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題名:探討母親在病嬰診斷癲癇初期使用抗癲癇藥物遵從性的經驗
書刊名:弘光學報
作者:黃玉苹 引用關係王守玉 引用關係陳秀蓉吳汶珊
作者(外文):Huang, Yu-pingWang, CindyChen, Hsiu-jungWu, Wen-shan
出版日期:2012
卷期:66
頁次:頁53-61
主題關鍵詞:母親嬰兒癲癇抗癲癇藥物遵從度EpilepsyAntiepileptic drugsAdherence
原始連結:連回原系統網址new window
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  • 點閱點閱:27
服用抗癲癇藥物的遵從性對癲癇病患控制癲癇的發作相當重要,護士唯有了解癲癇病童家屬在病童接受抗癲癇藥物治療時的經驗,才可促進家屬對癲癇藥物使用的遵從性。本個案報告為探討當五個月大嬰兒被診斷癲癇時,案母的照護經驗如何影響使用抗癲癇藥物的遵從性。此個案報告乃運用行為過程記錄法,在照護病嬰的過程中,紀錄並寫下與案母的互動及對話內容,共寫成行為過程記錄十篇,以內容分析法整理母親的重要經驗。本個報指出影響案母使用抗癲癇藥物的因素包括:無法接受診斷、不信任醫療照護品質、害怕藥物的副作用、及期待病嬰可自我痊癒。健康照護專業人員應深入了解當病童被診斷癲癇時,父母親的經驗與感受,之後需協助父母克服他們的負面經驗以加強對治療的遵從性。為改善父母對醫療照護之遵從性,健康照護人員應視父母為醫療夥伴,以建立互助與合作關係。
Adherence to antiepileptic drugs is important for patients to control the epilepsy. However, nurses can only enhance such adherence after they understand experiences of families of epileptic children who are treated with anti-epileptic drugs. This case report was to explore how the mother’s experience influenced her adherence to antiepileptic drugs when her five-month-old baby had been diagnosed with epilepsy. This case report was applied a method of process recording to write down the process of interaction and conversation with the mother when caring for the epileptic baby and the mother, which consisted of 10 process recordings in total. Content analysis was used to extract the important part of the mother’s experience. The findings indicated the influencing factors on the mothers adherence to antiepileptic drugs were, disapproval of the diagnosis, mistrusting the quality of medical care, fear of side effects of antiepileptic drugs, and anticipating self-healing of the sick baby. Health professionals should explore and understand parents’ experiences when their children are diagnosed with epilepsy. Such understanding can help health professionals to assist parents in overcoming their negative feelings. Also health professionals should regard parents as partners to build up cooperation and collaboration in order to improve parents’ adherence to medical care.
圖書
1.Morse, J. M.、Field, P. A.(1996)。Nursing research: The application of qualitative approaches。London:Stanley Thornes。  new window
2.余玉眉、田聖芳、蔣欣欣(1991)。質性研究:田野研究法於護理學之應用。臺北:巨流。  延伸查詢new window
其他
1.Asadi-Pooya, A. A.(2005)。Drug compliance of children and adolescents with epilepsy。  new window
2.Buck, D., Jacoby, A., Baker, G. A., & Chadwick, D. W.(1997)。ctors influencing compliance with antiepileptic drug regimes。  new window
3.Devinsky, O.(2008)。Epilepsy in infancy。  new window
4.Flynn, C.(2007)。Epilepsy update。  new window
5.Jacoby, A., & Austin, J. K.(2007)。Social stigma for adults and children with epilepsy。  new window
6.Jones, R., Butler, J., Thomas, V., Peveler, R., & Prevett, M.(2006)。Adherence to treatment in patients with epilepsy: Associations with seizure control and illness beliefs。  new window
7.Kemp, S., Feely, M., Hay, A., Wild, H., & Cooper, C.(2007)。Psychological factors and use of antiepileptic drugs: Pilot work using an objective measure of adherence。  new window
8.Korsch, B. M., Gozzi, E. K., & Francis, V.(1968)。Gaps in doctor-patient communication: Doctor-patient interaction and patient satisfaction。  new window
9.May, T. W. , & Pfäfflin, M.(2005)。Psychoeducational programs for patients with epilepsy.。  new window
10.Modi, A. C., Morita, D. A., & Glauser, T. A.(2008)。One-month adherence in children with newonset epilepsy: White-coat compliance does not occur。  new window
11.Modi, A. C., Rausch, J. R., & Glauser, T. A.(2011)。Patterns of nonadherence to antiepileptic drug therapy in children with newly diagnosed epilepsy。  new window
12.Mu, P. F.(2005)。Paternal reactions to a child with epilepsy: Uncertainty, coping strategies, and depression。  new window
13.Searson, B.(2008)。Meeting the challenges of epilepsy。  new window
14.Shaya, F. T.(2005)。Compliance with medicine。  new window
15.Sabate, E.(2003)。Adherence to long-term therapies evidence for action: World Health Organization,Geneva, Switzerland。  new window
16.Vermeire, E., Hearnshaw, H., Van Royen, P., & Denekens, J.(2001)。Patient adherence to treatment: Three decades of research。  new window
17.Wilmot-Lee, B.(2008)。Improving medicine taking in epilepsy。  new window
18.Zolnierek, K. B. H., & DiMatteo, M. R.(2009)。Physician communication and patient adherence to treatment: A meta-analysis。  new window
圖書論文
1.Lincoln, Y. S.、Guba, E. G.(1999)。Establishing Trustworthiness。Qualitative Research。Sage。  new window
 
 
 
 
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