Beyond the Diagnosis: A Deep Dive Into the End Stage Liver Disease Experience From the Patient Perspective.

Sheza Malik, Venkat Arutla, Tariq Alamin, Fatima Warraich, Tausif A Syed, Mahesh Nepal, Muhammad Farhan Ashraf, Karin J Dunnigan
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Abstract

Introduction: End-stage liver disease (ESLD) presents a multifaceted challenge that encompasses not only physical but also emotional, psychological, and social dimensions. This study aims to explore the experiences of ESLD patients within the United States healthcare system.

Methods: Utilizing a convenience sampling methodology, 15 ESLD patients from a tertiary care hospital in the USA participated in semi-structured interviews between April 2023 and January 2024. Data analysis was conducted using MAXQDA 2023, employing a phenomenological approach to identify common themes.

Results: The study identified six primary themes: the significance of communication style in diagnosis delivery, the crucial role of family and social support, varied understanding and preferences for palliative care, diverse attitudes towards advanced care planning, preferences for coordinated healthcare experiences, and the emotional and psychological impact of ESLD.

Conclusion: Our study underscores the complexity of ESLD patient care beyond medical treatment, highlighting the importance of clear communication, empathetic care, and the integration of family and palliative care services.

超越诊断:从患者的角度深入了解晚期肝病的经历。
导言:终末期肝病(ESLD)是一个多方面的挑战,不仅包括身体方面,还包括情感、心理和社会方面。本研究旨在探讨 ESLD 患者在美国医疗保健系统中的经历:采用方便抽样方法,在 2023 年 4 月至 2024 年 1 月期间,对来自美国一家三级医院的 15 名 ESLD 患者进行了半结构化访谈。使用 MAXQDA 2023 进行数据分析,采用现象学方法确定共同主题:研究确定了六大主题:沟通方式在诊断中的重要性、家庭和社会支持的关键作用、对姑息治疗的不同理解和偏好、对晚期护理规划的不同态度、对协调医疗保健体验的偏好以及 ESLD 的情感和心理影响:我们的研究强调了 ESLD 患者护理在医疗之外的复杂性,突出了清晰沟通、移情护理以及整合家庭和姑息护理服务的重要性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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