Author
Listed:
- Maria Rudkjær Mikkelsen
- Carsten Hendriksen
- Frank Vinholt Schiødt
- Susan Rydahl‐Hansen
Abstract
Aims and objectives To identify and describe conditions that limit or support patients, with alcoholic liver disease after surviving alcohol‐induced hepatic encephalopathy, ability to cope with current and potential physical and psychosocial problems – in interaction with professionals and relatives – and to recommend appropriate interventions. Background Alcoholic liver disease patients surviving alcohol‐induced hepatic encephalopathy have significantly impaired quality of life. Internationally, there is a lack of knowledge about the conditions that affect alcoholic liver disease patients' coping and rehabilitation. Design A grounded theory study. Methods Semi‐structured interviews, conducted with 11 alcoholic liver disease patients who were diagnosed with hepatic encephalopathy. The interview guide was inspired by Richard S. Lazarus's theory of stress and coping. Results The elements that support or limit alcoholic liver disease patients' ability to cope with physical and psychosocial problems in interaction with professionals and relatives were represented by the core category ‘Struggle for preservation of identity as a significant individual’. It was characterised by three categories, which are interrelated and impact upon each other: ‘Acknowledgement’, ‘Struggle to maintain control’ and ‘Achieving a sense of security’. Conclusion Alcoholic liver disease patients experience a struggle to preserve their identity as a significant individual. It can be assumed that professionals and relatives in their interaction with, and support of, patients should focus on strengthening and preserving patients' identity in the form of acknowledgement, helping alcoholic liver disease patients maintain self‐control and providing a safety net so patients feel a sense of security. Relevance to clinical practice It can be assumed that professionals should support alcoholic liver disease patients' appraisal of, and coping with, physical and psychosocial problems based on acknowledgment, understanding and a sympathetic attitude. Professionals should proactively approach patients when they withdraw. It may be useful for professionals to be aware of alcoholic liver disease patients' individual coping strategies and thereby their individual requirements for professional supportive intervention.
Suggested Citation
Maria Rudkjær Mikkelsen & Carsten Hendriksen & Frank Vinholt Schiødt & Susan Rydahl‐Hansen, 2015.
"Coping and rehabilitation in alcoholic liver disease patients after hepatic encephalopathy – in interaction with professionals and relatives,"
Journal of Clinical Nursing, John Wiley & Sons, vol. 24(23-24), pages 3627-3637, December.
Handle:
RePEc:wly:jocnur:v:24:y:2015:i:23-24:p:3627-3637
DOI: 10.1111/jocn.13006
Download full text from publisher
Corrections
All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:wly:jocnur:v:24:y:2015:i:23-24:p:3627-3637. See general information about how to correct material in RePEc.
If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.
We have no bibliographic references for this item. You can help adding them by using this form .
If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.
For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Wiley Content Delivery (email available below). General contact details of provider: https://doi.org/10.1111/(ISSN)1365-2702 .
Please note that corrections may take a couple of weeks to filter through
the various RePEc services.