scholarly journals Experience Lived by Iranian Patients with Irritable Bowel Syndrome: Transitory Crisis and Liberation

2019 ◽  
Vol 37 (3) ◽  
Author(s):  
Zinat Mohebbi ◽  
Farkhondeh Sharif ◽  
Hamid Peyrovi ◽  
Mahnaz Rakhshan ◽  
Mahvash Alizade Naini ◽  
...  

Objective. Research on the nature of living with Irritable Bowel Syndrome. Methods. Qualitative study of the hermeneutical phenomenology, which conducted in-depth semi-structured interviews with people trained on the irritable bowel syndrome. The sampling was intentional type and open questions were used to collect data. The Thematic Analysis Method by Van Manen was used. Results. Two principal themes and five subthemes emerged in this research to determine the meaning of living with the irritable bowel syndrome: Storm in corporality (body with pain and affliction, tension and sequence of symptoms, and: distress during moments of life) and Relief (sense of liberation of the body symptoms, and moments with pleasure). Conclusion. The experience lived by patients with irritable bowel syndrome is of a transitory crisis and liberation.Descriptors: irritable bowel síndrome; qualitative research; hermeneutics.How to cite this article: Mohebbi Z, Sharif F, Peyrovi H, Rakhshan M, Naini MA, Zarshenas L. Experience Lived by Iranian Patients with Irritable Bowel Syndrome: Transitory Crisis and Liberation. Invest. Educ. Enferm. 2019; 37(3):e10.

Author(s):  
Nooreddine Iskandar ◽  
Tatiana Rahbany ◽  
Ali Shokor

Abstract Background: Due to the common instability caused by political and security issues, Lebanese hospitals have experienced acts of terrorism multiple times. The most recent Beirut Explosion even forced several hospitals to cease operations for the first time in decades—but studies show the preparedness levels for such attacks in similar countries are low. Objective: The aim of this study is to explore the experience of Lebanese hospitals with terrorist attacks. Methods: This qualitative study used semi-structured interviews with various stakeholders to assess their experience with terrorist bombings. Data was analyzed using the thematic analysis method. Results: The researchers found that Lebanese hospitals vary greatly in their structures and procedures. Those differences are a function of 3 contextual factors: location, culture, and accreditation status. Hospitals found near ‘dangerous zones’ were more likely to be aware and to have better response to such events. A severe lack of communication, unity of command, and collaboration between stakeholders has made the process fragmented. Conclusion: The researchers recommend a larger role for the Ministry of Public Health (MOPH) in this process, and the creation of a platform where Lebanese organizations can share their experiences to improve preparedness and resilience of the Lebanese healthcare system in the face of terrorism.


Mindfulness ◽  
2021 ◽  
Author(s):  
Kelly Birtwell ◽  
Rebecca Morris ◽  
Christopher J. Armitage

Abstract Objectives While brief mindfulness-based interventions (MBIs) show promise, stakeholder involvement in their design is lacking and intervention content can vary substantially. The aim of this study is to explore stakeholder perspectives of brief MBIs, brief MBI content, and adapting existing MBIs. Methods In this convergent mixed methods design study, 22 mindfulness teachers and 20 mindfulness course attendees completed an online UK-based survey. Twenty-six participants were female, and mean age was 50.8 years. Data from closed questions were analysed using descriptive and inferential statistics, and data from open questions were analysed using reflexive thematic analysis. Results Findings suggest a brief MBI could comprise five 80-min sessions and include focused attention practice, informal mindfulness, inquiry, psychoeducation, and 20 min of daily home practice. Opinions of some elements differed among participants, such as the body scan, poetry, and the sitting with difficulty practice. Four themes were generated from participants’ comments about their attitudes to brief MBIs, which were generally positive but expressed concerns about insufficient content and poor delivery. Three themes were generated about adapting MBIs, suggesting tensions between adhering to a curriculum and meeting group needs. Five themes were generated from views about the content and characteristics of MBIs, highlighting the importance of accessibility, teacher training, and participant safety. Conclusions Brief MBIs may increase access to mindfulness training, yet there is a need for adequate governance and transparency regarding their strengths and limitations. Clarity and evidence of MBI mechanisms along with scientific literacy in teachers will support fidelity-consistent modifications.


