中国健康心理学杂志

目的：观察基于二元应对的家属参与式心理干预对老年癫痫患者癫痫发作次数、持续时间，以及患者心理状态、自我效能、生活质量的影响。方法：选取2021年2月至2023年12月在某院神经内科接受治疗的80例老年癫痫患者为研究对象。将80名老年癫痫患者随机分为对照组和观察组各40例。对照组接受常规护理，观察组在对照组基础上，增加基于二元应对的家属参与式心理干预。观察两组患者干预前和干预6个月后癫痫的发作频率、每次发作的持续时间、焦虑和抑郁状况、自我效能水平以及生活质量。使用焦虑自评量表（SAS）、抑郁自评量表（SDS）、自我效能感量表（SEMCD）、癫痫生活质量量表（QOLIE-31）评估患者的焦虑、抑郁、自我效能及生活质量情况。结果：干预后，两组患者癫痫发作频率、持续时间、焦虑评分、抑郁评分、自我效能评分及生活质量均明显改善，且基于二元应对的家属参与式心理干预组（观察组）患者癫痫发作频率（t=-6.841,P<0.001）、持续时间（t=-8.382,P<0.001）、焦虑评分（t=-6.687,P<0.001）、抑郁评分（t=-7.493,P<0.05）、自我效能（t=6.913,P<0.001）及生活质量（t=4.392,P<0.05）改善情况均优于对照组，差异有统计学意义。结论：基于二元应对的家属参与式心理干预可减少老年癫痫患者癫痫发作次数，缩短发作持续时间，改善患者焦虑抑郁情绪，提升自我效能感，提高生活质量。

Objective:To observe the effects of a family participatory psychological intervention based on dichotomous coping on the number and duration of seizures,as well as patients' psychological status,self-efficacy and quality of life in elderly patients with epilepsy.Methods:Eighty cases of geriatric epilepsy patients who received treatment in the Department of Neurology of our hospital from February 2021 to December 2023 were selected for the study using simple random sampling.The 80 elderly patients with epilepsy were randomly divided into the control group and the observation group,with 40 cases in each group.The control group received conventional nursing care,and the observation group added the family participatory psychological intervention based on binary coping on the basis of the control group.Seizure frequency,duration of each seizure,anxiety and depression status,self-efficacy level,and quality of life were observed in both groups before and 6 months after the intervention.Anxiety,depression,self-efficacy,and quality of life were assessed using the Self-Assessment Scale for Anxiety(SAS),Self-Depression Scale(SDS),Self-Efficacy Scale(SEMCD),and Quality of Life in Epilepsy Scale(QOLIE-31).Results:After the intervention,seizure frequency,duration,anxiety scores,depression scores,self-efficacy scores,and quality of life were significantly improved in both groups,and the patients in the binary coping-based family participatory psychological intervention group(observation group)showed significant improvement in seizure frequency(t=-6.841,P<0.001),duration(t=-8.382,P<0.001),anxiety score(t=-6.687,P<0.001),depression score(t=-7.493,P<0.05),selfefficacy(t=6.913,P<0.001)and quality of life(t=4.392,P<0.05)improved better than the control group.Conclusion:Family participatory psychological intervention based on dichotomous coping reduces the number of seizures,shortens seizure duration,improves anxiety and depression,enhances self-efficacy,and improves quality of life in elderly patients with epilepsy.