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癫痫体验:加纳癫痫患者的应对策略和健康结果。

Experience of epilepsy: Coping strategies and health outcomes among Ghanaians living with epilepsy.

机构信息

Department of Mental Health Nursing, School of Nursing and Midwifery, University of Ghana, Legon, P.O. Box LG 43, Legon, Accra, Ghana.

Department of Adult Health, School of Nursing and Midwifery, University of Ghana, Legon, P.O. Box LG 43, Legon, Accra, Ghana.

出版信息

Epilepsy Behav. 2020 Mar;104(Pt A):106900. doi: 10.1016/j.yebeh.2020.106900. Epub 2020 Jan 29.

Abstract

PURPOSE

The purpose of this study was to assess the coping strategies of people living with epilepsy (PLWEs) and their health outcomes.

METHODS

This was a descriptive-exploratory, qualitative study. Face-to-face, in-depth interviews were carried out on a purposive sample of 13 PLWEs using a semi-structured interview guide. Interviews were audiotaped and transcribed verbatim, and the data were analyzed using the content analysis approach.

RESULTS

Positive coping strategies adopted included problem-focused coping, faith in God, social support, and lifestyle changes. Negative coping strategies adopted were thinking and worrying and concealing diagnosis. Treatment modalities for epilepsy were spiritual intervention, traditional, or orthodox medicines or a combination of two or more. A reduction in the frequency and severity of seizures was a positive outcome, and the worsening of seizures was a negative outcome.

CONCLUSION

The consultation of spiritualists and herbalists for treatment was a reflection of their beliefs about the causes of epilepsy among the participants. There is a need for increased education on epilepsy in Ghana.

摘要

目的

本研究旨在评估癫痫患者 (PLWE) 的应对策略及其健康结果。

方法

这是一项描述性探索性的定性研究。采用半结构化访谈指南,对 13 名癫痫患者进行了有针对性的面对面深入访谈。访谈进行了录音并逐字转录,数据采用内容分析法进行分析。

结果

采用的积极应对策略包括问题聚焦应对、信仰上帝、社会支持和生活方式改变。采用的消极应对策略包括思考和担忧以及隐瞒诊断。癫痫的治疗方法包括精神干预、传统或正统药物或两者的组合。癫痫发作频率和严重程度的降低是一个积极的结果,而癫痫发作的恶化则是一个消极的结果。

结论

参与者寻求巫师和草药医生治疗反映了他们对癫痫病因的信念。加纳需要加强对癫痫的教育。

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