Information Experiences and Needs in Patients with Pulmonary Arterial Hypertension or Chronic Thromboembolic Pulmonary Hypertension

Background. Pulmonary arterial hypertension (PAH) and chronic thromboembolic pulmonary hypertension (CTEPH) are fatal, noncurable, but treatable diseases that strongly affect the patients. Objective. To describe patients’ experience of information relating to PAH or CTEPH. Methods. A qualitative met...

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Main Authors: Bodil Ivarsson, Björn Ekmehag, Trygve Sjöberg
Format: Article
Language:English
Published: Hindawi Limited 2014-01-01
Series:Nursing Research and Practice
Online Access:http://dx.doi.org/10.1155/2014/704094
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spelling doaj-868f7e070ff54764ad45551e0ed0c08a2020-11-24T23:06:37ZengHindawi LimitedNursing Research and Practice2090-14292090-14372014-01-01201410.1155/2014/704094704094Information Experiences and Needs in Patients with Pulmonary Arterial Hypertension or Chronic Thromboembolic Pulmonary HypertensionBodil Ivarsson0Björn Ekmehag1Trygve Sjöberg2Department of Cardiothoracic Surgery, Lund University and Skåne University Hospital, 221 85 Lund, SwedenUppsala University Hospital, 751 85 Uppsala, SwedenDepartment of Cardiothoracic Surgery, Lund University and Skåne University Hospital, 221 85 Lund, SwedenBackground. Pulmonary arterial hypertension (PAH) and chronic thromboembolic pulmonary hypertension (CTEPH) are fatal, noncurable, but treatable diseases that strongly affect the patients. Objective. To describe patients’ experience of information relating to PAH or CTEPH. Methods. A qualitative method using content analysis was applied. Seventeen patients (thirteen women and four men) aged 28–73 years from a regional PAH centre were individually interviewed. Results. Three categories that describe patients’ experiences of information emerged: handling of information, struggling with feelings that also affect others, and vulnerability associated with uncertainty. The patients would have welcomed more information to relatives from the healthcare professionals. Shortcomings on communicating a prognosis were experienced. The mediated information and knowledge gave the patients insight into physical or psychosocial problems. Mutual exchange of information between patients and healthcare professionals were marred by different experiences of attitudes, behaviour, and ownership. Conclusions. In the future, healthcare organizations must struggle to achieve a holistic healthcare by making it more person-centred, and they must also promote cooperation between PAH centres and local healthcare providers. It is essential to determine the most appropriate and valuable path of information and communication and, thereby, the most cost-effective management of PAH or CTEPH.http://dx.doi.org/10.1155/2014/704094
collection DOAJ
language English
format Article
sources DOAJ
author Bodil Ivarsson
Björn Ekmehag
Trygve Sjöberg
spellingShingle Bodil Ivarsson
Björn Ekmehag
Trygve Sjöberg
Information Experiences and Needs in Patients with Pulmonary Arterial Hypertension or Chronic Thromboembolic Pulmonary Hypertension
Nursing Research and Practice
author_facet Bodil Ivarsson
Björn Ekmehag
Trygve Sjöberg
author_sort Bodil Ivarsson
title Information Experiences and Needs in Patients with Pulmonary Arterial Hypertension or Chronic Thromboembolic Pulmonary Hypertension
title_short Information Experiences and Needs in Patients with Pulmonary Arterial Hypertension or Chronic Thromboembolic Pulmonary Hypertension
title_full Information Experiences and Needs in Patients with Pulmonary Arterial Hypertension or Chronic Thromboembolic Pulmonary Hypertension
title_fullStr Information Experiences and Needs in Patients with Pulmonary Arterial Hypertension or Chronic Thromboembolic Pulmonary Hypertension
title_full_unstemmed Information Experiences and Needs in Patients with Pulmonary Arterial Hypertension or Chronic Thromboembolic Pulmonary Hypertension
title_sort information experiences and needs in patients with pulmonary arterial hypertension or chronic thromboembolic pulmonary hypertension
publisher Hindawi Limited
series Nursing Research and Practice
issn 2090-1429
2090-1437
publishDate 2014-01-01
description Background. Pulmonary arterial hypertension (PAH) and chronic thromboembolic pulmonary hypertension (CTEPH) are fatal, noncurable, but treatable diseases that strongly affect the patients. Objective. To describe patients’ experience of information relating to PAH or CTEPH. Methods. A qualitative method using content analysis was applied. Seventeen patients (thirteen women and four men) aged 28–73 years from a regional PAH centre were individually interviewed. Results. Three categories that describe patients’ experiences of information emerged: handling of information, struggling with feelings that also affect others, and vulnerability associated with uncertainty. The patients would have welcomed more information to relatives from the healthcare professionals. Shortcomings on communicating a prognosis were experienced. The mediated information and knowledge gave the patients insight into physical or psychosocial problems. Mutual exchange of information between patients and healthcare professionals were marred by different experiences of attitudes, behaviour, and ownership. Conclusions. In the future, healthcare organizations must struggle to achieve a holistic healthcare by making it more person-centred, and they must also promote cooperation between PAH centres and local healthcare providers. It is essential to determine the most appropriate and valuable path of information and communication and, thereby, the most cost-effective management of PAH or CTEPH.
url http://dx.doi.org/10.1155/2014/704094
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