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灵活的身体——受限的生活:关于关节过度活动综合征/埃勒斯-当洛综合征(高活动型)患者身体体验的质性探索性研究

Flexible bodies-Restricted lives: A qualitative exploratory study of embodiment in living with joint hypermobility syndrome/Ehlers-Danlos syndrome, hypermobility type.

作者信息

Saetre Elisabeth, Eik Hedda

机构信息

Faculty of Medicine, Institute of Health and Society, University of Oslo, Oslo, Norway & Sunnaas Rehabilitation Hospital, Nesodden, Norway.

OsloMet, Oslo, Norway.

出版信息

Musculoskeletal Care. 2019 Sep;17(3):241-248. doi: 10.1002/msc.1407. Epub 2019 Jul 26.

Abstract

PURPOSE

The aim of this study was to explore embodiment as a meaning-making experience in the daily life of Norwegian adults living with joint hypermobility syndrome/Ehlers-Danlos syndrome, hypermobility type (JHS/EDS-HT). The work of Drew Leder and his distinction between bodily dis- and dys-appearance contributes to the description and analysis of individuals' bodily experiences of living with this chronic illness.

METHODS

An explorative and qualitative design was applied to in-depth interviews with seven participants. The theoretical framework was phenomenological, and the method of analysis was thematic, involving descriptive and interpretative approaches.

RESULTS

Participants' bodily experiences were closely connected to a timeline viewing their illness in the past, the present and from future perspectives. The following central themes emerged from the data: (a) visible to invisible signs of a former body; (b) standing up and falling down of a present body; and (b) future thoughts of an inner and outer body.

CONCLUSIONS

The study found that living with JHS/EDS-HT revealed complex experiences of having flexible bodies and restricted lives. Our findings also showed a meaning-making process of embodied experiences that evolved over time, as well as a sliding transition from social to personal dys-appearance. In the course of time, a bodily disruptions in social interactions comes to the fore, with invisible symptoms such as pain and fatigue. Individual bodily suffering determines the existence of hope or hopelessness regarding recovery from this condition.

摘要

目的

本研究旨在探讨对于患有关节活动过度综合征/埃勒斯-当洛综合征(高活动型)(JHS/EDS-HT)的挪威成年人而言,身体体验如何成为一种意义建构的经历。德鲁·莱德的研究及其对身体不适和身体失调的区分,有助于描述和分析个体在患有这种慢性病时的身体体验。

方法

采用探索性定性设计,对7名参与者进行深入访谈。理论框架为现象学,分析方法为主题分析法,包括描述性和解释性方法。

结果

参与者的身体体验与从过去、现在和未来视角看待自身疾病的时间线紧密相连。数据中出现了以下核心主题:(a)从前身体的可见到不可见的迹象;(b)当前身体的站立与倒下;以及(b)对内在和外在身体的未来思考。

结论

研究发现,患有JHS/EDS-HT的人展现出身体灵活但生活受限的复杂体验。我们的研究结果还显示了身体体验的意义建构过程是如何随时间演变的,以及从社会失调到个人失调的滑动转变。随着时间的推移,社交互动中的身体紊乱凸显出来,伴随着疼痛和疲劳等无形症状。个体的身体痛苦决定了对于从这种状况中康复的希望或绝望的存在。

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