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埃塞俄比亚巴赫达尔市政府医院中患有癫痫的年轻人的生活体验:一项定性访谈研究。

Lived experience of young people with epilepsy in Bahir Dar city government hospitals, Ethiopia, a qualitative interview study.

机构信息

Health Promotion and Behavioral Sciences Department, Wollo University, Dessie, Ethiopia.

Health Promotion and Behavioral Sciences Department, College of Medicine and Health Sciences, Bahir Dar University, Bahir Dar, Ethiopia.

出版信息

PLoS One. 2023 Jan 23;18(1):e0278936. doi: 10.1371/journal.pone.0278936. eCollection 2023.

Abstract

BACKGROUND

Epilepsy is the most common neurological disorder, which is characterized by persistent derangement of the nervous system due to an abrupt excessive discharge of the group of neurons from the cerebrum. For developing young people with epilepsy coping with the challenges of living with epilepsy and adjusting normative tasks associated with adolescence is stressful in all domains of the lives of young people with epilepsy. But in Ethiopia, published literature regarding the lived experience of young people with epilepsy is lacking.

OBJECTIVES

This study aims to explore lived experience of young people with epilepsy.

METHODS

A qualitative interview study was conducted in Bahir Dar city government specialized and referral Hospitals, from February to April, 2021. Using the rule of saturation, a total of 11 study participants (age 12-24) were selected using hetrogenious types of purposive sampling technique. The data were collected through semi structured interviews technique with the aid of audio recorder. Semi-structured interview guide and observation checklist for care context in health facilities were used. The collected data was transcribed word by word and translated conceptually. The Data were analyzed using thematic approach. The credibility, dependability, Conformability and transferability of the study were assured using different techniques such as peer debriefing, member checking; audit Trail, thick description and purposeful sampling. Atlas- ti version7 software was used to facilitate data analysis.

RESULTS

The participants' narratives revealed two main themes: 'experiences due epilepsy' and 'coping strategies to wards epilepsy'. Experience due to epilepsy' was described by young people with epilepsy in terms of psychosocial, physical, economical and health care related experiences. They described coping strategies towards epilepsy in terms of finding support from family and society as well as religious institutions and other traditions as copping strategy.

CONCLUSION

Even though young people with epilepsy had suffered a lot of hurtful experiences, they reported coping strategies towards epilepsy that include support from various sources. These types of findings have implications for social work interventions for young people living with epilepsy.

摘要

背景

癫痫是最常见的神经系统疾病,其特征是由于大脑中神经元群的突然过度放电而导致神经系统持续紊乱。对于患有癫痫的年轻人来说,应对生活中的挑战并适应与青春期相关的规范任务是有压力的,这会影响到他们生活的各个方面。但是在埃塞俄比亚,关于癫痫青少年的生活体验的文献很少。

目的

本研究旨在探讨癫痫青少年的生活体验。

方法

2021 年 2 月至 4 月,在巴赫达尔市政府专科医院和转诊医院进行了一项定性访谈研究。采用饱和规则,使用异质类型的目的抽样技术,共选择了 11 名研究参与者(年龄 12-24 岁)。通过半结构化访谈技术,借助录音机收集数据。使用卫生保健机构中的半结构化访谈指南和观察清单。收集的数据逐字转录并进行概念翻译。使用主题方法分析数据。通过同行审查、成员检查、审计跟踪、详细描述和有针对性的抽样等不同技术,确保研究的可信度、可靠性、一致性和可转移性。使用 Atlas- ti 版本 7 软件辅助数据分析。

结果

参与者的叙述揭示了两个主要主题:“癫痫引起的体验”和“应对癫痫的策略”。“癫痫引起的体验”是由癫痫青少年从心理社会、身体、经济和医疗保健相关体验方面描述的。他们从家庭和社会以及宗教机构和其他传统中寻找支持等方面描述了应对癫痫的策略。

结论

尽管癫痫青少年经历了很多痛苦的体验,但他们报告了应对癫痫的策略,包括来自各种来源的支持。这些发现对社会工作干预癫痫青少年的生活具有重要意义。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/79b6/9870136/601de7c8b1f3/pone.0278936.g001.jpg

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