《中国康复理论与实践》

《中国康复理论与实践》 ›› 2010, Vol. 16 ›› Issue (10): 976-978.

• 论文 • 上一篇    下一篇

以医生为主导的电话访视模式对癫痫患者焦虑状态的影响

张瑞华，姚兴祺，刘春香   

  1. 北京市通州区潞河医院神经内科，北京市 101149。
  • 收稿日期:2010-07-19 修回日期:2010-09-14 出版日期:2010-10-25 发布日期:2010-10-25

Effect of Doctor-led Telephone Interview on State of Anxiety for Patients with Epilepsy

ZHANG Rui-hua, YAO Xing-qi, LIU Chun-xiang   

  1. Neurological Department, Luhe Hospital, Beijing 101149, China
  • Received:2010-07-19 Revised:2010-09-14 Published:2010-10-25 Online:2010-10-25

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摘要： 目的观察以医生为主导的电话访视模式对癫痫患者焦虑状态的影响。方法100例癫痫伴焦虑状态患者分为干预组(电话访视)和对照组(癫痫门诊访视)，每组50例。干预组采用半结构化电话访谈模式进行随访；对照组常规癫痫门诊随访。观察时间为6个月。应用焦虑自评量表(SAS)评估干预前后SAS的变化，应用患者满意度量表评估患者的满意度，分析电话访视对患者焦虑状态和满意度的影响。结果与干预前相比，6个月时两组的SAS评分均下降，且干预组改善显著优于对照组(P<0.001)。干预组患者的满意度比对照组高(P<0.001)。结论电话访视模式可以很好地改善癫痫患者的焦虑状态。

关键词: 癫痫, 焦虑, 医生主导的电话访视, 门诊访视

Abstract: ObjectiveTo observe the effect of the doctor-led telephone interview on the state of anxiety for outpatients with epilepsy.Methods100 outpatients with epilepsy and state of anxiety were divided into two groups: intervention group (doctor-led telephone interview) and control group (outpatient face-to-face visit in the epileptic clinic), 50 cases in each group. Doctor-let semi-structured telephone interview was performed in the intervention group, while routine face-to-face interview in outpatient was performed in the control group for 6 months. Self-rating Anxiety Scale (SAS) was used to assess the anxiety state before and 6 months after intervention. The state of anxiety and the patients' contents in the two groups were analyzed.ResultsThe scores of SAS in two group decreased 6 months after intervention and the intervention group was better than the control group.ConclusionThe doctor-led telephone interview can improve the state of anxiety for the patients with epilepsy.

Key words: epilepsy, anxiety, doctor-led telephone interview, face-to-face interview in the outpatient