Department of Nursing, Umeå University, Skellefteå, Sweden.
J Adv Nurs. 2012 Apr;68(4):816-25. doi: 10.1111/j.1365-2648.2011.05782.x. Epub 2011 Jul 7.
This paper is a report of a study illuminating women's experiences of living with chronic heart failure with a focus on feelings of security and insecurity.
To be secure is a basic human need. Although feelings of being insecure has been found to be a common problem among people who live with chronic heart failure few qualitative studies, particularly among women, have been carried out in the field.
Eight women took part in focus group interviews during 2006. The data were analysed using qualitative content analysis.
The women's feelings of security include acceptance of the past, everyday life and the future, trusting the self and the body despite the disease, not having to deal with dependency alone, and faith in care and treatment. The women's feelings of insecurity include feeling guilty for being sick and incapacitated, fear of living with a frail and failing body, anxiety about growing dependence on others, loneliness and death and lack of faith in care and treatment.
The outlook on the past, the present and the view about the future, can be fundamental for the quality of life, and the sense of security and insecurity among women living with chronic heart failure. To support a sense of security it seems essential that nursing staff attempt to understand the women's outlook on life and their personal interpretations of living with chronic heart failure. This can be crucial for enhancing feelings of security in daily life for these women.
本文是一项研究报告，重点探讨了女性慢性心力衰竭患者的安全感和不安全感体验。
安全感是人类的基本需求。尽管患有慢性心力衰竭的人群中普遍存在不安全感的问题，但很少有定性研究，特别是针对女性的研究，在该领域进行。
2006 年，8 名女性参加了焦点小组访谈。使用定性内容分析法对数据进行分析。
女性的安全感包括接受过去、日常生活和未来，尽管患病但仍信任自己和身体，不必独自应对依赖，以及对护理和治疗的信任。女性的不安全感包括因患病和虚弱而感到内疚，对脆弱和衰竭的身体感到恐惧，对日益依赖他人的焦虑，孤独和死亡，以及对护理和治疗缺乏信心。
对过去、现在和未来的展望，可能是女性慢性心力衰竭患者生活质量、安全感和不安全感的基础。为了支持安全感，护理人员似乎必须理解女性的人生观和她们对慢性心力衰竭的个人诠释。这对于增强这些女性日常生活中的安全感至关重要。
