Experiences of African Americans Living With Sickle Cell Disease.

Karen E Wickersham, Robin M Dawson, Karen P Becker, Kayla C Everhart, Heather S Miles, Beth E Schultz, Curisa M Tucker, Pamela J Wright, Coretta M Jenerette
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Abstract

Introduction: About 100,000 individuals in the United States live with sickle cell disease (SCD). Palliative care (PC) can improve symptom management for these individuals. The purpose of the study was to explore (a) the experiences of people living with SCD, and (b) their knowledge and perceptions of PC.

Method: Using a qualitative, descriptive design, adults with SCD were recruited from a foundation in the southeastern United States. Data included social and SCD-related demographics and audio-recorded, semi-structured focus groups. Analysis took a thematic analysis approach.

Results: Participants: There were 16 African Americans who participated in the study, 75% of whom were females, and aged 22 to 71 years. Five themes were identified: unique and unpredictable impact of SCD on daily life, the changing experience of SCD over time, stigmatization/marginalization in health care interactions, perceptions of support in managing SCD symptoms/crises, and PC: "What is it?"

Discussion: Participants lacked PC knowledge. PC should be offered to individuals with SCD as part of comprehensive SCD management.

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非裔美国人镰状细胞病患者的经历
导读:美国约有10万人患有镰状细胞病(SCD)。姑息治疗(PC)可以改善这些人的症状管理。研究的目的是探讨(a) SCD患者的经历,以及(b)他们对PC的认识和认知。方法:采用定性描述性设计,从美国东南部的一个基金会招募患有SCD的成年人。数据包括社会和scd相关的人口统计数据以及录音的半结构化焦点小组。分析采用了主题分析方法。结果:参与者:有16名非裔美国人参与了这项研究,其中75%是女性,年龄在22至71岁之间。确定了五个主题:SCD对日常生活的独特和不可预测的影响,SCD随时间变化的经历,医疗保健互动中的污名化/边缘化,对管理SCD症状/危机的支持的看法,以及PC:“它是什么?”讨论:参与者缺乏PC知识。应向患有慢性性功能障碍的个人提供个人电脑,作为全面的慢性性功能障碍管理的一部分。
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