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吉兰-巴雷综合征患病两年后平衡日常生活:一项定性研究

Balancing everyday life two years after falling ill with Guillain-Barré syndrome: a qualitative study.

作者信息

Forsberg Anette, Widén-Holmqvist Lotta, Ahlström Gerd

机构信息

Division of Neurology, Karolinska Institutet, Stockholm, Sweden Family Medicine Research Centre, Örebro County Council, Örebro, Sweden

Division of Neurology, Karolinska Institutet, Stockholm, Sweden Division of Physiotherapy, Karolinska Institutet, Stockholm, Sweden.

出版信息

Clin Rehabil. 2015 Jun;29(6):601-10. doi: 10.1177/0269215514549564. Epub 2014 Sep 8.

DOI:10.1177/0269215514549564
PMID:25200880
Abstract

PURPOSE

The aim was to describe experiences of disability in everyday life and managing the recovery process two years after falling ill with Guillain-Barré syndrome.

DESIGN

Qualitative interview study.

METHODS

Interviews were conducted with 35 persons (22 male, mean age 50 years) two years after the onset of Guillain-Barré syndrome. The interviews were transcribed verbatim and analysed using content analysis.

RESULTS

The analysis revealed four categories and an overall theme: 'Striving for balance in everyday life'. The participants described persistent lived body restrictions that affected their arms, legs, and face. Bodily symptoms and loss of energy limited or restricted many everyday activities. In connection with healthcare, both satisfaction and feeling vulnerable in a critical situation were described. Experiences of the recovery process varied. The participants described acceptance and reappraisal of a new life situation despite their limitations, and having gained the knowledge that life can change suddenly. However, they also expressed disappointment following an overly positive prognosis in the early stages, and over a continuous wait for recovery. For some participants life had returned to as before.

CONCLUSION

The participants experienced limitations in everyday life and decreased functioning in several parts of the body. The recovery process may still be ongoing two years after onset. Rehabilitation intervention with an extended focus on supporting individualized coping processes could facilitate ways to live with persistent disability.

摘要

目的

旨在描述吉兰-巴雷综合征发病两年后患者在日常生活中的残疾经历以及康复过程的管理情况。

设计

定性访谈研究。

方法

对35名吉兰-巴雷综合征发病两年后的患者(22名男性,平均年龄50岁)进行访谈。访谈内容逐字记录,并采用内容分析法进行分析。

结果

分析揭示了四个类别和一个总体主题:“努力在日常生活中保持平衡”。参与者描述了持续存在的身体限制,这些限制影响了他们的手臂、腿部和面部。身体症状和精力丧失限制了许多日常活动。在医疗保健方面,既描述了满意度,也描述了在危急情况下感到脆弱的情况。康复过程的经历各不相同。参与者描述了尽管有局限,但仍接受并重新评估了新的生活状况,并获得了生活可能突然改变的认识。然而,他们也对早期过于乐观的预后以及持续等待康复表示失望。对一些参与者来说,生活已恢复如初。

结论

参与者在日常生活中经历了限制,身体多个部位的功能下降。发病两年后康复过程可能仍在进行。延长关注支持个体化应对过程的康复干预可以促进与持续性残疾共存的方式。

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