Hybrid concept analysis of self-management in adults newly diagnosed with epilepsy
Hybrid concept analysis of self-management in adults newly diagnosed with epilepsy
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DOI：
10.1016/j.yebeh.2008.09.002
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发表时间：
2009-01-01
影响因子：
2.6
通讯作者：
Buelow, Janice M.
中科院分区：
文献类型：
--
作者：
Unger, Wendy R.;Buelow, Janice M.
本研究的目的是分析和定义在过去12个月内被诊断为癫痫的成人自我管理的概念。采用混合概念分析法，对文献中使用的自我管理概念和患者描述的自我管理概念进行分析。混合概念分析的三个阶段是理论、实地考察和分析，患者对概念的看法是在实地考察阶段通过半结构化访谈得出的。定性内容分析用于分析理论和实地阶段数据。分析得出了关于参与者自我管理经验的12个主题，这些主题被组织在三个主要的、相互作用的主题下：情绪和身体舒适、功能能力、自我管理行动和行为。自我管理的概念框架和定义也出现了。我们的结论是，这一人群中的患者有独特的自我管理经验，了解这些需求可以使卫生保健提供者设计和利用干预措施来帮助这些患者自我管理癫痫。需要进一步的研究来调查这一人群的自我管理。(C) 2008爱思唯尔公司版权所有。
The objective of this study was to analyze and define the concept of self-management for adults diagnosed with epilepsy in the previous 12 months. Using the hybrid concept analysis method, we analyzed the concept of self-management as used in literature and as described by patients. The three phases of a hybrid concept analysis are theory, fieldwork, and analysis, Patient perceptions of the concept were elicited in the fieldwork phase via semistructured interviews. Qualitative content analysis was used to analyze both theoretical and fieldwork phase data. The analysis yielded 12 themes regarding the participants' self-management experiences that were organized under three main, interactive themes: emotional and physical comfort, functional ability, and self-management actions and behaviors. A conceptual framework and definition of self-management also emerged. We conclude that the patients in this population have unique self-management experiences, and an understanding of those needs allows health care providers to devise and utilize interventions to assist those patients in self-managing their epilepsy. Additional research is needed to investigate self-management further in this population. (C) 2008 Elsevier Inc. All rights reserved.