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家庭生命周期中的多发性硬化症(MS):对近期诊断为MS的患者观点的解释性现象学分析

Multiple sclerosis (MS) in the life cycle of the family: An interpretative phenomenological analysis of the perspective of persons with recently diagnosed MS.

作者信息

de Ceuninck van Capelle Archie, Visser Leo H, Vosman Frans

机构信息

Department of Care Ethics.

Department of Neurology, St. Elisabeth Tweestedenziekenhuis.

出版信息

Fam Syst Health. 2016 Dec;34(4):435-440. doi: 10.1037/fsh0000216. Epub 2016 Aug 15.

Abstract

INTRODUCTION

In this study the authors explored how people with recently diagnosed multiple sclerosis (MS) experience their disease within their family lives. Ten people in various stages of the cycle of family life (leaving home, finding a partner, raising children, parenting adolescents, launching children) who had been diagnosed with MS were interviewed in half-structured conversational interviews.

METHOD

Transcriptions were analyzed following a phenomenological approach.

RESULTS

Five themes were found: (a) dwindling capacity for housekeeping and childcare (b) struggling to ask for or to accept help, (c) countering awkward attitudes toward my illness, (d) suspecting family members of concealing their, and (e) watching family members wrestle with your illness.

DISCUSSION

The participants described that their illness affected their ability to care for their family and home as they used to. Only a couple of studies have addressed the first person perspective of patients on family and MS. The study expands on these studies by exploring not previously examined perspectives on leaving home, finding a partner, parenting adolescents, and launching children. The findings on family and MS, approached as elements of the first person perspective of MS patients, may guide future research. Given the pivotal role of worries on family in patient experience of MS, we argue that acknowledgment of family as a constitutive element of the patient perspective should be integrated in regular MS care. The authors suggest that the clinical handling of MS as a family issue needs to be done thoughtfully and with attention to the specifics of each unique family situation. (PsycINFO Database Record

摘要

引言

在本研究中,作者探讨了近期被诊断患有多发性硬化症(MS)的患者在家庭生活中如何体验自己的疾病。对处于家庭生活周期不同阶段(离家、寻找伴侣、养育子女、教育青少年、子女成年离家)且被诊断患有MS的10人进行了半结构化访谈。

方法

采用现象学方法对访谈记录进行分析。

结果

发现了五个主题:(a)家务和育儿能力下降;(b)难以寻求或接受帮助;(c)应对对我疾病的尴尬态度;(d)怀疑家庭成员隐瞒病情;(e)看着家庭成员与你的疾病作斗争。

讨论

参与者描述说,他们的疾病影响了他们像过去那样照顾家庭和操持家务的能力。只有少数几项研究探讨了患者对家庭和MS的第一人称视角。本研究通过探索离家、寻找伴侣、教育青少年和子女成年离家等以前未被研究的视角,对这些研究进行了拓展。从MS患者第一人称视角的要素来探讨家庭与MS的研究结果,可能会为未来的研究提供指导。鉴于对家庭的担忧在MS患者体验中的关键作用,我们认为在常规MS护理中应将承认家庭是患者视角的构成要素纳入其中。作者建议,将MS作为家庭问题进行临床处理时,需要深思熟虑并关注每个独特家庭情况的具体细节。(PsycINFO数据库记录)

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