epilepsy patients had some positive correlation with the time of nursing intervention（r=0.279,r=0.314,P0.001）.And it showed a negative correlation between the SAS and SDS scores of epilepsy patients with the time of nursing intervention（r=-0.292,r=-0.288,P0.001）.Conclusion： Nursing intervention measures had some positive impacts on general self-efficacy and quality of life of adult epilepsy patients.The longer of the intervention time,the better the intervention effects of them.
出处
《护理研究（下旬版）》
2011年第8期2165-2168,共4页
Chinese Nursing Researsh
基金
南京市医学科技发展项目
编号:YKK09128
关键词
癫痫
自我效能
生活质量
焦虑
抑郁
epilepsy
self-efficacy
quality of life
anxiety
depression
