Quality Of Life And Influence Factors In Adults With Epilepsy In North Anhui Province

Objective According to the inquiry and analysis of north Anhui province adult epileptics's living condition and its affected factors, we provide theoretic evidences to comprehensively improve epileptics's living condition.Method we compared 85 clinical definite cases who were idiopathic or essential epileptics with 60 cases normal control group through the quality of life in epilepsy inventory-31 (QOLIE-31). The inquisitional contents included general information and QOLIE-31 (Chinese edition) inquisitional items, with the SPSS 11.5 software package. The article analyzed the epileptics's living conditions and the single factor and multiple factors influence of adult epileptics's living condition. Then ascertained the aspects of living condition effected factors. Afterwards, standardization treatment was applied to the 52 adult epileptic cases, and we evaluated their quality of life again three months later.Results according to the research, the score of the adult epileptic quality of life is lower than the normality. The gender, civil state and the course of disease are not the affected factors of the adult epileptic quality of life. The seizure frequency and type, onset age , pharmic sorts , academic diplomas and the vocation are the mainly affected factors of the adult epileptic quality of life. among these ,the QOL score, the degree of living satisfaction, the cognitive function and the social role are negative correlation with the seizure frequency; the paroxysmal patients of GTCS scores are lower than other kinds of paroxysmal patients in the misgivings of paroxysm, degree of living satisfaction, energy/ lassitude, the cognitive function and the QOL score; the emotional health, energy/ lassitude, the cognitive function and the QOL score are positive correlation with the onset age; the QOL score, the degree of living satisfaction, the cognitive function of the patients who has the school record more than the senior high school were scored higher marks than the low-grade patients. Brainwork patients'marks are higher in the misgivings of paroxysm, degree of living satisfaction , the pharmic influence and the QOL score than the manual workers and the unemployed; takeing medicine of new type AEDs patients'marks are higher than taking other types in the misgivings of paroxysm, degree of living satisfaction , the emotional health, energy/ lassitude, the cognitive function and the QOL score; what's more ,the scores in the misgivings of paroxysm, the emotional health, the cognitive function, the pharmic influence and the QOL score are markedly increased to the pretherapy patients after 3-month standardization treatment.Conclusion1.adulte epileptic living condition are dramatic decline compare to the normality.2.the gender, civil state and the course of disease are not the affected factors of the adult epileptic living condition.The seizure frequency and modality , onset age , pharmic sorts , academic diplomas and the vocation are the affected factors of the adult epileptic living condition.3. the seizure frequency and modality , pharmic sorts and the onset age are the prognostic factors for the adult epileptic living condition.4.Whether the standardization treatment could improve the quality of living.