每日体验濒死的可能性：一项关于慢性心力衰竭患者的现象学研究。

Experiencing the possibility of near death on a daily basis: A phenomenological study of patients with chronic heart failure.

作者信息

Olano-Lizarraga Maddi, Martín-Martín Jesús, Pérez-Díez Del Corral Mercedes, Saracíbar-Razquin Maribel

机构信息

School of Nursing, Department of Nursing Care for Adult Patients, Universidad de Navarra, Campus Universitario, c/ Irunlarrea 1, 31008 Pamplona, Navarra, Spain; Innovation for a Person-Centred Care Research Group (ICCP-UNAV), Universidad de Navarra, Pamplona, Spain; IdiSNA, Navarra Institute for Health Research. Pamplona, Spain.

出版信息

Heart Lung. 2022 Jan-Feb;51:32-39. doi: 10.1016/j.hrtlng.2021.08.006. Epub 2021 Oct 29.

DOI:10.1016/j.hrtlng.2021.08.006

PMID:34731695

Abstract

BACKGROUND

Chronic heart failure (CHF) is a syndrome that greatly impacts people's lives. Due to the poor prognosis of CHF, together with the frequent exacerbations of symptoms, death is a topic that is very present in the lives of patients with CHF.

OBJECTIVE

To explore thoughts about death experienced by patients with chronic heart failure in their daily lives.

METHODS

A hermeneutic phenomenological study was carried out. Conversational interviews were conducted with 20 outpatients with chronic heart failure. Analysis of the responses was based on the method proposed by van Manen.

RESULTS

From the analysis, four main themes emerged: (1) Feeling afraid of the possibility of dying; (2) Acceptance of the possibility of death; (3) Desiring death for relief from suffering; and (4) Striving to continue living to enjoy family.

CONCLUSIONS

This study presents, as a novel finding, that people with CHF experience the possibility of near death on a daily basis. This experience, which they must encounter on their own, makes them afraid. In addition, some of them, in view of the discomfort they are living, wish to die, with some even considering committing suicide.

摘要