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等待干预的外周动脉疾病患者的生活体验:一项定性研究。

Patients' experiences of living with peripheral arterial disease awaiting intervention: a qualitative study.

作者信息

Wann-Hansson C, Hallberg I R, Klevsgård R, Andersson E

机构信息

Department of Nursing Science, Lund University, P.O. Box 157, SE-221 00 Lund, Sweden.

出版信息

Int J Nurs Stud. 2005 Nov;42(8):851-62. doi: 10.1016/j.ijnurstu.2004.11.009.

Abstract

The aim of this study was to investigate patients' experiences of living with peripheral arterial disease (PAD) and the influence on activities of daily living. Twenty-four patients with various degrees of PAD were interviewed. The transcribed texts were analysed using manifest and latent content analysis. Living with PAD meant carrying a hard-to-bear physical, social and emotional burden, and struggling for relief. The experience of burden was interpreted in the following themes representing consequences and strategies for gaining control in daily life: (I) "being limited by the burden" (II) "striving to relieve the burden" (III) "accepting and adapting to the feeling of burden". The use of different coping strategies was crucial to achieve some relief. Pain and sleep disturbance emerged as a major feature of living with PAD, and by combining both analgesics and non-pharmacological methods some pain relief was received. To provide optimal alleviation of pain for these patients, education about pain and pain management is of great importance followed by regular evaluations of the pain and pain management. Furthermore, the study underlines the importance of preventing the progression of the vascular disease and from the individual power and knowledge support and preserve as independent life as possible.

摘要

本研究的目的是调查外周动脉疾病(PAD)患者的生活体验及其对日常生活活动的影响。对24例不同程度的PAD患者进行了访谈。采用显性和隐性内容分析法对转录文本进行分析。患有PAD意味着承受难以忍受的身体、社会和情感负担,并为缓解负担而挣扎。负担体验在以下主题中得到诠释,这些主题代表了日常生活中负担的后果和获得控制的策略:(I)“受负担限制”(II)“努力减轻负担”(III)“接受并适应负担感”。使用不同的应对策略对于获得一些缓解至关重要。疼痛和睡眠障碍成为PAD患者生活的一个主要特征,通过结合使用镇痛药和非药物方法,疼痛得到了一定程度的缓解。为了为这些患者提供最佳的疼痛缓解,关于疼痛和疼痛管理的教育非常重要,随后要定期评估疼痛和疼痛管理情况。此外,该研究强调了预防血管疾病进展以及提供个人力量和知识支持并尽可能保持独立生活的重要性。

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