Một số yếu tố ảnh hưởng đến lo âu ở người bệnh động kinh tại Bệnh viện Đại học Y Hà Nội=Some factors affecting anxiety in epilepsy patients at Hanoi Medical university Hospital

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Tác giả: Thanh Hà Lê, Thị Thu Hà Lê, Văn Hướng Nguyễn, Thành Luân Phạm, Thị Hà My Trần

Ngôn ngữ: vie

Ký hiệu phân loại:

Thông tin xuất bản: Tạp chí Khoa học Điều dưỡng, 2024

Mô tả vật lý: tr.45821

Bộ sưu tập: Metadata

ID: 486010

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Mục tiêu: Nhận xét một số yếu tố ảnh hưởng đến tỷ lệ xuất hiện lo âu theo thang điểm GAD-7 ở người bệnh động kinh. Phương pháp nghiên cứu: Nghiên cứu mô tả cắt ngang được thực hiện với 120 người bệnh động kinh tới khám tại Khoa Khám bệnh – Bệnh viện Đại học Y Hà Nội giai đoạn từ tháng 7/2023 đến tháng 6/2024. Thang điểm GAD-7 đã được áp dụng rộng rãi để đánh giá người bệnh. Kết quả: Trong 120 người bệnh có tỷ lệ người bệnh nam/nữ là 1,34, tuổi trung bình là 31 tuổi, trong đó lứa tuổi từ 18 đến 30 tuổi cao nhất chiếm tới 45%, tỷ lệ xuất hiện các lo âu là 74,2% trong đó mức độ nhẹ cao nhất với 40% và mức độ vừa phải với 30%. Mức thu nhập dưới 10 triệu đồng/tháng làm tăng tỷ lệ xuất hiện lo âu với OR: 0,428 với khoảng 95%CI không chứa 1 và có p = 0,045, chi phí điều trị trên 1 triệu đồng/tháng có OR: 6,575 với khoảng 95%CI không chứa 1 và p = 0,033. Các yếu tố về tần suất cơn trên 2 cơn/tuần có OR: 4,203 với khoảng 95%CI không chứa 1 và p = 0,036, trên 2 cơn/3 tháng có OR: 5,35 với khoảng 95%CI không chứa 1 và p = 0,021, và trên 3 cơn/1 năm có OR: 14,183 với khoảng 95%CI không chứa 1 và có p = 0,000. Kết luận:Tình trạng lo âu sau động kinh là tương đối cao, tần suất cơn, chi phí điều trị và mức thu nhập là một trong các yếu tố ảnh hưởng đến tỷ lệ xuất hiện lo âu cũng như độ nặng của lo âu theo thang thang điểm GAD-7Objective: To evaluate some factors affecting the rate of anxiety according to the GAD-7 scale in epilepsy patients. Research method: A cross-sectional descriptive study was conducted with 120 epilepsy patients visiting the Examination Department - Hanoi Medical University Hospital from July 2023 to June 2024. The GAD-7 scale has been widely used to evaluate patients. Results: In 120 patients, the male/female ratio was 1/1, the average age was 31 years old, in which the age group from 18 to 30 years old dominated with 45%, the rate of anxiety was 74.2%, in which mild anxiety dominated with 40% and moderate anxiety with 30%. Income level below 10 million VND/month increased the rate of anxiety with OR: 0.428 with 95%CI not containing 1 and p = 0.045, treatment cost over 1 million VND/month had OR: 6.575 with 95%CI not containing 1 and p = 0.033. Factors of attack frequency over 2 attacks/week had OR: 4.203 with 95%CI not containing 1 and p = 0.036, over 2 attacks/3 months had OR: 5.35 with 95%CI not containing 1 and p = 0.021, and over 3 attacks/1 year had OR: 14.183 with 95%CI not containing 1 and p = 0.000. Conclusion: Post-epileptic anxiety is relatively high, seizure frequency, treatment costs and income level are among the factors affecting the rate of anxiety occurrence as well as the severity of anxiety according to the GAD-7 scale.

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