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癫痫患儿照顾者病耻感的质性研究

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目的 深入了解癫痫患儿照顾者病耻感的体验、来源与应对方式,以期为制定针对性的干预措施提供参考依据。方法 2022 年1月至12月,采用目的抽样法抽取长春市某三级甲等医院儿科诊疗中心诊断为癫痫患儿的照顾者 10 人,运用质性研究中的现象学研究方法,进行半结构式访谈,现场录音,采用Colaizzi的7步分析法对资料进行分析并提炼主题。结果 本次研究结果分为3 个主题、9 个亚主题,即病耻感体验(内疚与自责、焦虑与抑郁、恐惧与害怕);病耻感来源(亲友及邻居、学校及老师、医务人员);病耻感应对(隐瞒、回避、接纳)。结论 癫痫患儿照顾者存在较强烈的病耻感,医护人员应根据病耻感来源为其提供相应的心理支持与干预措施,加强疾病知识的宣传与科普,提高照顾者对疾病的认识,使其正确应对病耻感。
Qualitative study of stigma in caregivers of children with epilepsy
Objective To understand deeply the experience,source and coping ways of stigma in caregivers of children with epilepsy,in order to provide references for formulating targeted intervention measures.Methods From January to December 2022,10 caregivers of children diagnosed with epilepsy in the pediatric diagnosis and treatment center of a grade A hospital in Changchun were selected by objective sampling method.Phenomenological research methods in qualitative study was used to conduct semi-structured interviews and live recording.The data was analyzed and themes was extracted by Colaizzi 7-step analysis method.Results The results of this study were divided into 3 themes and 9 subthemes,namely,stigma experience(guilty and self-blame,anxiety and depression,scare and fear);sources of stigma(relatives,friends and neighbors,schools and teachers,medical staff);stigma respond(concealment,avoidance,acceptance).Conclusion The caregivers of children with epilepsy have strong stigma.Medical staff should provide corresponding psychological support and intervention measures according to the source of their stigma,strengthen the publicity and popularization of disease knowledge,improve the caregivers'awareness of the disease,and enable them to cope with stigma correctly.

children with epilepsycaregiverstigmaqualitative study

任晓青、刘杰、张梦桐、文苹、刘聪慧、刘丹、贾顶慧

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长春中医药大学护理学院,吉林 长春,130117

长春中医药大学附属医院,吉林 长春,130021

癫痫患儿 照顾者 病耻感 质性研究

2024

临床医学研究与实践

临床医学研究与实践

ISSN:
年,卷(期):2024.9(9)
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