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。
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 semi-structured 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 5 themes: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.
作者
陈瑜
田晓夏
朱丽
CHEN Yu;TIAN Xiao-xia;ZHU Li(School of Nursing,Fudan University,Shanghai 200032,China;Cardiac Intervention Center,Zhongshan Hospital,Fudan University,Shanghai 200032,China;National Clinical Research Center for Interventional Medicine,Shanghai 200032,China)
出处
《复旦学报（医学版）》
CAS
CSCD
北大核心
2024年第3期331-337,共7页
Fudan University Journal of Medical Sciences
基金
上海市临床重点专科项目(shslczdzk01701)
国家临床重点专科建设项目(YW2021-002)。
关键词
卵圆孔未闭
封堵术
偏头痛
质性研究
patent foramen ovale
closure
migraine
qualitative study
