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Young adults’ narratives about living with home mechanical ventilation–a phenomenological hermeneutical study

Israelsson-Skogsberg, Åsa LU ; Palm, Andreas ; Lindahl, Berit LU ; Markström, Agneta and Ekström, Magnus LU orcid (2023) In Disability and Rehabilitation
Abstract

Purpose: An increasing number of children and young adults with complex medical conditions and respiratory failure are treated with home mechanical ventilation (HMV). The current study aimed to describe how young adults using HMV experience their everyday life with the ventilator, their physical impairments and their opportunities for an educational and professional career. Materials and methods: Data were collected via narrative interviews with nine young HMV users (3 females and 6 males, aged 18–31 years) in their homes. Two were ventilated invasively, six were ventilated non-invasively and one was treated with continuous positive airway pressure (CPAP) via facemask. Data were analysed using a phenomenological hermeneutical method.... (More)

Purpose: An increasing number of children and young adults with complex medical conditions and respiratory failure are treated with home mechanical ventilation (HMV). The current study aimed to describe how young adults using HMV experience their everyday life with the ventilator, their physical impairments and their opportunities for an educational and professional career. Materials and methods: Data were collected via narrative interviews with nine young HMV users (3 females and 6 males, aged 18–31 years) in their homes. Two were ventilated invasively, six were ventilated non-invasively and one was treated with continuous positive airway pressure (CPAP) via facemask. Data were analysed using a phenomenological hermeneutical method. Result: A multi-professional team contributed to participants’ safety and ability to participate in society through higher education and professional work. A good and valuable life, mostly feeling healthy were experienced but also prejudice and stiffened social society structures. Conclusion: The findings of this study prove the importance of having long-standing access to a competent and supportive available multi-professional healthcare team when living with a long-term complex condition. These teams provided well-functioning human and technological support in everyday lives.

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author
; ; ; and
organization
publishing date
type
Contribution to journal
publication status
epub
subject
keywords
Disability, experiences, home mechanical ventilation, long-term mechanical ventilation, mechanical ventilation, neuromuscular disease, spinal muscular atrophy, young adults
in
Disability and Rehabilitation
publisher
Taylor & Francis
external identifiers
  • pmid:37933171
  • scopus:85176218777
ISSN
0963-8288
DOI
10.1080/09638288.2023.2278187
language
English
LU publication?
yes
additional info
Funding Information: The first author received funding from the Lund University, Medical Faculty, Health Science, including 50% time for research. Folke Bernadotte Foundation, Ebba Danelius Foundation, Sigurd and Elsa Goljes Memory and RBU supported the study financially. Publisher Copyright: © 2023 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group.
id
90d2716a-e49b-41a6-9d60-b53caf8584dc
date added to LUP
2024-01-10 13:32:52
date last changed
2024-04-25 09:32:09
@article{90d2716a-e49b-41a6-9d60-b53caf8584dc,
  abstract     = {{<p>Purpose: An increasing number of children and young adults with complex medical conditions and respiratory failure are treated with home mechanical ventilation (HMV). The current study aimed to describe how young adults using HMV experience their everyday life with the ventilator, their physical impairments and their opportunities for an educational and professional career. Materials and methods: Data were collected via narrative interviews with nine young HMV users (3 females and 6 males, aged 18–31 years) in their homes. Two were ventilated invasively, six were ventilated non-invasively and one was treated with continuous positive airway pressure (CPAP) via facemask. Data were analysed using a phenomenological hermeneutical method. Result: A multi-professional team contributed to participants’ safety and ability to participate in society through higher education and professional work. A good and valuable life, mostly feeling healthy were experienced but also prejudice and stiffened social society structures. Conclusion: The findings of this study prove the importance of having long-standing access to a competent and supportive available multi-professional healthcare team when living with a long-term complex condition. These teams provided well-functioning human and technological support in everyday lives.</p>}},
  author       = {{Israelsson-Skogsberg, Åsa and Palm, Andreas and Lindahl, Berit and Markström, Agneta and Ekström, Magnus}},
  issn         = {{0963-8288}},
  keywords     = {{Disability; experiences; home mechanical ventilation; long-term mechanical ventilation; mechanical ventilation; neuromuscular disease; spinal muscular atrophy; young adults}},
  language     = {{eng}},
  publisher    = {{Taylor & Francis}},
  series       = {{Disability and Rehabilitation}},
  title        = {{Young adults’ narratives about living with home mechanical ventilation–a phenomenological hermeneutical study}},
  url          = {{http://dx.doi.org/10.1080/09638288.2023.2278187}},
  doi          = {{10.1080/09638288.2023.2278187}},
  year         = {{2023}},
}