2018 ◽  
Vol 25 (2) ◽  
Author(s):  
Vasyl Mishchuk ◽  
Galina Grygoruk

Recent research shows that the number of diseases associated with obesity has been increasing. In obese persons, association with functional constipation is noted in 24.0% of cases, and obesity is recorded in 60.0% of patients with functional constipation. Among the possible mechanisms for the development of such a combination are changes in serotonin level in the blood, although the existing data are ambiguous and sometimes controversial.The objective of the study is to investigate the changes in serotonin level in the blood of obese patients in combination with constipation and its relationship with the lipid profile of the blood.Materials and methods. 63 patients with obesity in combination with irritable bowel syndrome with constipation (IBSc), 24 patients with normal body mass index and 10 practically healthy people were examined. 25 patients with obesity and constipation had a body mass index of 32.8±0.24kg/m2, 28 patients – 37.8±kg/m2, and 10 patients – 42.6±0.5kg/m2. In patients with irritable bowel syndrome without obesity, the body mass index was 21.7±0.4kg/m2. The blood serotonin level and lipid profile of the blood was determined in all patients.Results. It was deermined that in case of irritable bowel syndrome with constipation, serotonin level in the blood was reduced. In obesity with IBSc, the concentration of serotonin, on the contrary, was elevated. All patients with IBSc and obesity were marked an elevated level of total cholesterol and triglycerides. A direct correlation between high levels of triglycerides and serotonin concentration in serum of such comorbid patients was detected. The increase in the degree of obesity in the presence of IBSc was accompanied by a decrease in the concentration of cholesterol of high density lipoprotein. Patients with IBSc without excessive body weight had no such deviations.Conclusions. With an increase in the degree of obesity, serotonin level in the blood increases and the lipid blood spectrum worsens.


2017 ◽  
Vol 9 (1) ◽  
pp. 26-32 ◽  
Author(s):  
Mojgan Mohammadi ◽  
Hossein Tahmasebi Abdar ◽  
Hamid Reza Mollaei ◽  
Hossein Hajghani ◽  
Mohammad Reza Baneshi ◽  
...  

Religions ◽  
2020 ◽  
Vol 11 (11) ◽  
pp. 563
Author(s):  
Anne Austad ◽  
Marianne Rodriguez Nygaard ◽  
Tormod Kleiven

Poor health often motivates people to engage in religious and spiritual approaches to healing. However, there is limited research on such experiences from a northern European perspective. This article investigates healing experiences related to Christian faith and practices in Norway by thematic analysis of 25 semi-structured interviews with individuals who have experienced healing of different ailments. In so doing, healing events across diverse contexts are characterised, and the results show that such experiences not only feature practices in which other people are present in prayer, preaching, and the laying on of hands, but also spontaneous extraordinary encounters with a divine being through visions and voices. The healing events are further described as experiences of transformational, powerful touch. In light of the lived body theory, these transformational experiences can be understood as re-inscriptions of health that are manifested in the intertwined bio–psycho–social–spiritual aspects of the body.


2020 ◽  
Vol 22 (2) ◽  
pp. 205-221
Author(s):  
Dwi Cahyo Kartiko ◽  
Deny Efita Nur Rakhmawati

 This study aimed to explore the negotiation of Islam identity reflected from the hijabi basketball players' subjective experiences in Indonesia. A qualitative method was conducted from a subjectivist epistemological position. Six hijabi basketball players between the ages of 16 and 30 were recruited to participate in this study. The data were collected through semi-structured interviews. A thematic analysis was adopted to analyze the data since this analysis method allows the researchers to interpret based on the data's in-depth examination. The study results showed that the negotiation of Islam identity was found in the ways of modifying their sports attires and behaviors in and out of the basketball fields. All of the participants saw their modifications as positive actions to integrate the Islamic values in their lives.  Tujuan penelitian ini adalah untuk mengetahui negosiasi identitas Muslim yang direfleksikan dari pengalaman para pemain bolabasket yang berhijab di Indonesia. Penelitian kualitatif ini menggunakan subjectivitas epistemologis. Enam pemain dari usia 16 hingga 30 tahun dipilih menjadi partisipan. Data dikumpulkan melalui interview semi struktural. Sedangkan analisa datanya merupakan analisa tematik karena dalam interpretasi data diperlukan pemeriksaan yang detail dan mendalam. Hasil analisa data menunjukkan bahwa negosiasi Identitas sebagai orang Islam dilakukan dengan cara memodifikasi kostum olahraga dan sikap mereka baik di dalam maupun di luar lapangan bolabasket. Mereka memandang penyesuaian tersebut sebagai tindakan yang positif untuk menerapkan nilai–nilai Islam di dalam kehidupan mereka.


