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Patients' experiences of illness, operation and outcome with reference to gastro-oesophageal reflux disease.

Nilsson, Gunilla LU ; Larsson, Sylvia LU ; Johnsson, Folke LU and Saveman, Britt-Inger LU (2002) In Journal of Advanced Nursing 40(3). p.307-315
Abstract
Background. Describing the illness-story from a patient perspective could increase understanding of living with a chronic disease for health professionals and others, facilitate decision-making about treatment and enhance information about the outcome from a patient perspective. Aim. To illuminate patients' illness experiences of having a gastro-oesophageal reflux disease (GORD), going through surgery and the outcome. Methods. Twelve patients were interviewed 5 years after having had the operation; six patients had had fundoplication via laparoscopy and six via open surgery. Each patient was asked to talk openly about their experiences, thoughts, feelings and consequences of living with the illness, going through surgery and the period... (More)
Background. Describing the illness-story from a patient perspective could increase understanding of living with a chronic disease for health professionals and others, facilitate decision-making about treatment and enhance information about the outcome from a patient perspective. Aim. To illuminate patients' illness experiences of having a gastro-oesophageal reflux disease (GORD), going through surgery and the outcome. Methods. Twelve patients were interviewed 5 years after having had the operation; six patients had had fundoplication via laparoscopy and six via open surgery. Each patient was asked to talk openly about their experiences, thoughts, feelings and consequences of living with the illness, going through surgery and the period from surgery to the day of interview. A qualitative content analysis was performed concerning the context of the data and its meaning. Findings. Three central categories were identified and nine subcategories: living with GORD- symptoms of the disease affecting daily living, taking medicines, work, family and social life; concerns related to surgery- decision-making about the operation, influence by physicians; life after the operation- outcomes and consequences, side-effects and complications of the operation, sick leave, information and sharing experiences with future patients. All patients were free from symptoms of the illness after surgery independent of type of surgery, but side-effects from surgical treatment varied individually. Interviewees would have liked information concerning side-effects after surgery from previous patients. Conclusions. This study contributes to knowledge about patients' long-term suffering, their control of symptoms and how they have tried to cure themselves, but also about their concerns about surgery and the importance of surgical treatment to their quality of life. They wanted information about treatment, outcome and consequences, not only from a health care perspective but also from previous patients having had the same treatment. (Less)
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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
psychology
in
Journal of Advanced Nursing
volume
40
issue
3
pages
307 - 315
publisher
Wiley-Blackwell
external identifiers
  • wos:000178606300007
  • pmid:12383182
  • scopus:0036835446
ISSN
0309-2402
DOI
10.1046/j.1365-2648.2002.02372.x
language
English
LU publication?
yes
id
c55690a1-e49b-42d3-879f-0280617d92dc (old id 110616)
date added to LUP
2007-07-23 15:59:30
date last changed
2017-01-01 04:59:13
@article{c55690a1-e49b-42d3-879f-0280617d92dc,
  abstract     = {Background. Describing the illness-story from a patient perspective could increase understanding of living with a chronic disease for health professionals and others, facilitate decision-making about treatment and enhance information about the outcome from a patient perspective. Aim. To illuminate patients' illness experiences of having a gastro-oesophageal reflux disease (GORD), going through surgery and the outcome. Methods. Twelve patients were interviewed 5 years after having had the operation; six patients had had fundoplication via laparoscopy and six via open surgery. Each patient was asked to talk openly about their experiences, thoughts, feelings and consequences of living with the illness, going through surgery and the period from surgery to the day of interview. A qualitative content analysis was performed concerning the context of the data and its meaning. Findings. Three central categories were identified and nine subcategories: living with GORD- symptoms of the disease affecting daily living, taking medicines, work, family and social life; concerns related to surgery- decision-making about the operation, influence by physicians; life after the operation- outcomes and consequences, side-effects and complications of the operation, sick leave, information and sharing experiences with future patients. All patients were free from symptoms of the illness after surgery independent of type of surgery, but side-effects from surgical treatment varied individually. Interviewees would have liked information concerning side-effects after surgery from previous patients. Conclusions. This study contributes to knowledge about patients' long-term suffering, their control of symptoms and how they have tried to cure themselves, but also about their concerns about surgery and the importance of surgical treatment to their quality of life. They wanted information about treatment, outcome and consequences, not only from a health care perspective but also from previous patients having had the same treatment.},
  author       = {Nilsson, Gunilla and Larsson, Sylvia and Johnsson, Folke and Saveman, Britt-Inger},
  issn         = {0309-2402},
  keyword      = {psychology},
  language     = {eng},
  number       = {3},
  pages        = {307--315},
  publisher    = {Wiley-Blackwell},
  series       = {Journal of Advanced Nursing},
  title        = {Patients' experiences of illness, operation and outcome with reference to gastro-oesophageal reflux disease.},
  url          = {http://dx.doi.org/10.1046/j.1365-2648.2002.02372.x},
  volume       = {40},
  year         = {2002},
}