颅脑外伤继发癫痫患者身心体验及影响因素分析

Analysis of physical and mental experience and influencing factors in patients with posttraumatic epilepsy

目的深入了解颅脑外伤继发癫痫患者的身心体验及其影响因素,为患者的身心健康提供护理依据。方法采用质性研究中的现象学研究方法对13例颅脑外伤继发癫痫患者进行半结构式访谈,现场录音和笔录,采用Colaizzi的资料分析方法对访谈资料进行分析归纳,提炼出主题。结果颅脑外伤继发癫痫患者的身心体验在生理、心理、家庭、社会4个层面共归纳出8个主题:疾病管理,药物不良反应,疾病预后,负性情绪,家庭负担,婚姻状况,工作待遇,社会歧视。结论医护人员应充分了解颅脑外伤所致癫痫患者的真实感受和影响因素,并对此进行针对性的指导和心理干预,给予患者人性化的护理措施,减轻患者的病耻感,使其平稳回归家庭和社会,提高生活质量。

Objective:To explore the physical and mental experience and its influencing factors in patients with posttraumatic epilepsy,and to provide nursing care for patients'physical and mental health.Methods:Thirteen patients with epileptic seizures with posttraumatic were subjected to semi-structured interviews,live recordings and transcripts,and Colaizzi's data analysis method was used to analyze and summarize the interview data.Results:The physical and mental experience of patients with posttraumatic epilepsy were summarized in the four aspects of physiology,psychology,family and society:disease management,adverse drug reactions,disease prognosis,negative emotions,family burden,marital status,work treatment and social discrimination.Conclusion:Medical staff should fully understand the true feelings and influencing factors of patients with posttraumatic epilepsy,and carry out targeted guidance and psychological intervention to give patients humanized nursing measures to reduce the patient's stigma and make them feel the smooth return to the family and society and improve the quality of life.