J Psychosoc Nurs Ment Health Serv. 2023 Oct;61(10):19-27. doi: 10.3928/02793695-20230424-04. Epub 2023 May 3.
Adolescents with functional (psychogenic nonepileptic) seizures encounter many struggles within the school environment, including stress, bullying, stigmatization, and accusations of faking seizure events. Mental health nurses and school personnel are poised to support school-based self-management; unfortunately, to date, no evidence exists to detail effective school-based self-management strategies for adolescents with functional seizures. Therefore, in the current qualitative study, we examined adolescents' functional seizure self-management, perceived effectiveness, and facilitators and barriers using semi-structured interviews analyzed using content analysis. We interviewed 10 adolescent females aged 12 to 19 years. Themes of proactive (prior to seizure warning symptoms) and reactive (after seizure warning symptoms) self-management, involving protection, perseverance, and progress monitoring, emerged. Adolescents perceived proactive strategies as primarily effective, whereas reactive strategies were less effective. Adolescents identified school nurses and personnel, family, and peers as facilitators and barriers to self-management. Mental health nurses are positioned to provide care, co-create plans, and advocate for adolescents with functional seizures in collaboration with school nurses and personnel. [(10), 19-27.].
患有功能性（心因性非癫痫性）发作的青少年在学校环境中会遇到许多困难，包括压力、欺凌、污名化和被指控假装发作事件。心理健康护士和学校人员准备支持基于学校的自我管理；然而，迄今为止，没有证据详细说明针对功能性发作青少年的有效基于学校的自我管理策略。因此，在当前的定性研究中，我们使用内容分析法分析了半结构化访谈，研究了青少年的功能性发作自我管理、感知效果以及促进因素和障碍。我们采访了 10 名 12 至 19 岁的青少年女性。主动（在发作警告症状之前）和被动（在发作警告症状之后）自我管理的主题，包括保护、坚持和进展监测，出现了。青少年认为主动策略主要有效，而被动策略效果较差。青少年确定学校护士和人员、家庭和同伴是自我管理的促进因素和障碍。心理健康护士在与学校护士和人员合作时，可以为患有功能性发作的青少年提供护理、共同制定计划和倡导。[(10)，19-27]。