2016 ◽  
Vol 21 (1) ◽  
pp. 1
Author(s):  
Raquel María Bulgarelli-Bolaños ◽  
José Antonio Rivera-Rodríguez ◽  
Manuel Arturo Fallas-Vargas

This article is based on an investigation whose main purpose was to analyze students’ vocational development in statuses of achievement and academic lagging in Bachelor’s Degree in Industrial Chemistry at the Universidad Nacional de Costa Rica, during 2014, by implementing Donald Super’s evolutionary approach. A naturalist paradigm, a design of collective case studies of four people (two students from each academic status), four data gathering tools (in-depth interviews, semi-structured interviews, in-depth discussion meetings, and observation), and the categorical thematic analysis method were applied. It was found that there are differences in the vocational process of the four cases studied when referring to one academic status or the other, where the category of achievement is more leaning trend to a better vocational performance, even though it is not a predictor of this; while the academic lagging presents more difficulties in its different vocational stages. Therefore, it is recommended not to neglect academic, vocational and personal-social support to any of both populations, considering their particularities related to the specific vocational processes and the evaluations they carry out during the career. 


2019 ◽  
Vol 37 (31_suppl) ◽  
pp. 147-147
Author(s):  
Lauren C Heathcote ◽  
Nele Loecher ◽  
Sheri L. Spunt ◽  
Pamela Simon ◽  
Gary Dahl ◽  
...  

147 Background: Symptom monitoring plays an important role in both the physical and psychological challenges of surviving cancer. Anecdotally, cancer survival is characterized by uncertainty, symptom-related fear, and the interpretation of normal bodily sensations as symptomatic of cancer recurrence. This fear may lead to over-vigilance of benign bodily sensations, increasing anxiety and decreasing quality of life. Yet, there are few studies investigating how cancer survivors interpret and make sense of post-cancer symptoms. These studies are needed to guide considerations for clinical practice and the development of supportive interventions. Methods: We conducted in-depth semi-structured interviews with 18 AYA cancer survivors about how they interpret, manage, and respond to physical symptoms during survivorship. Participants were 15-25 years old. The sample was diverse in terms of disease history, ethnicity (8 Hispanic), and gender (9 females, 1 nonbinary). We conducted thematic analysis using a deductive coding scheme that was developed using our Cancer Threat Interpretation (CTI) theoretical model of cognitive, affective, and behavioral processes in post-cancer symptom perception. Results: AYA cancer survivors reported experiencing anxiety in the face of common physical sensations. These sensations were often interpreted as potential signs of recurrence or as late effects of treatment. Survivors most commonly reported worries about pain and fatigue, but also other sensations such as breathlessness. We coded participant transcripts into the following themes: biased attending towards symptoms, biased interpretations of symptoms as threatening, fear and worry about symptoms, and behavioral response to symptoms. In addition, we generated a new theme that was not previously captured in the CTI model: trust in the body. Conclusions: Knowing how to appraise and respond to symptoms such as pain is a challenge for AYA cancer survivors. This rich qualitative data provides support for the CTI model and suggests future directions. The results of this study can inform how clinicians talk to their patients about symptom monitoring after treatment ends.


2021 ◽  
Author(s):  
◽  
Bryony Cunningham-Pow

<p>This thesis is an anthropological exploration of Irritable Bowel Syndrome (IBS), and the first ethnographic study of people with IBS in New Zealand. It explores the illness experience of people with IBS and whether stigma plays a role within this experience. IBS is a gastrointestinal illness that affects 10-20% of New Zealand’s population. However, its aetiology is unknown, there is no cure, and the biomedical approach that informs its diagnosis and treatment is often incongruous with its lived experience. I posit that the illness experience of my participants and what is stigmatising for them must be understood not only in relation to its physical manifestations but also in relation to the biomedical and neoliberal influences that inform social expectations of the body and social participation. Further, participants experience their IBS simultaneously resisting and participating within these influences to make sense of and manage their illness in a way that aligns with their lived experiences.  All work within this thesis is my own except where otherwise stated.</p>


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