J Korean Acupunct Moxib Soc Search

CLOSE


J Acupunct Res > Volume 30(5); 2013 > Article
Lee, Yang, Kim, Lee, Park, Nam, Kang, and Lee: Admission Care for Bell’s Palsy Patients: A Qualitative Report on Patient Experiences※

Abstract

Objectives:

The aim of this study was to explore the experiences of patients admitted for Bell’s palsy in a Korean medicine hospital to identify whether admission is necessary and beneficial.

Methods:

A semi-structured interview was conducted on 9 patients who had experience in both the inpatient and the outpatient treatment for Bell’s palsy. Their experiences from inception of first symptoms to admission into the Facial Palsy Center in Kyung Hee University Korean Medicine Hospital were interviewed along with their thoughts and feelings. The interviews took place after discharge home at a pre-scheduled date and time in a quiet room at the hospital between July 2013 and August 2013. The subjects were purposefully selected until saturation of information was met.

Results:

Nine participants were interviewed and patients’ concerns and priorities were identified. At the acute stage, patients experienced anxiety and all of the female patients and one male patient felt embarrassed of their facial disfigurement. With time, the patients felt impatient of their symptoms and turned to Korean medicine for additional treatment. Providing psychological stability seemed to be an important factor for patients.

Conclusions:

This study provides insight into the experiences of patients with Bell’s palsy, and is significantly the first ever qualitative report to focus on the patient’s needs and concerns during admission care for symptoms of Bell’s palsy. Admission care can provide many physical and psychological benefits for the patients especially during the acute stage.

Table 1.
Characteristics of Participants
Code Gender Age Occupation Residence Date of onset Date of admission Admission period H-B Gr at admission H-B Gr at date of interview
S001 F 30 Office worker Gyungkido 2013.06.08 2013.06.20 15 acupunct-30-5-11-2i1.gif III II
S002 M 30 Office worker Seoul 2013.06.14 2013.06.18 11 acupunct-30-5-11-2i2.gif IV II
S003 M 59 Electrician Seoul 2013.06.23 2013.07.01 5 acupunct-30-5-11-2i3.gif IV III
S004 F 44 Housewife Gyungkido 2013.07.06 2013.07.08 15 acupunct-30-5-11-2i4.gif IV III
S005 M 33 Engineer Canada 2013.07.04 2013.07.19 8 acupunct-30-5-11-2i5.gif III II
S006 F 53 Housewife Gyungkido 2013.07.10 2013.07.16 12 acupunct-30-5-11-2i6.gif IV II
S007 F 52 Housewife Seoul 2013.02.21 2013.07.04 28 acupunct-30-5-11-2i7.gif II II
S008 M 40 Production line worker Seoul 2013.06.03 2013.07.22 12 acupunct-30-5-11-2i8.gif III II
S009 F 59 Housewife Seoul 2012.070.9 2013.04.30 15 acupunct-30-5-11-2i9.gif IV III

H-B Gr : House-Brackmann grade.

VII. References

1. Finsterer J. Management of peripheral facial nerve palsy. Eur Arch Otorhinolaryngol. 2008;265(7):743–52.
crossref pmid pmc
2. Hong KE. Prevalence and treatment of pattern of Korean patients with facial palsy. J Kor Acup Mox. 2010;27(3):137–46.

3. Peitersen E. The natural history of Bell’s palsy. Am J Otol. 1982;4(2):107–11.
crossref pmid
4. Gronseth GS, Paduga R. Evidence-based guideline update: Steroids and antivirals for Bell palsy. Neurology. 2012;79:2209–13.
crossref pmid
5. Min YK, Ahn CB, Jang KJ, et al. An analysis of clinical prognosis factors of Bell’s palsy. Journal of Korean Acupuncture & Moxibustion Society. 2008;25(3):163–77.

