Hammond L D, Farrington A P, Kılınç S
Teesside University, UK.
Health Psychol Open. 2019 Nov 7;6(2):2055102919884293. doi: 10.1177/2055102919884293. eCollection 2019 Jul-Dec.
Adapting to life with adult-onset epilepsy is a challenge and there is a need for better interventions to support people, who have difficulty with psychosocial adjustment to the condition. The integrative model of adjustment to chronic conditions was developed for type 2 diabetes. This study aimed to demonstrate the applicability of the model to adult-onset epilepsy and thus make an original contribution to the development of relevant interventions. Qualitative data from a previous phenomenological study on the experience of adult-onset epilepsy were mapped onto the integrative model of adjustment to chronic conditions using framework analysis. Ten of the original 39 datasets were selected. All 10 datasets were from females diagnosed with epilepsy within 5 years before participation in the original study. The results demonstrated applicability of the integrative model of adjustment to chronic conditions after minor revisions to the model. These findings support further development of the integrative model of adjustment to chronic conditions for use as a clinical intervention for people with adult-onset epilepsy.
适应成人期癫痫的生活是一项挑战,需要更好的干预措施来支持那些在心理社会适应方面存在困难的患者。慢性病适应的整合模型是针对2型糖尿病开发的。本研究旨在证明该模型对成人期癫痫的适用性,从而为相关干预措施的发展做出原创性贡献。使用框架分析,将先前一项关于成人期癫痫经历的现象学研究中的定性数据映射到慢性病适应的整合模型上。从最初的39个数据集中选取了10个。所有10个数据集均来自在参与原研究前5年内被诊断为癫痫的女性。结果表明,对该模型进行小的修订后,慢性病适应的整合模型具有适用性。这些发现支持进一步开发慢性病适应的整合模型,以作为成人期癫痫患者的临床干预措施。