Day-to-Day Experience of Thais Living with Heart Failure: A Phenomenological Study

Monday, 22 July 2013: 1:30 PM

Chantira Chiaranai, PhD, RN
Institute of Nursing, Suranaree University of Technology, Muang, Thailand

Learning Objective 1: The learner will gain a better understanding of how Thai patients with HF live with chronic and debilitating illness.

Learning Objective 2: The learner will learn about lived experiences of Thai patients with HF in comparison to other studies conducted on HF patients in western countries.

Purpose: Although there is a significant body of literature addressing heart failure (HF) epidemiology, physiology, and treatment, little is known about the experiences of Thai patients living with this chronic disease. The primary goal of this study was to gain a better understanding of how Thai patients with HF live with chronic and debilitating illness.

Methods: The phenomenological approach was chosen to investigate the experience of living with HF.  Fifteen men and women Thai patients with HF in New York Heart Association classes I-III, aged 47 and 75 years, were interviewed with open-ended questions. Data were analyzed using qualitative inductive content analysis.

Results: The findings of this study provide in-depth information of what it is like for Thai patients to live with HF. Three themes emerged from the data analysis: “Identifying losses or changes in their lives”, “Accepting the losses”, and “Regaining some control”

Conclusions: To support patients with HF through the process, nurses need to assess ongoing experiences of patients with HF particularly what sense individual’s make of information they have been given about their conditions and how individual’s sense of self-worth affects their day-to-day lives. Care can be instigated that helps to support individuals uphold their self-worth but also that supports them to live with losses from altered self-worth if needed.