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非裔美国人囊性纤维化患者的生活体验。

The Lived Experience of African American Persons with Cystic Fibrosis.

机构信息

School of Nursing, University of Alabama, Birmingham, AL, USA.

Dallas, TX, USA.

出版信息

Creat Nurs. 2023 Nov;29(4):374-382. doi: 10.1177/10784535231216461. Epub 2023 Nov 21.

Abstract

Cystic fibrosis (CF) is a rare genetic disease affecting approximately 30,000 people in the United States (US). African American persons with CF are even rarer, comprising approximately 5% of this population. The purpose of this study was to explore the lived experiences of African American persons with CF to identify potential disparities in health care. Descriptive phenomenology was used to explore lived experiences of African American persons with CF over age 18 recruited from CF Foundation-accredited Centers in the US, CF-specific social media, and via snowball sampling. Study data was obtained through telephone interviews that were audio-recorded, transcribed verbatim, and analyzed using Colaizzi's method of thematic analysis. Six men and six women (ages 23-45) completed the study. Interviews revealed three themes: (1) Accepting a Diagnosis of CF; (2) Desiring a Normal Life while Living with an Invisible Disease; and 3) A Slippery Slope of Subtle Racism. Each theme had 2-3 subthemes. It is critical to explore the unique challenges faced by African American persons with CF in order to develop interventions that improve their daily lives and create better futures. Findings highlight the unique challenges faced by underrepresented groups with CF and the need to address health inequities to improve care delivery.

摘要

囊性纤维化 (CF) 是一种罕见的遗传疾病,影响美国约 30000 人。美国的 CF 黑种人患者甚至更为罕见,约占该人群的 5%。本研究的目的是探索 CF 黑种人患者的生活体验,以确定医疗保健方面可能存在的差异。描述性现象学被用于探索美国 CF 基金会认可的中心、CF 特定的社交媒体以及通过滚雪球抽样招募的年龄在 18 岁以上的 CF 黑种人患者的生活体验。研究数据是通过电话访谈获得的,访谈内容被录音、逐字转录,并使用 Colaizzi 的主题分析方法进行分析。六名男性和六名女性(年龄 23-45 岁)完成了研究。访谈揭示了三个主题:(1)接受 CF 诊断;(2)渴望在患有隐形疾病的同时过上正常生活;以及 3)微妙种族主义的滑铁卢。每个主题都有 2-3 个子主题。探索 CF 黑种人患者所面临的独特挑战至关重要,以便制定改善他们日常生活和创造更美好未来的干预措施。研究结果突出了 CF 代表性不足群体所面临的独特挑战,以及需要解决健康不平等问题以改善护理服务。

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