癲癇青少年同儕關係之探討

A Preliminary Investigation of Peer Relations of Adolescents with Epilepsy

謝玉玲(Yu-Ling Hsieh) ； 徐亞瑛(Yea-Ing Shyu)

《護理研究》 7卷1期 (1999/02) Pp. 41-50

https://doi.org/10.7081/NR.199902.0041

摘要

本研究爲癲癇青少年生活情境研究的一部份，主要針對癲癇青少年的同儕關係進行探討。根據訪談指引作低結構性訪談，收集資料。以立意取樣，於某醫學中心兒童醫院癲癇門診追蹤治療的13名個案爲本研究對象，訪談內容以錄音記錄，再逐字抄錄爲書面訪談過程，依Miles與Huberman(1994)質性研究分析法加以分析整理。結果顯示，癲癇青少年之同儕關係方面包括同儕互動關係、同儕比較性評價、同儕疾病態度。癲癇青少年的同儕互動表達出其對安全感與病事實保密的需求，及因疾病發作引起同儕間的負向關係。此階段的癲癇青少年亦出現與同儕於多方面作一比較性的評價，包括生活方式、態度、能力、疾病種類等。此研究結果使護理人員對於癲癇青少年同儕互動關係更爲敏感，護理不同年齡及發展階段的青少年，應注意到其不同的差異，預防並降低負向的同儕關係，與同儕維持一正向互動的關係。

關鍵字

癲癇青少年 ； 同儕關係

並列摘要

This study was a part of an investigation about perceptions of the life space of adolescents with epilepsy. The purpose of the study was to explore the peer relations of adolescents with epilepsy. A purposive sample consisting of adolescents with epilepsy from the Pediatric OPD of a children’s hospital were interviewed with a semistructural interview guide. Interviews were tape recorded and transcribed verbatim for data analysis. The method of qualitative data analysis was adapted from Miles & Huberman (1994) to identify categories. The results indicate that peer relations of adolescents with epilepsy include peer interaction, comparison between peers, and attitudes of peers. Peer interaction indicates the need of these adolescents for safety and disease concealment. Seizure attacks causing negative relations with peers were also found. Findings also indicate that adolescents with epilepsy tend to compare themselves with their peers in many dimensions, including styles of life, attitudes of life, ability, types of disease and so on. The findings of this study may sensitize nurses to peer relations of adolescents with epilepsy. Nursing interventions need to be developed for adolescents with epilepsy in different development stages, to prevent and diminish negative peer relations, and maintain good peer relations.

並列關鍵字

adolescent with epilepsy ； peer relation