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卵圆孔未闭行封堵术患者偏头痛体验的质性研究
The experience of migraine in patients undergoing closure of patent foramen ovale: a qualitative study
【摘要】 目的 探求卵圆孔未闭行封堵术患者的偏头痛体验,为缓解患者偏头痛,提高生活质量制定针对性干预措施。方法 采用质性研究法,对2022年10月—2023年4月于复旦大学附属中山医院心内科就诊的11名卵圆孔未闭合并偏头痛行封堵术患者进行一对一、半结构式深入访谈,采用传统内容分析法分析资料。结果 卵圆孔未闭行封堵术患者偏头痛体验可归为5大主题:偏头痛发作情形各异;偏头痛带来严重身心影响;不断尝试缓解偏头痛的方式;对封堵术抱有期望;渴望专业支持。结论 卵圆孔未闭行封堵术患者偏头痛病程较长,发作情形各异,应对效果不理想,对身心造成较大影响。医院可尝试开设疼痛多学科门诊,医护人员应为患者提供专业而个性化的疼痛管理,重视偏头痛的伴随症状和由此带来的不良情绪,并提高患者对偏头痛的认识和自身管理水平。
【Abstract】 Objective To explore the experience of migraine in patients undergoing closure of patent foramen ovale, so as to develop targeted interventions for relieving patients’ migraine and improving quality of life. Methods It was a qualitative study. A total of 11 patients who experienced migraine, underwent closure of patent foramen ovale, and admitted to the Department of Cardiology, Zhongshan Hospital, Fudan University from Oct 2022 to Apr 2023 were selected. One-to-one, in-depth semistructured interviews were conducted. The conventional content analysis was used for data analysis.Results The migraine experience of patients undergoing closure of foramen ovale could be shown in 5themes: migraines attacked varied; migraines brought serious physical and mental effects; migraines were dealt with in a variety of ways; patients had expectations for closure; professional support was needed.Conclusion The experience of migraine in patients undergoing closure of patent foramen ovale varied and was long-lasting. Patients were unable to effectively deal with migraine which had great negative effects.Multidisciplinary pain clinics could be established. Health care professionals should provide patients with professional and personalized pain management, pay attention to the accompanying symptoms and the negative mood, and improve patients’ awareness and management level of migraine.
【Key words】 patent foramen ovale; closure; migraine; qualitative study;
- 【文献出处】 复旦学报(医学版) ,Fudan University Journal of Medical Sciences , 编辑部邮箱 ,2024年03期
- 【分类号】R473.5
- 【网络出版时间】2024-05-07 17:43:00
- 【下载频次】304