Assessment of physical and mental health status of school aged children with primary epilepsy
XU Bei1 CHEN Qiang1 ZHOU Yang2 JIA Xiaoyu2 WANG Guilan2
1.Department of Pediatrics, Baoding First Central Hospital, Hebei Province, Baoding 071000, China;
2.The First Ward, Department of Pediatrics, the First Hospital of Qinhuangdao, Hebei Province, Qinhuangdao 066000, China
Abstract：Objective To evaluate the physical and mental healthy state of children with primary epilepsy at school age. Methods Clinical data of 110 children were collected in the First Hospital of Qinhuangdao at the age of 7-12 from June 2015 to December 2016. Fifty-three children diagnosed with epilepsy were selected as epilepsy group and fifty-seven children without epilepsy were selected into control group. The standard deviation ratio of height, weight and BMI in the two groups were compared. The 6-minute walk tests, self rating anxiety scale (SAS), self rating depression scale (SDS) and Rosenberg self-esteem scale were conducted and analyzed. Results The mean height standard deviation score between the epilepsy group and the control group had no difference (P > 0.05). The standard deviation scores of weight and BMI of epilepsy group was greater than those of the control group (Pweight = 0.05, PBMI < 0.05). The heart rate after the 6-minute walk test of the epilepsy group was faster than that of the control group and the distance of the epilepsy group was shorter than that of the control group (P < 0.05). The scores of SAS and SDS of the epilepsy group were higher than those of the control group respectively (P < 0.05), and the score of Rosenberg self-esteem scale of the epilepsy group was lower than that of the control group (P < 0.05). Conclusion The higher physical obesity preference, weaker movement tolerance and exercise capacity in combination with the higher anxiety and depression score of the epilepsy group children indicating that children with epilepsy need to be provided appropriate social support, to guide them to achieve body and mental healthily development and growth.
许蓓1 陈强1 周洋2 贾晓彧2 王桂兰2. 学龄期原发性癫痫儿童身心健康状况评估[J]. 中国医药导报, 2018, 15(9): 81-84.
XU Bei1 CHEN Qiang1 ZHOU Yang2 JIA Xiaoyu2 WANG Guilan2 . Assessment of physical and mental health status of school aged children with primary epilepsy. 中国医药导报, 2018, 15(9): 81-84.
[1] 中华医学会儿科学分会神经学组.儿童癫痫长程管理专家共识[J].中华儿科杂志，2013，51：699-703.
[2] 吴逊.规范治疗是提高癫痫疗效的关键[J].中华内科杂志，2006，45（10）：798-799.
[3] 杜丽君.癫痫儿童共患病的临床研究[J].中国优生与遗传杂志，2009，17：122-123.
[4] 汪琼华.儿童难治性癫痫的治疗进展[J].中国医药指南杂志，2015，13（23）：41-42.
[5] Fisher RS，Acevedo C，Arzimanoglou A，et al. ILAE official report：a practical clinical definition of epilepsy [J]. Epilepsia，2014，55（4）：475-482.
[6] 王征宇，迟玉芬.焦虑自评量表（SAS）[J].上海精神医学，1984（2）：73-74.
[7] 《青少年心理健康》编辑部.焦虑自评量表（SAS）[J].青少年心理健康，2006（3）：14-15.
[8] 王征宇，迟玉芬.抑郁自评量表（SDS）[J].上海精神医学，1984（2）：71-72.
[9] 忻丽云，侯春兰，王润梅，等.抑郁症抑郁自评量表的因子结构分析及影响因素[J].中国健康心理学杂志，2012， 20（10）：1521-1523.
[10] 佚名.罗森伯格自信心量表[J].解放军生活，2012（2）：61.
[11] Reilly C，Kent E，Brian GR. Review：psychopathology in childhood epilepsy [J]. Child Adolescent Mental Health，2013，18（2）：65-75.
[12] 徐丽娟，吴家勇，王翀.青少年癫痫的治疗进展[J].国际神经病学神经外科学杂志，2015，42（4）：355-358.
[13] 吴怀能，柯雪琴，季玉珍.学龄期儿童自我意识现状调查[J].浙江预防医学，2010，22（4）：13-15.
[14] Walker ER，Bamps Y，Burdett A，et al. Social support for self-management behaviors among people with epilepsy：a content analysis of the WebEase program [J]. Epilepsy Behav，2012；23（3）：285-290.
[15] 减玉玲.标准差比值法在生长发育评估中的临床价值[J].临床儿科杂志，1993，11（5）：335-336.
[16] Ross JL，Lee PA，Gut R，et al. Increased height standard deviation scores in response to growth hormone therapy to near-adult height in older children with delayed skeletal maturation：results from the ANSWER Program [J]. Int J Pediatr Endocrinol，2015，2015（1）：1.
[17] Geiger R，Willeit J，Rummel M，et al. Six-minute walk distance in overweight children and adolescents：effects of aweight-reducing program [J]. J Pediatr，2011，158（3）：447-451.
[18] 查建英.浅谈学龄期儿童的心理卫生问题及对策[J].江苏卫生保健杂志，2000，2（3）：169-170.
[19] 冯萍，华青.癫痫儿童焦虑抑郁情绪的评定与共患病临床研究[J].中外医学研究杂志，2016，14（15）：4-6.
[20] 王英杰，李杨.以家庭为中心的教育干预对活动性癫痫患儿服药依从性及健康状况的影响[J].中华护理杂志，2015，50（10）：1157-1162.
2018, Vol. 15 
京公网安备 11010502046598号