Contenuto dell'articolo principale

Abstract

INTRODUCTION: Glaucoma is often a misdiagnosed pathology and is one of the main causes of blindness in the world population.Glaucoma frequentlycauses limitations in theactivities of daily livingand changes the patient's quality of life. AIM: The purpose of our study is to describe the life experiences of subjects in southern Italy suffering from glaucoma.

METHOD: Phenomenological study

RESULTS: From the analysis of interviews six main themes emerged:(1) a profound change in lifestyle, (2) casual diagnosis,(3) independent research,(4) fear of blindness,(5) fear of being a burden to family, and (6) fear of familial pathology. Two additional themes appeared: the subjects felt lucky not to have a deadly disease and were uncertain about the future.

CONCLUSION: The negative aspects prevail over any positive facets. A deep understanding of these experiences can help health care professionals to deliver correct holistic support. Keywords: Glaucoma, lived experience, phenomenological study

L'esperienza di vita dei pazienti con glaucoma: uno studio fenomenologico

INTRODUZIONE: Il glaucoma è una delle principali cause di cecití  nel mondo. Spesso la sua diagnosi avviene in maniera occasionale; tale patologia comporta limitazione nella vita quotidiana dei soggetti che ne sono affetti, alterando la qualití  di vita.

SCOPO: Lo scopo del nostro studio è quello di descrivere l'esperienza di vita dei soggetti affetti da glaucoma

METODO: una metodologia fenomenologica è stata utilizzata per questo studio

RISULTATI: Dall'analisi delle interviste sono emersi sei temi principali: (1) un profondo cambiamento nello stile di vita, (2) la diagnosi casuale, (3) la ricerca indipendente, (4) la paura della cecití , (5) la paura di essere un peso per la famiglia e (6) la paura di patologia familiare. Due temi aggiuntivi sono apparsi: i soggetti si sentivano "fortunati di non avere una malattia mortale" e "incerezzai circa il futuro".

CONCLUSIONI: Gli aspetti negativi prevalgono su tutte le sfaccettature positive. Una profonda comprensione di queste esperienze può aiutare gli operatori sanitari a fornire una corretta assistenza olistica ed a ideare programmi educative specifici.

Parole chiave: Glaucoma, esperienza di vita, studio fenomenologico

Dettagli dell'articolo

Come citare
Simeone, S., Pucciarelli, G., Perrone, M., Gargiulo, G., Continisio, G., Guillari, A., & Rea, T. (2017). Lived experience of patients with glaucoma glaucoma: a phenomenological study. PROFESSIONI INFERMIERISTICHE, 70(3). Recuperato da https://www.profinf.net/pro3/index.php/IN/article/view/427

