The lived experience with idiopathic pulmonary fibrosis: a qualitative study

TY - JOUR

T1 - The lived experience with idiopathic pulmonary fibrosis

T2 - a qualitative study

AU - Overgaard, Dorthe

AU - Kaldan, Gudrun

AU - Marsaa, Kristoffer

AU - Nielsen, Thyge Lynghøj

AU - Shaker, Saher Burhan

AU - Egerod, Ingrid

N1 - Copyright ©ERS 2016.

PY - 2016/5/1

Y1 - 2016/5/1

N2 - The disease course in idiopathic pulmonary fibrosis (IPF) is variable, but patients experience a progressive decline in lung function and increased symptom burden leading to death. Little is known about the patients' experience and their needs during the disease course or about the burden on family caregivers. Both patients and family caregivers face an altered life as the disease progresses. The aim of our study was to increase knowledge of life with IPF for patients and family caregivers.This study had a qualitative descriptive design using in-depth dyadic interviews with IPF patients (n=25) and family caregivers (n=24). We used the five-step analysis from the framework method and analysed the data on three levels: the patient, the family caregivers and couple level.The following six themes emerged as the main results: information and disclosure, reactional dyssynchrony, perpetual vigilance, emotional ambivalence, gradual and tacit role shift, and adapted coping strategies.Our findings suggest that IPF patients need information at the time of diagnosis, but some issues should be paced as the disease progresses. A palliation plan was demanded by patients and their caregivers. Further efforts are required to provide palliative care to IPF patients starting at the time of diagnosis.

AB - The disease course in idiopathic pulmonary fibrosis (IPF) is variable, but patients experience a progressive decline in lung function and increased symptom burden leading to death. Little is known about the patients' experience and their needs during the disease course or about the burden on family caregivers. Both patients and family caregivers face an altered life as the disease progresses. The aim of our study was to increase knowledge of life with IPF for patients and family caregivers.This study had a qualitative descriptive design using in-depth dyadic interviews with IPF patients (n=25) and family caregivers (n=24). We used the five-step analysis from the framework method and analysed the data on three levels: the patient, the family caregivers and couple level.The following six themes emerged as the main results: information and disclosure, reactional dyssynchrony, perpetual vigilance, emotional ambivalence, gradual and tacit role shift, and adapted coping strategies.Our findings suggest that IPF patients need information at the time of diagnosis, but some issues should be paced as the disease progresses. A palliation plan was demanded by patients and their caregivers. Further efforts are required to provide palliative care to IPF patients starting at the time of diagnosis.

KW - Journal Article

U2 - 10.1183/13993003.01566-2015

DO - 10.1183/13993003.01566-2015

M3 - Journal article

C2 - 26846831

SN - 0904-1850

VL - 47

SP - 1472

EP - 1480

JO - Acta tuberculosea Scandinavica

JF - Acta tuberculosea Scandinavica

IS - 5

ER -