Aho Anna Carin, Hultsjö Sally, Hjelm Katarina
Department of Health and Caring Sciences, Linnaeus University, Växjö, Sweden.
Psychiatric Clinic, Ryhov, Region Jönköping, Sweden; School of Health and Welfare, Jönköping University, Jönköping, Sweden.
Neuromuscul Disord. 2017 Jun;27(6):585-595. doi: 10.1016/j.nmd.2017.01.024. Epub 2017 Feb 3.
Recessive limb-girdle muscular dystrophies (LGMD2) involve progressive muscle weakness. Parental support is important for young adults living with LGMD2, but no study has been identified focusing on the parents' experiences. The salutogenic perspective concentrates on how daily life is comprehended, managed and found meaningful, i.e. the person's sense of coherence. The aim of this study was to describe, from a salutogenic perspective, experiences of being parents of young adults living with LGMD2. Nineteen participants were included. Data were collected by semi-structured interviews and the self-administrated 13-item sense of coherence questionnaire. Interview data were analysed with content analysis and related to self-rated sense of coherence. The result shows experiences of being influenced, not only by thoughts and emotions connected to the disease but also by caregiving duties and the young adults' well-being. Simultaneously, difficulty in fully grasping the disease was expressed and uncertainty about progression created worries about future management. Trying their best to support their young adults to experience well-being and to live fulfilled lives, the importance of having a social network, support from concerned professionals and eventually access to personal assistance was emphasized. The need to have meaningful pursuits of one's own was also described. The median sense of coherence score was 68 (range 53-86). Those who scored high (≥68) described satisfaction with social network, external support provided, work and leisure activities to a greater extent than those who scored low (<68). The result shows that the young adults' disease has a major impact on the parents' lives. Assessment of how the parents comprehend, manage and find meaning in everyday life may highlight support needed to promote their health.
隐性肢带型肌营养不良症(LGMD2)会导致进行性肌肉无力。对于患有LGMD2的年轻人来说,父母的支持很重要,但尚未发现有研究关注父母的经历。健康生成视角关注的是日常生活如何被理解、管理以及如何被赋予意义,即人的连贯感。本研究的目的是从健康生成视角描述身为患有LGMD2的年轻人的父母的经历。纳入了19名参与者。通过半结构化访谈和自行填写的包含13个条目的连贯感问卷收集数据。访谈数据采用内容分析法进行分析,并与自我评定的连贯感相关联。结果显示,他们不仅受到与疾病相关的思想和情绪的影响,还受到照料职责和年轻人幸福感的影响。同时,表达了对疾病难以完全理解的情况,以及对病情进展的不确定性引发了对未来管理的担忧。他们强调要尽力支持自己的孩子体验幸福感并过上充实的生活,拥有社交网络、获得相关专业人员的支持以及最终获得个人援助的重要性。还描述了拥有自己有意义追求的必要性。连贯感得分的中位数为68(范围为53 - 8)。得分高(≥68)的人比得分低(<68)的人在更大程度上描述了对社交网络、所获得的外部支持、工作和休闲活动的满意度。结果表明,年轻人的疾病对父母的生活有重大影响。评估父母如何理解、管理日常生活并从中找到意义,可能会凸显促进他们健康所需的支持。