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Published on: September 19, 2018
Screening for abdominal aortic aneurysm, a one-year follow up: an interview study
C Berterö1, P Carlsson, F Lundgren
1Department of Medical and Health Sciences, Division of Nursing Science, Faculty of Health Sciences, Linköping University, Linköping, Sweden. carina.bertero@liu.se
Summary
Screening for abdominal aortic aneurysm (AAA) can lead to feelings of security but also anxiety. Ongoing growth of an enlarged aorta may cause disillusionment, highlighting the need for psychological support in screening programs.
Area of Science:
- Vascular Surgery
- Psychological Impact of Medical Screening
- Public Health
Background:
- Abdominal aortic aneurysm (AAA) screening aims to detect life-threatening conditions early.
- Understanding the psychological impact on individuals with detected aneurysms is crucial for effective screening programs.
Purpose of the Study:
- To investigate the psychological effects and impact on living situations for men diagnosed with an enlarged aorta via screening.
- To assess these effects over a 12-month follow-up period.
Main Methods:
- Semi-structured interviews were conducted with 10 men diagnosed with an enlarged aorta (≥30 mm) following AAA screening.
- Interpretative phenomenological analysis was used to analyze interview data.
Main Results:
- Three themes emerged: feeling secure under supervision, living normally while repressing thoughts, and disillusionment from negative outcomes.
- Initial diagnosis was manageable, but continued aortic growth led to anxiety and reflections on consequences and surgery.
Conclusions:
- Men with detected aneurysms reported feeling secure but also experienced repressed thoughts and disillusionment, particularly with aortic growth.
- Screening programs should consider guidelines for managing psychological distress and disillusionment.
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