Patients' Experiences of Health After Surgical Treatment for Paraesophageal Hernia Grades III and IV: An Interview Based Study.

Pub Date : 2024-08-02 DOI:10.1097/SGA.0000000000000829
Berith Wennström, Susan Lindberg, Johanna Svensson, Elin Larsson, Helen Stensby, Per-Anders Larsson
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Abstract

Surgery is the only available treatment for the longstanding chronic symptoms associated with large paraesophageal hernias except for reflux disease. The aim of this study was to illuminate how patients who previously suffered from grade III-IV hiatal hernia experience their life and health 2-6 months after surgery. The study is based on semi-structured interviews with 17 patients who received elective laparoscopic hernia repair for a large paraesophageal hernia. The data were analyzed using qualitative content analysis, resulting in three main themes: "Experiences of health," "Being unable to leave the disease behind," and "Still feeling unwell" and seven subthemes: "Escaping suffering"; "Learning to interpret bodily signals"; "Looking to the future with confidence"; "Finding oneself in a vicious circle of worry"; "The fear of relapse as a constant companion"; "Lingering disabling symptoms," and "New and frightening symptoms." Our study demonstrates large individual variations in the way patients experience their life and health after laparoscopic hernia repair. Central to the patients' descriptions is that simply feeling physically healthy is insufficient for achieving overall health. Health care personnel can benefit from learning about patients' experiences of health and suffering after surgery.

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食道旁疝 III 级和 IV 级手术治疗后患者的健康体验:一项基于访谈的研究。
除了反流病之外,手术是治疗食道大孔旁疝长期慢性症状的唯一方法。本研究旨在了解曾患有 III-IV 级食管裂孔疝的患者在术后 2-6 个月内的生活和健康状况。本研究以半结构式访谈为基础,采访了 17 名因食道旁大疝而接受择期腹腔镜疝修补术的患者。采用定性内容分析法对数据进行了分析,得出了三大主题:"健康体验"、"无法摆脱疾病 "和 "仍然感觉不适",以及七个次主题:"逃离痛苦"、"学会解读身体信号"、"充满信心地展望未来"、"发现自己陷入了担忧的恶性循环"、"对复发的恐惧如影随形"、"挥之不去的致残症状 "以及 "新的令人恐惧的症状"。我们的研究表明,腹腔镜疝气修补术后患者对生活和健康的体验存在很大的个体差异。患者描述的核心内容是,仅仅感觉身体健康不足以实现整体健康。医护人员可以从了解患者术后的健康和痛苦经历中获益。
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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