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To Be Under Control: A Qualitative Study of Patients' Experiences Living With the Diagnosis of Abdominal Aortic Aneurysm.
MedLine Citation:
PMID:  22580625     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
BACKGROUND:: Abdominal aortic aneurysm can be treated using 3 different methods: open repair, endovascular aortic repair, or conservative treatment with regular monitoring and postponement of surgery until the aneurysm is greater than 55 mm. Conservative treatment entails living with the knowledge that an aneurysm is present while undergoing annual outpatient follow-up. AIM:: This study describes patients' experiences of living with the knowledge that they have an aneurysm for which they are receiving conservative treatment. METHODS:: A qualitative, phenomenological-hermeneutic approach was used. Interviews were conducted between April 2007 and December 2008 with 10 patients diagnosed with abdominal aortic aneurysm less than 55 mm. The interpretation and analysis process involved 3 steps: (1) naive reading and understanding, (2) structural analysis, and (3) comprehensive understanding. FINDINGS:: Five themes based on subthemes were identified: (a) sudden knowledge of a hitherto undetected condition, (b) putting your life in someone else's hands, (c) waiting in limbo-feeling secure despite concerns, (d) life is at stake, and (e) feeling obliged not to cause worry. CONCLUSION:: Living with a diagnosis of abdominal aortic aneurysm implies awareness of having an invisible, life-threatening disease and a sense of being subjected to suffering. We found that patients searched for answers about how to influence the growth of the aneurysm in their everyday life. They avoided thoughts about the aneurysm and struggled to live life as usual.
Authors:
Monica Pettersson; Ingegerd Bergbom
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-5-10
Journal Detail:
Title:  The Journal of cardiovascular nursing     Volume:  -     ISSN:  1550-5049     ISO Abbreviation:  -     Publication Date:  2012 May 
Date Detail:
Created Date:  2012-5-14     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8703516     Medline TA:  J Cardiovasc Nurs     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Affiliation:
Monica Pettersson, PhD, MScN, RN Senior Lecturer, Department of Vascular Surgery, Sahlgrenska University Hospital, and Sahlgrenska Academy, University of Gothenburg, Institute of Health and Care Sciences, Göteborg, Sweden. Ingegerd Bergbom, PhD, RNT, BScN, RN Professor, Sahlgrenska Academy, University of Gothenburg, Institute of Health and Care Sciences, Göteborg, Sweden.
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