癫痫患者行视频脑电图检查中真实体验的质性研究

Qualitative research of the actual experience in video electroencephalogram examination among epileptic patients

目的 探讨癫痫患者在行视频脑电图检查中真实体验,为制定相应的护理策略和应对方法提供参考依据。方法 采用描述性质性研究对2022年1月—4月在广州医科大学附属第二医院行视频脑电图检查的18例癫痫患者进行半结构式访谈,其中男11例、女7例,平均(37.78±18.70)岁,以Colaizzi 7步法对访谈内容进行整理和分析。结果 癫痫患者行视频脑电图检查的真实体验可归纳为两个方面:就医的体验和护理需求。就医体验包括正性和负性体验,正性体验包括:服务态度好、专业技术水平好、具有良好的忍耐力、心怀希望;负性体验包括:头部不适、失眠、生活不便、眼部不适、心理压力、疼痛。护理需求包括知识需求、迫切希望和医生沟通的需求、人文关怀需求和女性患者对同性装机的需求。结论 癫痫患者行视频脑电图检查过程中承受着不同程度的不适和心理压力,负性体验和正性体验并存,医护人员应有针对性根据患者的护理需求,完善护理服务内容,为患者提供专业的视频脑电图检查护理。

Objective To explore the actual experience of epileptic patients in video electroencephalogram(VEEG)examination,and to provide reference basis for formulating corresponding nursing strategies and coping methods.Methods In this descriptive analysis study,18 patients(11 males and 7 females,average age 37.78±18.7 years)receiving VEEG from January to April 2022 in the Second Affiliated Hospital of Guangzhou Medical University,underwent a semi-structural interview.Information obtained from the interview was analyzed using the Colaizzi 7-step method.Results The actual experience of epileptic patients in video EEG examination can be summarized into two aspects:the medical experience and the need for nursing care.The medical experience includes positive and negative experience.The positive experience includes good service attitude,professional medical services,good endurance,and being hopeful.The negative experience includes a weird feeling in the head,insomnia,inconvenience in life,eye discomfort,psychological pressure,and pain.The need for nursing care includes needs for knowledge,strong needs for communicating with doctors,needs for humanistic care and female needs for female implementing the equipment.Conclusion Epileptic patients suffer from different degrees of discomfort and psychological pressure during VEEG examination.Both negative and positive experience exist.Medical staff should improve the content of nursing services according to the nursing needs of patients and provide professional VEEG examination services to patients.