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小眼症或无眼症患者及其父母的医疗保健、学校和日常生活经历。

Healthcare, school and daily life experiences of patients with microphthalmia or anophthalmia and their parents.

作者信息

Chireh Evin, Nordquist Jonas, Grönlund Marita Andersson, Fahnehjelm Kristina Teär

机构信息

Department of Ophthalmology Residency Training Program, St Erik Eye Hospital, Stockholm, Sweden.

Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden.

出版信息

Acta Paediatr. 2025 Mar;114(3):619-627. doi: 10.1111/apa.17484. Epub 2024 Nov 1.

Abstract

AIM

This qualitative study explored the lived experiences of the patients with microphthalmia and anophthalmia and their parents, focusing on the healthcare, school settings and daily life challenges to improve patient management.

METHODS

In-depth interviews were conducted in Stockholm, Sweden, from October 2022 to June 2023. Participants were recruited through the St Erik Eye Hospital database (2008-2022), and the data was analysed using reflexive thematic analysis.

RESULTS

The study included 15 patients (9 female and 6 male), with a median age of 21 years (range 15-31), and 1 parent per patient. Five key themes were identified from the parental interviews and three from the patient interviews. Both groups emphasised the need for improvements in healthcare, including better physician continuity, emotional support, information provision and prosthesis functionality. Families of those with severe bilateral visual impairment highlighted the need for additional school and daily life support. While some parents had future concerns, most patients viewed their condition as a natural part of life.

CONCLUSION

Patients and parents shared insights on the psychosocial impact and suggested improvements in the healthcare and school settings, providing valuable guidance for enhancing care and management for this patient group.

摘要

目的

本定性研究探讨了小眼症和无眼症患者及其父母的生活经历,重点关注医疗保健、学校环境和日常生活中的挑战,以改善患者管理。

方法

2022年10月至2023年6月在瑞典斯德哥尔摩进行了深入访谈。通过圣埃里克眼科医院数据库(2008 - 2022年)招募参与者,并使用反思性主题分析法对数据进行分析。

结果

该研究纳入了15名患者(9名女性和6名男性),中位年龄为21岁(范围15 - 31岁),每位患者有1名家长参与。从家长访谈中确定了五个关键主题,从患者访谈中确定了三个关键主题。两组都强调了改善医疗保健的必要性,包括更好的医生连续性、情感支持、信息提供和假体功能。重度双侧视力障碍患者的家庭强调需要额外的学校和日常生活支持。虽然一些家长对未来有所担忧,但大多数患者将自己的状况视为生活的自然组成部分。

结论

患者和家长分享了关于心理社会影响的见解,并建议改善医疗保健和学校环境,为加强对该患者群体的护理和管理提供了有价值的指导。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0cd4/11828725/63328e9bcadb/APA-114-619-g002.jpg

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