Ivarsson Bodil, Sjöberg Trygve, Hesselstrand Roger, Rådegran Göran, Kjellström Barbro
Dept of Cardiothoracic Surgery, Skåne University Hospital, Lund, Sweden.
Clinical Sciences Lund, Lund University, Lund, Sweden.
ERJ Open Res. 2019 Feb 25;5(1). doi: 10.1183/23120541.00218-2018. eCollection 2019 Feb.
Spouses play a crucial role, both physically and psychologically, for patients with pulmonary arterial hypertension (PAH) and chronic thromboembolic pulmonary hypertension (CTEPH). Our aim was to investigate the spouse's experiences when living with a partner diagnosed with PAH or CTEPH.
We used a qualitative interview study design based on open-ended questions analysed using qualitative content analysis.
14 spouses were interviewed. Two categories that describe spouses' experiences of dealing with everyday life were identified: "Living in an insecure life situation" and "Providing and receiving information and support". The experiences reported by the spouses were that their life situation was insecure, and that they had challenges in providing and receiving information and support. Most spouses also wanted and felt a need to be more involved in the care.
The spouses were only partly satisfied with their life situation. To support the spouse's participation, the PAH/CTEPH team should encourage the patient to bring their spouse along, and offer them the opportunity to participate in the contacts with healthcare and provide information on an individual family perspective.
对于肺动脉高压(PAH)和慢性血栓栓塞性肺动脉高压(CTEPH)患者而言,配偶在身体和心理方面都发挥着至关重要的作用。我们的目的是调查配偶在与被诊断为PAH或CTEPH的伴侣共同生活时的经历。
我们采用了基于开放式问题的定性访谈研究设计,并运用定性内容分析法进行分析。
对14位配偶进行了访谈。确定了描述配偶日常生活应对经历的两个类别:“生活在不安全的生活状况中”和“提供与接受信息及支持”。配偶们报告的经历是,他们的生活状况不安全,并且在提供和接受信息及支持方面存在挑战。大多数配偶也希望并且觉得有必要更多地参与到护理中。
配偶们对自己的生活状况只是部分满意。为了支持配偶的参与,PAH/CTEPH团队应鼓励患者带配偶一同前来,并为他们提供参与医疗保健接触的机会,以及从个人家庭角度提供信息。