Quality of life and its influencing factors in adult epileptic patients in Zigong City of Sichuan Province

Objective To analyze the quality of life and its influencing factors of adult epilepsy patients in Zigong City.

Methods A total of 200 urban and rural adults with epilepsy in Zigong City Epilepsy Reporting System were randomly selected. The demographic characteristics and related clinical data of epilepsy patients were described. The quality of life of patients with epilepsy was evaluated, and the related influencing factors of the quality of life of patients with epilepsy were analyzed.

Results Among the 200 patients with epilepsy in Zigong, the proportions of males and females were 56.5% and 43.5%, respectively, and the proportion of young and middle-aged patients with epilepsy was 78.0%. Most of them were farmers or migrant workers, accounting for 62.5%, and unemployed people accounted for 22.5%. 65.0% of the patients were junior high school graduates, and 84.0% of the patients were junior high school or below. Unmarried and divorced people accounted for 34.0%; the main seizure type was generalized epilepsy, accounting for 79.0%. The mean score of quality of life of adult patients with epilepsy in Zigong City was 56.64 by Epilepsy Quality of Life Scale. Multivariate linear regression analysis showed that active epilepsy, epileptic comorbidities anxiety, depression and cognitive impairment were the adverse influencing factors of quality of life in epilepsy patients (P < 0.05).

Conclusion The quality of life of adult epileptic patients in Zigong City is relatively low. In addition to controlling epileptic seizures, the clinical treatment also needs to evaluate the anxiety, depression and cognitive impairment of epileptic comorbidity, and intervention should be given.