Jonsson M, Egmar A-C, Hallner E, Kull I
Center of Occupational and Environmental Medicine, Stockholm County Council , Stockholm , Sweden .
J Asthma. 2014 Mar;51(2):185-92. doi: 10.3109/02770903.2013.853080. Epub 2013 Nov 20.
The goal for asthma treatment is that every individual, so far as possible, shall live without symptoms and exacerbations. Patients and health care professionals sometimes have different perceptions of what is important for achieving good quality of life. This work aims to describe the experiences among adolescents as well as those of parents with young children living with asthma.
Four focus group interviews were performed, two with parents of young children and two with adolescents. The data were qualitatively analyzed, using Systematic Text Condensation.
Three themes relevant to the participants' experiences of living with asthma were presented; strategies, frustrations and expectations. The adolescents wanted to be like their peers and developed their own strategies for self-management of asthma, which included not always taking medication as prescribed. The parents emphasized frustration regarding not being believed, lack of understanding feelings of loneliness, or anxiety. One identified expectation was that the participants wanted to be met with competence and understanding in asthma care from health care professionals. Another expectation expressed among parents was that teachers in nursery and primary schools should have more knowledge and understanding on how to care for children with asthma.
Living with asthma leads to developing personal strategies in self-management of asthma. Moreover both parents and adolescents had expectations of being met by competent and understanding health care professionals. Developing a partnership between patients and health care professionals could be a successful way to improve the care of patients with asthma.
哮喘治疗的目标是尽可能让每个人都能在无症状和无病情加重的情况下生活。患者和医护人员有时对实现良好生活质量的重要因素有不同的看法。这项研究旨在描述青少年以及患有哮喘的幼儿家长的经历。
进行了四次焦点小组访谈,两次针对幼儿家长,两次针对青少年。采用系统文本浓缩法对数据进行定性分析。
呈现了与参与者哮喘生活经历相关的三个主题;策略、挫折和期望。青少年希望和同龄人一样,并制定了自己的哮喘自我管理策略,其中包括并非总是按规定服药。家长们强调了不被信任、缺乏理解、感到孤独或焦虑方面的挫折感。一个明确的期望是参与者希望在哮喘护理方面得到医护人员的专业能力和理解。家长们表达的另一个期望是,幼儿园和小学的教师应该对如何照顾哮喘儿童有更多的了解。
与哮喘共存会促使个人制定哮喘自我管理策略。此外,家长和青少年都期望得到有专业能力且善解人意的医护人员的关照。在患者和医护人员之间建立合作关系可能是改善哮喘患者护理的成功途径。