Pettersson Monica, Hansson Anders, Brodersen John, Kumlien Christine
Institute of Health and Care Sciences, University of Gotenburgh, Göteborg; Department of Vascular Surgery, Sahlgrenska University Hospital, Gothenburg, Sweden.
Research Unit, Region Örebro, Örebro, Sweden.
J Vasc Nurs. 2017 Jun;35(2):70-77. doi: 10.1016/j.jvn.2016.11.003.
The prevalence of abdominal aortic aneurysm (AAA) is reported to be 2.2%-8% among men >65 years. During recent years, screening programs have been developed to detect AAA, prevent ruptures, and thereby saving lives. Therefore, most men with the diagnosis are monitored conservatively with regular reviews. The objective of the study was to describe how men diagnosed with abdominal aortic aneurysm <55 mm discovered by screening experience the process and diagnosis from invitation to 1 year after screening. A total of eleven 65-year-old men were included in three focus groups performed in a University Hospital in Sweden. These were qualitatively analyzed using manifest and latent content analysis. The experience of the screening process and having an abdominal aortic aneurysm in a long-term perspective revealed three categories: "trusting the health care system," emphasizing the need for continual follow-ups to ensure feelings of security; "the importance size," meaning that the measure was abstract and hard to understand; and "coping with the knowledge of abdominal aortic aneurysm," denoting how everyday life was based mostly on beliefs, since a majority lacked understanding about the meaning of the condition. The men want regular surveillance and surrendered to the health care system, but simultaneously experienced a lack of support thereof. Knowing the size of the aorta was important. The men expressed insecurity about how lifestyle might influence the abdominal aortic aneurysm and what they could do to improve their health condition. This highlights the importance of communicating knowledge about the abdominal aortic aneurysm to promote men's feelings of security and giving space to discuss the size of the aneurysm and lifestyle changes.
据报道，65岁以上男性腹主动脉瘤（AAA）的患病率为2.2%-8%。近年来，已开展筛查项目以检测腹主动脉瘤、预防破裂，从而挽救生命。因此，大多数确诊患者接受定期复查的保守监测。本研究的目的是描述通过筛查发现腹主动脉瘤直径<55mm的男性从被邀请筛查到筛查后1年的整个过程及诊断体验。瑞典一家大学医院进行了3个焦点小组，共纳入11名65岁男性。采用显性和隐性内容分析法对这些进行定性分析。从长期角度看，筛查过程及患有腹主动脉瘤的体验揭示出3个类别：“信任医疗保健系统”，强调需要持续随访以确保安全感；“尺寸的重要性”，意味着该指标抽象且难以理解；“应对腹主动脉瘤相关知识”，表示日常生活大多基于信念，因为大多数人对该病的意义缺乏了解。这些男性希望定期监测并听从医疗保健系统安排，但同时又感到缺乏支持。了解主动脉大小很重要。这些男性对生活方式如何影响腹主动脉瘤以及他们能做些什么来改善健康状况表示不安。这凸显了传播腹主动脉瘤相关知识以增强男性安全感以及留出空间讨论动脉瘤大小和生活方式改变的重要性。
