Shawahna Ramzi, Zaid Lina
Department of Physiology, Pharmacology and Toxicology, Faculty of Medicine and Health Sciences, An-Najah National University, Nablus, Palestine; An-Najah BioSciences Unit, Centre for Poisons Control, Chemical and Biological Analyses, An-Najah National University, Nablus, Palestine.
Master of Pharmacology Program, Faculty of Graduate Studies, An-Najah National University, Nablus, Palestine.
Epilepsy Behav. 2022 May;130:108689. doi: 10.1016/j.yebeh.2022.108689. Epub 2022 Apr 7.
This qualitative study was conducted to explore the current status of caring for women with epilepsy (WWE) in the Palestinian healthcare system.
This study used an explorative qualitative design. A purposive sampling technique was used to recruit the participants. Semi-structured in-depth interviews were conducted with neurologists (n = 6), gynecologists (n = 5), psychiatrists (n = 3), an internist (n = 1), and clinical pharmacists (n = 5). The interpretive description methodology was used to thematically analyze the qualitative data.
A total of 745 min (12.4 h) of interview time were analyzed. The qualitative data collected in this study were categorized under 3 major themes and multiple subthemes. The 3 major themes were: (1) diagnosis and care for patients with epilepsy, (2) general issues in caring for patients with epilepsy, and (3) consideration of women's issues in the pharmacotherapy of epilepsy. Formally adopted protocols/criteria for the diagnosis and care for WWE were lacking.
Findings of this qualitative study showed a need to formally adopt uniform guidelines that can guide the diagnosis and care of WWE in the Palestinian healthcare system. The findings of this study might be informative to healthcare providers, decision-makers in healthcare authorities, WWE, and patient advocacy groups who could be interested in improving and benchmarking healthcare services provided to WWE. Future studies are still needed to quantitatively measure adherence to the international guidelines in caring for WWE.
本定性研究旨在探讨巴勒斯坦医疗系统中癫痫女性患者(WWE)的护理现状。
本研究采用探索性定性设计。采用目的抽样技术招募参与者。对神经科医生(n = 6)、妇科医生(n = 5)、精神科医生(n = 3)、内科医生(n = 1)和临床药剂师(n = 5)进行了半结构化深度访谈。采用解释性描述方法对定性数据进行主题分析。
共分析了745分钟(12.4小时)的访谈时间。本研究收集的定性数据分为3个主要主题和多个子主题。这3个主要主题是:(1)癫痫患者的诊断和护理,(2)癫痫患者护理中的一般问题,(3)癫痫药物治疗中对女性问题的考虑。缺乏正式采用的WWE诊断和护理方案/标准。
本定性研究结果表明,需要正式采用统一的指南,以指导巴勒斯坦医疗系统中WWE的诊断和护理。本研究结果可能对医疗服务提供者、医疗当局的决策者、WWE以及可能有兴趣改进和规范为WWE提供的医疗服务的患者权益倡导团体具有参考价值。未来仍需进行研究,以定量衡量在WWE护理中对国际指南的遵循情况。