En antropologisk undersøgelse om sygdomsopfattelser hos unge og voksne med alvorlig medfødt hjertefejl
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En antropologisk undersøgelse om sygdomsopfattelser hos unge og voksne med alvorlig medfødt hjertefejl. / Hjortdal, Vibeke Elisabeth.
I: Ugeskrift for Laeger, Bind 169, Nr. 19, 07.05.2007, s. 1797-800.Publikation: Bidrag til tidsskrift › Tidsskriftartikel › Forskning › fagfællebedømt
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TY - JOUR
T1 - En antropologisk undersøgelse om sygdomsopfattelser hos unge og voksne med alvorlig medfødt hjertefejl
AU - Hjortdal, Vibeke Elisabeth
PY - 2007/5/7
Y1 - 2007/5/7
N2 - INTRODUCTION: An increasing number of grown-ups survive treatment for congenital heart disease due to improved prognostics for this group over the last decades. However, a smaller group of patients cannot be fully cured and encounter problems that require lifelong medical follow-up. This study examines how grown-ups with congenital heart disease (GUCH) understand their illness and body and describes the social and familial implications of the disease.MATERIALS AND METHODS: The study is based on participant observation in the GUCH patient organization, Hjerteungdom, and 11 semi-structured interviews with informants--all born with a severe congenital heart disease e.g. single ventricle, Steno Fallot, and transposition.RESULTS: The informants try to compensate for the lack of physical performance by adapting to alternative rolls during physical activity and pursuing academic interests in order to obtain social recognition. The informants wish to define themselves as competent and normal young adults in public life in order to avoid being treated as ill. At the same time the informants need to discuss health concerns openly, which they have traditionally done with their parents as they know their entire medical history.CONCLUSION: The informants experience limitations in their physical and social activities, but they try to adjust to living with a chronic disease and in this way they experience that the condition is controlled and mastered. GUCH patients can benefit from including personal and family issues in medical counselling because it can help them to cope with the disease in everyday life.
AB - INTRODUCTION: An increasing number of grown-ups survive treatment for congenital heart disease due to improved prognostics for this group over the last decades. However, a smaller group of patients cannot be fully cured and encounter problems that require lifelong medical follow-up. This study examines how grown-ups with congenital heart disease (GUCH) understand their illness and body and describes the social and familial implications of the disease.MATERIALS AND METHODS: The study is based on participant observation in the GUCH patient organization, Hjerteungdom, and 11 semi-structured interviews with informants--all born with a severe congenital heart disease e.g. single ventricle, Steno Fallot, and transposition.RESULTS: The informants try to compensate for the lack of physical performance by adapting to alternative rolls during physical activity and pursuing academic interests in order to obtain social recognition. The informants wish to define themselves as competent and normal young adults in public life in order to avoid being treated as ill. At the same time the informants need to discuss health concerns openly, which they have traditionally done with their parents as they know their entire medical history.CONCLUSION: The informants experience limitations in their physical and social activities, but they try to adjust to living with a chronic disease and in this way they experience that the condition is controlled and mastered. GUCH patients can benefit from including personal and family issues in medical counselling because it can help them to cope with the disease in everyday life.
KW - Adaptation, Physiological
KW - Adaptation, Psychological
KW - Adult
KW - Anthropology
KW - Attitude to Health
KW - Family/psychology
KW - Follow-Up Studies
KW - Heart Defects, Congenital/psychology
KW - Heart Ventricles/abnormalities
KW - Humans
KW - Interpersonal Relations
KW - Interviews as Topic
KW - Sick Role
KW - Social Identification
KW - Tetralogy of Fallot/psychology
KW - Transposition of Great Vessels/psychology
M3 - Tidsskriftartikel
C2 - 17537356
VL - 169
SP - 1797
EP - 1800
JO - Ugeskrift for Laeger
JF - Ugeskrift for Laeger
SN - 0041-5782
IS - 19
ER -
ID: 242715396