Olano-Lizarraga Maddi, Martín-Martín Jesús, Pérez-Díez Del Corral Mercedes, Saracíbar-Razquin Maribel
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.
Heart Lung. 2022 Jan-Feb;51:32-39. doi: 10.1016/j.hrtlng.2021.08.006. Epub 2021 Oct 29.
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.
To explore thoughts about death experienced by patients with chronic heart failure in their daily lives.
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.
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.
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.
慢性心力衰竭（CHF）是一种对人们生活有重大影响的综合征。由于CHF预后较差，且症状频繁加重，死亡是CHF患者生活中经常出现的话题。
探讨慢性心力衰竭患者在日常生活中对死亡的想法。
进行了一项诠释现象学研究。对20名慢性心力衰竭门诊患者进行了访谈。基于范曼提出的方法对回答进行了分析。
通过分析，出现了四个主要主题：（1）害怕死亡的可能性；（2）接受死亡的可能性；（3）渴望通过死亡减轻痛苦；（4）努力继续生活以享受家庭。
本研究有一项新发现，即CHF患者在日常生活中会经历濒死的可能性。这种他们必须独自面对的经历让他们感到害怕。此外，他们中的一些人鉴于所遭受的不适希望死去，有些人甚至考虑自杀。
