Malcomson K S, Lowe-Strong A S, Dunwoody L
Health and Rehabilitation Sciences Research Institute, Newtownabbey, Northern Ireland, UK.
Disabil Rehabil. 2008;30(9):662-74. doi: 10.1080/09638280701400730.
The aim of this qualitative study was to explore the personal accounts of individuals with Multiple Sclerosis (MS). Hence the study presents individuals experiences of living with MS to date and the effective self-management strategies employed to cope in day-to-day life.
Thematic analysis was used to explore the personal narratives of thirteen individuals with MS in two focus group discussions.
Participants in both groups identified similar themes related to the experiences of living and coping with MS. These were: Learning something was wrong (before diagnosis); getting a name (diagnosis); lack of professional support; unchanging family relationships, adjustments to employment circumstances and social life; challenges; successful coping via proactivity, perspective and control (self-management techniques); advice for others, and recommendations as to how services could be improved and developed.
The most salient finding is that there is a need for a formal approach to the management of psychosocial problems and challenges associated with MS. This will require both users and health professionals working together to further the development of clinical guidelines and services for this population.
这项定性研究的目的是探究多发性硬化症(MS)患者的个人叙述。因此,该研究展示了迄今为止MS患者的生活经历以及为应对日常生活而采用的有效自我管理策略。
采用主题分析法,在两次焦点小组讨论中探究了13名MS患者的个人叙述。
两组参与者都确定了与MS生活和应对经历相关的类似主题。这些主题包括:发现身体有问题(诊断前);确诊;缺乏专业支持;家庭关系不变、工作环境和社交生活的调整;挑战;通过积极主动、正确看待和自我控制(自我管理技巧)成功应对;给他人的建议,以及关于如何改进和发展服务的建议。
最显著的发现是,需要一种正式的方法来管理与MS相关的心理社会问题和挑战。这将需要用户和健康专业人员共同努力,以进一步制定针对这一人群的临床指南和服务。