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脑膜炎幸存者的主观体验:一项采用解释现象学分析的横断面定性研究。

Subjective experience of meningitis survivors: a transversal qualitative study using interpretative phenomenological analysis.

作者信息

Scanferla Elisabetta, Fasse Léonor, Gorwood Philip

机构信息

Clinique des maladies mentales et de l'encéphale (CMME), GHU Paris Psychiatrie et neurosciences, Hôpital Sainte-Anne, 1, rue Cabanis, Paris, France

Université de Paris, ED 450, Paris, Île-de-France, France.

出版信息

BMJ Open. 2020 Aug 20;10(8):e037168. doi: 10.1136/bmjopen-2020-037168.

Abstract

OBJECTIVES

(1) To capture the subjective experience of meningitis survivors during adolescence and adulthood and (2) To explore how they give meaning to this specific experience.

DESIGN

A qualitative study of in-depth interviews using interpretative phenomenological analysis.

SETTINGS

Participants recruited through an association of persons affected by meningitis and their relatives.

PARTICIPANTS

Convenience sample of nine participants (seven women and two men) between the ages of 18 to 48 years (mean=28.3, SD=11.4), who personally experienced meningitis.

RESULTS

Eight major themes and three main meaning-making processes in relation to the participants' experiences of meningitis were identified: (1) the ability to rely on the testimony of others, (2) the impossibility of meaning-making and (3) the possibility of post-traumatic growth. We detailed here five major themes, which appear critical to answering the objective of the study.

CONCLUSIONS

This study provides a unique insight into the first-hand experience of surviving meningitis. Findings highlighted factors characterising the disease experience, the psychological adjustment of meningitis survivors and their meaning-making processes. These findings are important for both research and clinical practice, demonstrating the importance of direct involvement of meningitis survivors in identifying key aspects of care, which include the critical role of relatives, and the importance of investigating the need for training among healthcare providers on how to diagnose meningitis.

摘要

目的

(1)了解脑膜炎幸存者在青春期和成年期的主观体验,以及(2)探究他们如何赋予这一特殊经历意义。

设计

采用解释现象学分析的深度访谈质性研究。

背景

通过脑膜炎患者及其亲属协会招募参与者。

参与者

方便抽样选取了9名年龄在18至48岁之间(平均年龄=28.3岁,标准差=11.4)的参与者(7名女性和2名男性),他们都亲身经历过脑膜炎。

结果

确定了与参与者脑膜炎经历相关的8个主要主题和3个主要意义建构过程:(1)依靠他人证言的能力,(2)意义建构的不可能性,以及(3)创伤后成长的可能性。在此我们详细阐述5个主要主题,它们对于回答本研究的目标似乎至关重要。

结论

本研究为脑膜炎幸存者的第一手经历提供了独特见解。研究结果突出了疾病经历的特征因素、脑膜炎幸存者的心理调适及其意义建构过程。这些结果对研究和临床实践都很重要,表明脑膜炎幸存者直接参与确定护理关键方面的重要性,其中包括亲属的关键作用,以及调查医疗保健提供者关于如何诊断脑膜炎的培训需求的重要性。

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