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体位性心动过速综合征患者的生活体验。

Experiences of living with postural tachycardia syndrome.

机构信息

Department of Psychology, 3162Royal Holloway University of London, Egham, UK.

Clinical Psychologist, 40384Duchy Hospital, Truro, & Trustee, PoTS UK, Truro, UK.

出版信息

Chronic Illn. 2023 Mar;19(1):184-196. doi: 10.1177/17423953211054032. Epub 2021 Nov 17.

Abstract

OBJECTIVE

Postural tachycardia syndrome (PoTS) is a disorder of the autonomic nervous system which involves a range of symptoms, worsened when adopting an orthostatic (upright) position. Symptoms can include tachycardia, dizziness, fainting, nausea as well as many others which, as is typical of a syndrome, vary from person to person. Although research is increasing into this condition, the unifying experiences of managing it on a daily basis have not been extensively investigated. This study aimed to capture participants' experiences of living with PoTS.

METHOD

A longitudinal digital ethnographic approach was employed. Eight participants recorded daily video diaries discussing their experiences of PoTS and its impact for 17 days. Interpretative phenomenological analysis was utilised to analyse the data and identify connections across participants' accounts.

RESULTS

Four superordinate themes emerged: 'loss of control and lack of agency over body', 'identity changes', 'lack of understanding from others' and 'adapting to cope with PoTS'.

DISCUSSION

The findings demonstrated the complex and widespread impact these participants experience from their PoTS symptoms, including the consequent emotional difficulties that result from managing this condition. An overall lack of understanding about PoTS by others was emphasised, suggesting the requirement for better education and support services for this condition.

摘要

目的

体位性心动过速综合征(PoTS)是一种自主神经系统紊乱,涉及一系列症状,在采取直立(直立)姿势时会加重。症状包括心动过速、头晕、晕厥、恶心以及许多其他症状,与综合征典型的是,因人而异。尽管对这种情况的研究正在增加,但对日常管理它的统一经验尚未得到广泛调查。本研究旨在捕捉参与者与 PoTS 共存的体验。

方法

采用纵向数字民族志方法。八名参与者记录了 17 天的每日视频日记,讨论他们的 PoTS 经历及其对他们的影响。采用解释性现象学分析来分析数据并识别参与者描述中的联系。

结果

出现了四个主要主题:“对身体失去控制和缺乏代理权”、“身份变化”、“他人缺乏理解”和“适应以应对 PoTS”。

讨论

研究结果表明,这些参与者从他们的 PoTS 症状中经历了复杂而广泛的影响,包括由此产生的管理这种疾病的情绪困难。强调了其他人对 PoTS 的普遍缺乏了解,这表明需要为这种疾病提供更好的教育和支持服务。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cc79/9843537/6748d3bc8b6a/10.1177_17423953211054032-fig1.jpg

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