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非血管型埃勒斯-当洛综合征患者对身体问题的自我认知:一项定性研究

Self-Perception of Physical Problems in Patients with Non-Vascular Type of Ehlers-Danlos Syndrome: A Qualitative Study.

作者信息

Palomo-Toucedo Inmaculada C, Reina-Bueno María, Munuera-Martínez Pedro V, Vázquez-Bautista María Del Carmen, Domínguez-Maldonado Gabriel, Leon-Larios Fatima

机构信息

Department of Podiatry, Faculty of Nursing, Physiotherapy and Podiatry, Universidad de Sevilla, 41009 Seville, Spain.

Department of Nursing, Faculty of Nursing, Physiotherapy and Podiatry, Universidad de Sevilla, 41009 Seville, Spain.

出版信息

Healthcare (Basel). 2024 Nov 28;12(23):2392. doi: 10.3390/healthcare12232392.

Abstract

BACKGROUND/OBJECTIVES: Ehlers-Danlos syndrome is a group of inherited connective tissue disorders characterized by joint hypermobility, skin hyperextensibility, and tissue fragility. Ehlers-Danlos syndrome is associated with a broad spectrum of clinical manifestations, including chronic pain, severe fatigue, and a range of physical and psychological complications. This study aims to identify, in patients with non-vascular type of Ehlers-Danlos syndrome, the most common physical symptoms, the impact of these symptoms on daily life, and individuals' perceptions of their health.

METHODS

A qualitative descriptive study based on content analysis was employed, reviewing 24 individual interviews to gain a comprehensive understanding of participants' experiences. The study was conducted in accordance with the COREQ (Consolidated Criteria for Reporting Qualitative Research) guidelines, which include a 32-item checklist commonly used in qualitative research.

RESULTS

Four main themes were identified: (1) Common physical symptoms, (2) Impact on daily life, (3) Impact on social and family relationships, and (4) Health perception and well-being.

CONCLUSIONS

The analysis of the interviews reveals that individuals with Ehlers-Danlos syndrome face significant physical and emotional challenges. Physical symptoms, particularly chronic pain, fatigue, and joint issues, severely impact their ability to lead a normal life. These symptoms, along with perceived uncertainty and stress, contribute to a reduced quality of life, affecting both physical and emotional well-being.

摘要

背景/目的:埃勒斯-当洛综合征是一组遗传性结缔组织疾病,其特征为关节活动过度、皮肤过度伸展和组织脆弱。埃勒斯-当洛综合征与广泛的临床表现相关,包括慢性疼痛、严重疲劳以及一系列身体和心理并发症。本研究旨在确定非血管型埃勒斯-当洛综合征患者中最常见的身体症状、这些症状对日常生活的影响以及个体对自身健康的认知。

方法

采用基于内容分析的定性描述性研究,回顾24次个人访谈以全面了解参与者的经历。该研究按照COREQ(定性研究报告统一标准)指南进行,该指南包括定性研究中常用的一份32项清单。

结果

确定了四个主要主题:(1)常见身体症状,(2)对日常生活的影响,(3)对社会和家庭关系的影响,以及(4)健康认知与幸福感。

结论

访谈分析表明,埃勒斯-当洛综合征患者面临重大的身体和情感挑战。身体症状,尤其是慢性疼痛、疲劳和关节问题,严重影响他们过上正常生活的能力。这些症状,连同感知到的不确定性和压力,导致生活质量下降,影响身体和情感健康。

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