Riferimenti

  • Abdull, M. M., Chandler, C., & Gilbert, C. (2016). Glaucoma, "the silent thief of sight": patients' perspectives and health seeking behaviour in Bauchi, northern Nigeria. BMC Ophthalmol, 16, 44.
  • Agorastos, A., Skevas, C., Matthaei, M., Otte, C., Klemm, M., Richard, G., et al. (2013). Depression, anxiety, and disturbed sleep in glaucoma. J Neuropsychiatry Clin Neurosci, 25(3), 205-213.
  • Brown, S. A. (1990). Studies of educational interventions and outcomes in diabetic adults: a meta-analysis revisited. Patient Educ Couns, 16(3), 189-215.
  • Burke, K. M., LeMone, P., & Mohn-Brown, E. (2007). Medical-surgical nursing care (2nd ed.). Upper Saddle River, N.J.: Pearson/Prentice Hall.
  • Cesareo, M., Ciuffoletti, E., Ricci, F., Missiroli, F., Giuliano, M. A., Mancino, R., et al. (2015). Visual disability and quality of life in glaucoma patients. Prog Brain Res, 221, 359-374.
  • Chan, E. W., Li, X., Tham, Y. C., Liao, J., Wong, T. Y., Aung, T., et al. (2016). Glaucoma in Asia: regional prevalence variations and future projections. Br J Ophthalmol, 100(1), 78-85.
  • Cohen, M. Z., Kahn, D. L., & Steeves, R. H. (2000). Hermeneutic phenomenological research : a practical guide for nurse researchers. Thousand Oaks, Calif.: Sage Publications.
  • Day, A. C., Baio, G., Gazzard, G., Bunce, C., Azuara-Blanco, A., Munoz, B., et al. (2012). The prevalence of primary angle closure glaucoma in European derived populations: a systematic review. Br J Ophthalmol, 96(9), 1162-1167.
  • Glen, F. C., & Crabb, D. P. (2015). Living with glaucoma: a qualitative study of functional implications and patients' coping behaviours. BMC Ophthalmol, 15, 128.
  • Hahn, S. R. (2009). Patient-centered communication to assess and enhance patient adherence to glaucoma medication. Ophthalmology, 116(11 Suppl), S37-42.
  • Iyigun, E., Tastan, S., Ayhan, H., Coskun, H., Kose, G., & Mumcuoglu, T. (2016). Life Experiences of Patients With Glaucoma: A Phenomenological Study. J Nurs Res.
  • Kyari, F., Abdull, M. M., Bastawrous, A., Gilbert, C. E., & Faal, H. (2013). Epidemiology of glaucoma in sub-saharan Africa: prevalence, incidence and risk factors. Middle East Afr J Ophthalmol, 20(2), 111-125.
  • Lacey, J., Cate, H., & Broadway, D. C. (2009). Barriers to adherence with glaucoma medications: a qualitative research study. Eye (Lond), 23(4), 924-932.
  • Laugesen, J., Hassanein, K., & Yuan, Y. (2015). The Impact of Internet Health Information on Patient Compliance: A Research Model and an Empirical Study. J Med Internet Res, 17(6), e143.
  • Lazzarini, G., Santagati, M., & Bollani, L. (2007). Tra cura degli altri e cura di sé. Percorsi di inclusione lavorativa e sociale delle assistenti familiari. Milan.
  • Loch, A. A. (2012). Stigma and higher rates of psychiatric re-hospitalization: Sao Paulo public mental health system. Rev Bras Psiquiatr, 34(2), 185-192.
  • Mabuchi, F., Yoshimura, K., Kashiwagi, K., Yamagata, Z., Kanba, S., Iijima, H., et al. (2012). Risk factors for anxiety and depression in patients with glaucoma. Br J Ophthalmol, 96(6), 821-825.
  • Mays, N., & Pope, C. (1995). Rigour and qualitative research. BMJ, 311(6997), 109-112.
  • Michelessi, M., Lindsley, K., Yu, T., & Li, T. (2014). Combination medical treatment for primary open angle glaucoma and ocular hypertension: a network meta-analysis. Cochrane Database Syst Rev, 2014(11).
  • Nguyen, A. M., van Landingham, S. W., Massof, R. W., Rubin, G. S., & Ramulu, P. Y. (2014). Reading ability and reading engagement in older adults with glaucoma. Invest Ophthalmol Vis Sci, 55(8), 5284-5290.
  • Polit, D. F., & Beck, C. T. (2014). Essentials of nursing research : appraising evidence for nursing practice (8th ed.). Philadelphia: Wolters Kluwer Health /Lippincott Williams & Wilkins.
  • Prior, M., Francis, J. J., Azuara-Blanco, A., Anand, N., Burr, J. M., & Glaucoma screening Platform Study, g. (2013). Why do people present late with advanced glaucoma? A qualitative interview study. Br J Ophthalmol, 97(12), 1574-1578.
  • Ramulu, P. (2009). Glaucoma and disability: which tasks are affected, and at what stage of disease? Curr Opin Ophthalmol, 20(2), 92-98.
  • Ramulu, P. Y., van Landingham, S. W., Massof, R. W., Chan, E. S., Ferrucci, L., & Friedman, D. S. (2012). Fear of falling and visual field loss from glaucoma. Ophthalmology, 119(7), 1352-1358.
  • Sabatè, E. (2003). Adherence to long-term therapies: Evidence for action. Geneva, Switzerland: World Health Organization.
  • Simeone, S., Coehn, M. Z., Savini, S., Pucciarelli, G., Alvaro, R., & Vellone, E. (2016). [The lived experiences of stroke caregivers three months after discharge of patients from rehabilitation hospitals]. Prof Inferm, 69(2), 103-112.
  • Simeone, S., Perrone, M., Dell'Angelo, G., Rea, T., Gargiulo, G., Ferrigno, S., et al. (2015). [Mechanical ventilation and early weaning: a qualitative study on patient's experiences in an intensive care unit]. Assist Inferm Ric, 34(4), 188-193.
  • Simeone, S., Savini, S., Cohen, M. Z., Alvaro, R., & Vellone, E. (2015). The experience of stroke survivors three months after being discharged home: A phenomenological investigation. Eur J Cardiovasc Nurs, 14(2), 162-169.
  • Sleath, B., Blalock, S. J., Carpenter, D. M., Sayner, R., Muir, K. W., Slota, C., et al. (2015). Ophthalmologist-patient communication, self-efficacy, and glaucoma medication adherence. Ophthalmology, 122(4), 748-754.
  • Slight, C., Marsden, J., & Raynel, S. (2009). The impact of a glaucoma nurse specialist role on glaucoma waiting lists. Nurs Prax N Z, 25(1), 38-47.
  • Tanabe, S., Yuki, K., Ozeki, N., Shiba, D., Abe, T., Kouyama, K., et al. (2011). The association between primary open-angle glaucoma and motor vehicle collisions. Invest Ophthalmol Vis Sci, 52(7), 4177-4181.
  • Tastan, S., Iyigun, E., Bayer, A., & Acikel, C. (2010). Anxiety, depression, and quality of life in Turkish patients with glaucoma. Psychol Rep, 106(2), 343-357.
  • Tsai, J. C. (2009). A comprehensive perspective on patient adherence to topical glaucoma therapy. Ophthalmology, 116(11 Suppl), S30-36.
  • Vellone, E., Piras, G., Venturini, G., Alvaro, R., & Cohen, M. Z. (2012). The experience of quality of life for caregivers of people with Alzheimer's disease living in Sardinia, Italy. J Transcult Nurs, 23(1), 46-55.
  • Walt, J. G., Rendas-Baum, R., Kosinski, M., & Patel, V. (2011). Psychometric evaluation of the Glaucoma Symptom Identifier. J Glaucoma, 20(3), 148-159.
  • Wu, P. X., Guo, W. Y., Xia, H. O., Lu, H. J., & Xi, S. X. (2011). Patients' experience of living with glaucoma: a phenomenological study. J Adv Nurs, 67(4), 800-810.
  • Yochim, B. P., Mueller, A. E., Kane, K. D., & Kahook, M. Y. (2012). Prevalence of cognitive impairment, depression, and anxiety symptoms among older adults with glaucoma. J Glaucoma, 21(4), 250-254