6. Fu L, Bundy C, Sadiq SA. Psychological distress in people with disfigurement from facial palsy. Eye. 2011;25:1322–6.
crossref pmid pmc
7. Anderson G. Anxiety, optimism, and symptoms reporting following surgery for acoustic neuroma. J Psychosom Res. 1999;118(6):790–6.
crossref
8. Van Swearingen JM, Cohn J, Turnbull J, Mirzai T, Johnson P. Psychological distress: linking impairment with disability in facial neuromotor disorders. Otolaryngol Head Neck Surg. 1998;118(6):790–6.
crossref pmid
9. Son IS, Seo JC, Cho TS, et al. The effects of admission care on Bell’s palsy-case control study. Journal of Korean Acupuncture & Moxibustion Society. 2002;19(2):201–10.
pmid
10. Pope C, Mays N. Qualitative research: reaching the parts other methods cannot reach: an introduction to qualitative methods in health and health services research. British Medical Journal. 1995;311(6996):42–5.
crossref pmid pmc
11. Lee HY, Son HM, Kim SY, Song MY, Lee JH, Park HJ. Acupuncture experience in patients with chronic low back pain : A qualitative study. Korean J Acupunct. 2010;27(2):183–201.

12. Kim SY, Lee KB, Lee HS, et al. Acupuncture experiences in patients with chronic low back pain(2): A qualitative study – Focused on participants in randomized controlled trial. Korean J Acupunct. 2012;29(4):581–97.

13. Kim SY, Chae YB, Lee HS, Ko YM, Lee HJ, Park HJ. Study for clinicians’ perception on the acupuncture research and ways to symbiosis between basic research and clinical practice. Korean J Acupunct. 2012;29(2):224–38.

14. Speziale HJ, Carpenter DR. Qualitative research in nursing: Advancing the humanistic imperative. 4th ed. Philadelphia, PA: Lippincott, Williams & Wilkins. 2007:

15. Yoo KW, Jeong JW, Kim YS, Kim HB. Understanding the basics of qualitative research methodology. Seoul: Parkyoungsa. 2012:150.

16. Huberman AM, Miles MB. Anlyse des donnees qualitatives. Recueil de nouvelles methodes. Collection pedagogie en developpement. Methodologie de recherche. De Boeck Universite, Editions du Renouveau pedagogique. 480.

17. Lee EM, Jun JO. An Exploratory Study on the Customer’s Psychological Mechanisms. Korean Society of Consumer Studies. 2012;23(4):131–54.

18. Park JW. An invitation to the revolution of qualitative research – Nvivo 8. Seoul: Hyungsung. 2009:139.

19. Speziale HJ, Carpenter DR. Qualitative research in nursing: advancing the humanistic imperative. Lippincott Williams & Wilkins. 2007:43–51.

20. Sandelowski M. The problem of rigor in qualitative research. Advance in Nursing Science. 1986;8:27–37.
crossref
21. Tong A, Sainsbury P, Craig JC. Consolidated criteria for reporting qualitative research (COREQ): a 32-item checklist for interviews and focus groups. Int J Qual Health Care. 2007;19(6):349–57.
crossref pmid
22. Kuehner C. Gender differences in unipolar depression : an update of epidemiological findings and possible explanations. Acta Psychiatr Scand. 2003;108(3):163–74.
crossref pmid
23. MacGregor FC. Social psychological and cultural dimensions of cosmetic and reconstructive plastic surgery. Aesth Plast Surg. 1989;13(1):1–8.
crossref


Article and Issues
For this Journal
For Authors
Ethics
Submit Manuscript
Editorial Office
Gil Korean Medical Hospital, Gachon University
Keunumul-Ro, Chung-Ku, Inchoen 22138, Korea
Tel: +82-70-7606-6353,4    Fax: +82-32-232-3334    E-mail: jared@e-jar.org                

Copyright © 2019 by Korean Acupuncture & Moxibustion Medicine Society. All rights reserved.

Developed in M2community

Close layer
prev next