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本文引用的文献

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Barriers to and Facilitators of Adjustment Among Iranian Multiple Sclerosis Patients: A Qualitative Study.伊朗多发性硬化症患者适应过程中的障碍与促进因素:一项定性研究
Qual Health Res. 2023 Oct;33(12):1068-1079. doi: 10.1177/10497323231196521. Epub 2023 Aug 27.
2
Multiple Sclerosis and related disorders.多发性硬化症及相关疾病。
Handb Clin Neurol. 2022;189:177-200. doi: 10.1016/B978-0-323-91532-8.00013-6.
3
Barriers to quality of life in patients with multiple sclerosis: a qualitative study.多发性硬化症患者生活质量的障碍:一项定性研究。
BMC Neurol. 2022 May 13;22(1):174. doi: 10.1186/s12883-022-02700-7.
4
The experiences of patients with multiple sclerosis of self-compassion: A qualitative content analysis.多发性硬化症患者的自我同情体验:一项质性内容分析
Biomedicine (Taipei). 2021 Dec 1;11(4):35-42. doi: 10.37796/2211-8039.1211. eCollection 2021.
5
Prevalence of multiple sclerosis (MS) in Iran: a systematic review and meta-analysis.伊朗多发性硬化症(MS)的患病率:系统评价和荟萃分析。
Neurol Sci. 2022 Jan;43(1):233-241. doi: 10.1007/s10072-021-05750-w. Epub 2021 Nov 17.
6
Experiences of and attitudes to lifestyle modification for the management of multiple sclerosis: A qualitative analysis of free-text survey data.多发性硬化症管理中的生活方式改变的体验和态度:对自由文本调查数据的定性分析。
Health Expect. 2022 Feb;25(1):214-222. doi: 10.1111/hex.13364. Epub 2021 Oct 2.
7
Explaining the facilitators of quality of life in patients with multiple sclerosis: a qualitative study.解释多发性硬化症患者生活质量的促进因素:一项定性研究。
BMC Neurol. 2021 May 11;21(1):193. doi: 10.1186/s12883-021-02213-9.
8
Socioeconomic determinants of global distribution of multiple sclerosis: an ecological investigation based on Global Burden of Disease data.社会经济因素对多发性硬化全球分布的影响:基于全球疾病负担数据的生态研究
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9
Fears for the future: A qualitative exploration of the experiences of individuals living with multiple sclerosis, and its impact upon the family from the perspective of the person with MS.对未来的担忧:从多发性硬化症患者的角度出发,对多发性硬化症患者及其家庭所经历的情况及其影响进行定性探讨。
Br J Health Psychol. 2021 May;26(2):464-481. doi: 10.1111/bjhp.12495. Epub 2020 Dec 19.
10
Psychosocial adjustment to multiple sclerosis diagnosis: A meta-review of systematic reviews.多发性硬化症诊断后的心理社会适应:系统评价的元综述。
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《多发性硬化症的生活:疾病面前鼓舞人心的经历和韧性的彩虹》。

Living With Multiple Sclerosis: The Rainbow of Inspiring Experiences and Resilience in the Face of the Disease.

机构信息

Department of Medical Surgical, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran.

Nursing and Midwifery Care Research Center, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran.

出版信息

Health Expect. 2024 Oct;27(5):e70044. doi: 10.1111/hex.70044.

DOI:10.1111/hex.70044
PMID:39358951
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11446960/
Abstract

INTRODUCTION

Multiple sclerosis (MS), a leading cause of disability in young adults worldwide, including in Iran, affects their whole life so common care is no longer effective. In this regard, context-based approaches should be considered for a holistic care delivery that accords with the patients' inputs. We aimed to explore patients' understanding of MS and their personal experiences of living with this disease.

METHODS

A qualitative descriptive study was conducted. The data were collected through in-depth, semi-structured interviews with 17 patients. These patients were selected using a purposive sampling method, and the data were analyzed using a conventional content analysis approach.

FINDINGS

Three main categories and nine subcategories were identified: Thunder and Lightning strike in the form of Displeasure, Social wrong beliefs, Experiences of Constraints, Interference with Life Stages and Dark Spots on the Horizon of the Future; Subtle Beam consisting of Extrinsic Light Radiation, Reflection of Individual Effort and Formation of a Rainbow by Resilience and Hope for a Bright Future.

CONCLUSION

By offering multidimensional support, patients reported a shift from fear to a vibrant life. Although research often focuses on the negative aspects of MS, this study recognizes both positive and negative aspects. These findings can contribute to future interventional research.

PATIENT OR PUBLIC CONTRIBUTION

During the explanation of research goals and consent acquisition, participants were reminded that sharing their experiences could provide valuable insights benefiting others coping with or at risk of the same disease. Additionally, during data analysis, codes extracted were reviewed and improved with active participant involvement.

摘要

简介

多发性硬化症(MS)是全球年轻人群致残的主要原因,包括在伊朗,它影响着患者的一生,因此普通的护理不再有效。在这方面,应该考虑基于情境的方法来提供整体护理,以符合患者的需求。我们旨在探讨患者对多发性硬化症的理解以及他们个人的患病体验。

方法

进行了一项定性描述性研究。通过对 17 名患者进行深入的半结构化访谈收集数据。这些患者是通过目的抽样法选择的,使用常规内容分析方法分析数据。

结果

确定了三个主要类别和九个子类:以不悦为形式的雷暴,社会错误信念,限制体验,生活阶段干扰和未来的黑暗斑点;由外在光辐射、个体努力的反射以及由韧性和对美好未来的希望形成的彩虹组成的微妙光束。

结论

通过提供多维支持,患者报告从恐惧转变为充满活力的生活。尽管研究通常侧重于多发性硬化症的负面方面,但本研究认识到了积极和消极的方面。这些发现可以为未来的干预性研究做出贡献。

患者或公众的贡献

在解释研究目标和获得同意时,提醒参与者分享他们的经验可以为其他应对或有相同疾病风险的人提供有价值的见解。此外,在数据分析过程中,参与者积极参与审查和改进提取的代码。