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Living with half a heart--experiences of young adults with single ventricle physiology: a qualitative study
Dorthe Overgaard1, Catriona King, Rie F Christensen
1Heart Centre, Copenhagen University Hospital, Rigshospitalet, Copenhagen, Denmark. dorthe@overgaard.mail.dk
Insights
Young adults with single ventricle physiology (SVP) aim for control over their condition. They need external support beyond family to navigate challenges and achieve normal life experiences.
Area of Science:
- Cardiology
- Psychology
- Sociology
Background:
- Single ventricle physiology (SVP) affects approximately 3% of children with congenital heart disease.
- Improved medical care has increased survival rates for SVP patients into adulthood.
- Limited research exists on the life perspectives and coping mechanisms of adult SVP patients.
Purpose of the Study:
- To explore how young adults with SVP cope with adulthood.
- To understand the emotional experiences of daily life for individuals with SVP.
Main Methods:
- Conducted semistructured, qualitative interviews with 11 SVP respondents.
- Respondents were selected based on physical and psychological parameters from a prior quantitative study.
- Interview data were analyzed using phenomenological methodology.
Main Results:
- SVP patients strive to gain control over their condition to live normal lives.
- Patients require significant support from their social network to manage physical and psychological challenges.
- External support from friends and non-family resources is crucial for SVP patients to transition from a "disabled patient" role to experiencing "normal" life.
Conclusions:
- Achieving control over their condition is a primary goal for SVP patients.
- A robust support system, including individuals outside the immediate family, is essential for SVP patients' well-being.
- Facilitating "normal" life experiences requires external support to help patients overcome their "disabled cardiac patient" identity.
Background And Research Objective:
Approximately 3% of children with congenital heart disease born in Denmark have single ventricle physiology (SVP). In previous decades, these children did not survive into adulthood. However, because of new surgical techniques and improved medical care, they now have a 90% survival rate. Several studies have described the somatic status of SVP patients using clinical parameters; however, only a few studies have researched the life perspectives and coping skills in this patient group. The aim of this study was to investigate how young adults with an SVP diagnosis are coping with adulthood and the emotional experiences of daily life.
Subjects And Methods:
Semistructured, qualitative interviews were held with 11 SVP respondents, selected by physical and psychological parameters identified in an earlier quantitative study. Data from the interviews were analyzed by a research group using a phenomenological methodology.
Results And Conclusions:
The goal for SVP patients is to gain control over their disease to live normal lives. Patients require special support from their core network to overcome physical and psychological challenges. Respondents underscored the need for friends and resource persons outside the family to help lift them out of their role as disabled cardiac patients and provide them with "normal" life experiences.
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