The Health-Seeking Experience of Patients With Sjögren's Syndrome.

Background: The multiple symptoms of Sjögren's syndrome lead patients affected by this disease to seek medical advice from different medical disciplines and specialists. Diagnoses are often made many years after initial onset, resulting in mental and physical exhaustion and misunderstandings. Purpos...

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Publicado en:Journal of Nursing Vol. 70; no. 5; pp. 36 - 44
Autores principales: Chih-Yu PENG, Mei-Ping LIU, Pin-Hsuan LEE, Cheng-I YANG, Huai-Ti HSIEH, Meng-Chen HSIEH, Li-Hung LEE
Formato: research Journal Article
Publicado: Taiwan Nurses Association Oct2023
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Oct2023
      vid: 70
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        10.6224/JN.202310_70(5).06
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        atl: The Health-Seeking Experience of Patients With Sjögren's Syndrome.
      aug:
        au:
          Chih-Yu PENG
          Mei-Ping LIU
          Pin-Hsuan LEE
          Cheng-I YANG
          Huai-Ti HSIEH
          Meng-Chen HSIEH
          Li-Hung LEE
        affil: Assistant Head Nurse, Department of Nursing, Yuanlin Christian Hospital
      sug:
        subj:
          Attitude to Health
          Help Seeking Behavior
          Sjogren's Syndrome
          Human
          Qualitative Studies
          Purposive Sample
          Interviews
          Content Analysis
          Thematic Analysis
          Quality of Life
          Coping
      ab: Background: The multiple symptoms of Sjögren's syndrome lead patients affected by this disease to seek medical advice from different medical disciplines and specialists. Diagnoses are often made many years after initial onset, resulting in mental and physical exhaustion and misunderstandings. Purpose: This study was designed to explore the health-seeking experiences of patients with Sjögren's syndrome. Methods: Qualitative research methods and purposive sampling were used. Fourteen patients with Sjögren's syndrome were interviewed by the first author, and the collected data were analyzed using content analysis. Results: Four themes were revealed from the data, including: (1) distressing symptoms; (2) difficulty in diagnosis; (3) concerns about drug side effects; and (4) facing the disease. The participants initially sought medical attention when they began experiencing early onset symptoms that caused discomfort or annoyance. Their doctors' failure to provide proper diagnoses during the long health-seeking process caused a great deal of suffering to the participants. Although related medications should be taken for life, the participants reported taking lower-than-prescribed dosages out of fear of side-effects. The participants explored their process of coping with the disease, which began with denial and ended with acceptance. By learning from their health-seeking process, participants realized that they needed to take proper care of themselves, adapt to life with their disease, and control related symptoms. Conclusions/ Implications for Practice: To facilitate the early diagnosis of Sjögren's syndrome, healthcare professionals should improve their awareness of this condition and refer patients with related symptoms to rheumatologists and immunologists. Effective early diagnosis and treatment can help these patients reduce the time and effort involved in unproductive doctor's visits, allowing them to better continue as productive members of society and to maintain a good quality of life.
      pubtype: Academic Journal
      doctype:
        research
        Journal Article
      ougenre: Article
    language: Chinese
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