Achieving medical stability: Wives' experiences with heart failure.

Achieving medical stability: Wives' experiences with heart failure.
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DOI:
10.1177/1054773810371119
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发表时间:
2010-08
影响因子:
1.7
通讯作者:
Penrod J
Penrod J
中科院分区:
医学4区
文献类型:
--
作者:
Hupcey JE;Fenstermacher K;Kitko L;Penrod J

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随着创新治疗方法的发展,心力衰竭的发病率不断上升。尽管采取了延长生命的干预措施,但65岁以下患者的发病率和死亡率仍然很高。很少有研究关注这些年轻人群和/或他们的家庭照顾者,因为他们在心力衰竭中表现出复杂的疾病轨迹。工具案例研究被用来为五个确定的心力衰竭轨迹中的每一个提供范例。从女性配偶照顾者的纵向研究中剔除数据,每个案例研究都代表了妻子对照顾丈夫(<65岁)的讨论,以回应丈夫不断变化的心力衰竭轨迹。医疗稳定的目标和不确定性的概念贯穿于整个案例研究。提出了支持这些妻子的建议。
The incidence of heart failure continues to rise as innovative treatments are developed. Despite life-prolonging interventions, morbidity and mortality in patients younger than 65 remain high. Few studies have focused on this younger cohort and/or their family caregivers as they navigate the complex illness trajectories manifested in heart failure. Instrumental case studies were employed to present exemplars for each of the five identified heart failure trajectories. Culling data from a longitudinal study of female spousal caregivers, each case study represents a wife’s discussion of caring for a husband (<65 years) in response to the husband’s changing heart failure trajectory. The goal of medical stability and the notion of uncertainty permeate throughout the case studies. Suggestions for supporting these wives are presented.
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