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一个受苦的身体,与他人隔绝:在儿童和青少年时期患有严重的肌痛性脑脊髓炎/慢性疲劳综合征而长期卧床的经历。

A suffering body, hidden away from others: The experience of being long-term bedridden with severe myalgic encephalomyelitis/chronic fatigue syndrome in childhood and adolescence.

机构信息

Department of Physiotherapy, Faculty of Health Sciences, Oslo Metropolitan University, Oslo, Norway.

Children's Surgical Department, Division of Head, Neck and Reconstructive Surgery, Oslo University Hospital, Oslo, Norway.

出版信息

Nurs Inq. 2024 Jul;31(3):e12625. doi: 10.1111/nin.12625. Epub 2024 Jan 27.

Abstract

In this article, we present findings from a qualitative study examining how young women experience being long-term bedridden with myalgic encephalomyelitis (ME), also known as chronic fatigue syndrome (CFS), during childhood and adolescence. The aim is to explore how young women who fell ill with ME/CFS during childhood and adolescence look back on their lived experience of being long-term bedridden from the vantage point of being fully or partially recovered. Informed by a phenomenological theoretical perspective, the researchers applied a narrative methodological approach involving the analysis of interviews with 13 women, aged 16-29 years at the time of the interview. Attention was particularly paid to how participants structured their narratives and to the events (telling moments) they identified as important. Four major storylines were developed: Ambivalent responses to the presence of others; A body on the edge of life; An eternity in the dark; and Recasting painful memories of being bedridden and alone. Based on our findings, we argue that the experience of being long-term bedridden with ME/CFS during childhood and adolescence can be understood and communicated as a plot in which individuals find themselves pushed to the extreme limit of suffering and loneliness.

摘要

在本文中,我们呈现了一项定性研究的结果,该研究探讨了患有慢性疲劳综合征(ME/CFS)的年轻女性在儿童和青少年时期长期卧床不起的经历。目的是从部分或完全康复的角度,探讨那些在儿童和青少年时期患上 ME/CFS 的年轻女性如何回顾她们长期卧床不起的生活经历。研究人员受现象学理论观点的启发,采用了一种叙事方法,对 13 名年龄在 16 至 29 岁的女性进行了访谈分析。研究特别关注参与者如何构建他们的叙述,以及他们确定的重要事件(讲述时刻)。研究提出了四大故事情节:对他人存在的矛盾反应;濒死的身体;无尽的黑暗;重塑卧床和孤独的痛苦记忆。基于我们的研究结果,我们认为,儿童和青少年时期患有 ME/CFS 而长期卧床不起的经历,可以被理解为一个情节,其中个体发现自己被逼到了痛苦和孤独的极限。

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