Li Meng, Feng Min, Li Mengtian, Wei Junfan, Li Shen, Zhang Ning, Li Qiong, Song Ruipeng, Li Huawei
Nursing Department, The Third People's Hospital of Henan Province, Zhengzhou, People's Republic of China.
School of Social Undertakings, Henan Normal University, Xinxiang, People's Republic of China.
Patient Prefer Adherence. 2025 Aug 10;19:2363-2375. doi: 10.2147/PPA.S531129. eCollection 2025.
To explore the migraine experience of patients with patent foramen ovale (PFO) and migraine based on the Symptom Management Theory(SMT).
A qualitative research approach was employed to conduct face-to-face, semi-structured, in-depth interviews with 16 patients diagnosed with PFO and migraine at the Department of Cardiology, The Third People's Hospital of Henan Province, from March to June 2025. The collected data were analyzed using the Colaizzi phenomenological method.
The migraine experience of patients with PFO was categorized into 3 main themes: 1) Symptom Perception: Variability in migraine severity and frequency (mean VAS 5.2 ± 1.8, indicating moderate symptom severity); Triggers and warning signs of migraine attacks; Impact of environmental and lifestyle factors on symptom onset. 2) Symptom Management: Persistent efforts to alleviate migraine symptoms (eg, medication, lifestyle adjustments); Emotional and psychological coping strategies; High expectations and hopes for the PFO closure procedure; Concerns and uncertainties about the effectiveness of the operation. 3) Symptom Outcomes: Physical and mental health challenges caused by chronic migraines; Social and occupational disruptions due to migraine symptoms; Seeking professional medical and psychological support; Long-term adaptation and resilience strategies.
This study, grounded in the SMT, provides valuable insights into the migraine experiences of patients with PFO. The findings highlight the multifaceted nature of their symptom perception, management, and outcomes, emphasizing the profound physical, emotional, and social impact of chronic migraines on their lives. Patients' persistent efforts to manage symptoms, coupled with their high expectations for the PFO closure procedure, underscore the need for comprehensive, patient-centered care.The study also reveals the critical role of professional support in addressing both the physical and psychological dimensions of migraine management. Healthcare providers should prioritize personalized, multidisciplinary approaches to care, focusing on symptom relief, emotional well-being, and long-term adaptation strategies. Future research should expand the scope to include diverse geographical populations and explore long-term postoperative experiences to further enhance understanding and improve clinical interventions for this patient group.
基于症状管理理论（SMT）探讨卵圆孔未闭（PFO）合并偏头痛患者的偏头痛体验。
采用定性研究方法，于2025年3月至6月对河南省第三人民医院心内科确诊为PFO合并偏头痛的16例患者进行面对面、半结构化的深入访谈。采用Colaizzi现象学方法对收集到的数据进行分析。
PFO合并偏头痛患者的偏头痛体验分为3个主要主题：1）症状感知：偏头痛严重程度和发作频率的变异性（平均视觉模拟评分[VAS]为5.2±1.8，表明症状严重程度为中度）；偏头痛发作的触发因素和预警信号；环境和生活方式因素对症状发作的影响。2）症状管理：缓解偏头痛症状的持续努力（如药物治疗、生活方式调整）；情绪和心理应对策略；对PFO封堵手术的高期望和希望；对手术效果的担忧和不确定性。3）症状结果：慢性偏头痛引起的身心健康挑战；偏头痛症状导致的社会和职业干扰；寻求专业医疗和心理支持；长期适应和恢复力策略。
本研究基于SMT，为PFO合并偏头痛患者的偏头痛体验提供了有价值的见解。研究结果突出了其症状感知、管理和结果的多方面性质，强调了慢性偏头痛对其生活产生的深刻身体、情感和社会影响。患者缓解症状的持续努力以及对PFO封堵手术的高期望，凸显了提供全面、以患者为中心护理的必要性。该研究还揭示了专业支持在应对偏头痛管理的身体和心理层面方面的关键作用。医疗服务提供者应优先采用个性化、多学科的护理方法，关注症状缓解、情绪健康和长期适应策略。未来的研究应扩大范围，纳入不同地理区域的人群，并探索术后长期体验，以进一步加深理解并改善针对该患者群体的临床干预措施。
