Journal of Hebei Medical University

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Factors affecting the quality of life in children with epilepsy and analysis of the effect of family intervention

  

  1. 1.Department of Pediatrics, Baoding First Central Hospital, Hebei Province, Baoding 071000, China;
    2.Department of Pediatrics, the First Hospital of Qinhuangdao, Hebei Province, Qinhuangdao 066000, China
  • Online:2018-04-25 Published:2018-04-23

Abstract: [Abstract] Objective〖HTSS〗〓To explore the influencing factors of life quality of epileptic children and observation of the effect of family intervention.
〖HTH〗〖WTHZ〗Methods〖HTSS〗〓A total of 138 children with epilepsy(study group, combined family intervention) and 112 healthy children(control group) were investigated. The quality of life on different gender, age, seizure type, cognitive level of disease, antiepileptic drug adverse reaction, seizure frequency, intelligence, depression, anxiety, educational level, family size, medication compliance, age of onset of epileptic children were analyzed. The effect of family intervention in the study group before and after treatment were compared, and the difference of SF36 score between the study group and the control group were compared.
〖HTH〗〖WTHZ〗Results〖HTSS〗〓The children with general seizures, low cognitive level of disease,poor family condition, adverse drug reactions, seizure frequency more than 3 times a week, lower intelligence, depression, anxiety, poor education level and medicine compliance have lower quality of life than the other group. The difference was statistically significant(P<005). After regular treatment and family intervention, memory/attention, school performance, selfefficacy, health concept and SF36 scores of the study group were significantly increased compared with those before family intervention, the difference was statistically significant(P<005). Logisitic regression analysis showed that epilepsy of generalized seizures, low cognitive level of disease, poor family income, low intelligence, adverse drug reactions, high attack frequency, anxiety, depression, poor education level and drug compliance were important factors for affecting the quality of life in children with epilepsy.
〖HTH〗〖WTHZ〗Conclusion〖HTSS〗〓In addition to regular treatment, we should also carry out family intervention to effectively improve the quality life of children with epilepsy.

Key words: epilepsy, quality of life, influence factors, child