Forgotten Needs of Patients with Systemic Lupus Erythematosus: A Qualitative Study in Iran

Introduction: Systemic Lupus Erythematosus (SLE) is a chronic autoimmune disease which affects different body systems and different aspects of health. It has an irreversible course. Identifying the needs of SLE afflicted patients is the first step to help them manage and cope with their illness. Qua...

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Main Authors: Mansour Dianati, Mohsen Taghadosi, Batol Zamani, Fereshteh Mazhariazad
Format: Article
Language:English
Published: JCDR Research and Publications Private Limited 2022-04-01
Series:Journal of Clinical and Diagnostic Research
Subjects:
Online Access:https://www.jcdr.net/articles/PDF/16276/52712_CE[Ra1]_F(KR)_PF1(SC_KM)_PFA(SC_SHU)_PN(KM).pdf
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author Mansour Dianati
Mohsen Taghadosi
Batol Zamani
Fereshteh Mazhariazad
author_facet Mansour Dianati
Mohsen Taghadosi
Batol Zamani
Fereshteh Mazhariazad
author_sort Mansour Dianati
collection DOAJ
description Introduction: Systemic Lupus Erythematosus (SLE) is a chronic autoimmune disease which affects different body systems and different aspects of health. It has an irreversible course. Identifying the needs of SLE afflicted patients is the first step to help them manage and cope with their illness. Qualitative research among patients with SLE can identify aspects of the disease relevant to clinical research and practice. Aim: To explore the forgotten needs of patients with SLE. Materials and Methods: This qualitative study was conducted in Iran from April 2020 to March 2021 using conventional content analysis. All participants were patients with definite diagnosis of SLE purposefully selected from Iranian Lupus Association and Rheumatology Clinics in Kashan, Kerman and Bandarabbas, Iran. Data were collected with deep, semi-structured, and face-to-face interviews, which are focused on patients’ experiences of needs. Data collection continued until saturation was reached. Finally, 17 patients with SLE participated in this study. Data collection and data analysis were conducted concurrently. Data were analysed with conventional content analysis, and managed with the MAXQDA software 2020. Results: The forgotten needs of patients with SLE came into three main categories, namely social needs (with three subcategories), economic needs (with two subcategories), and need for self-control (with two subcategories). The seven subcategories of these three categories were the need for family support, the need for professional support by healthcare providers, the need for social support, the need for financial support by family members, the need for financial support by the government, the need for gaining autonomy, and the need for effective role performance. Conclusion: Patients with SLE have many forgotten psychological and socio-economic needs. Patient education, referrals to mental health professionals, and support organisations are important supplements to medical treatment. The findings can be used to develop strategies for providing quality care to patients with SLE and other chronic disabling conditions.
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spelling doaj.art-27cd7a5ec96c4505825665cccd6f45cf2023-02-09T04:24:44ZengJCDR Research and Publications Private LimitedJournal of Clinical and Diagnostic Research2249-782X0973-709X2022-04-01164LC42LC4610.7860/JCDR/2022/52712.16276Forgotten Needs of Patients with Systemic Lupus Erythematosus: A Qualitative Study in IranMansour Dianati0Mohsen Taghadosi1Batol Zamani2Fereshteh Mazhariazad3Assistant Professor, Department of School of Nursing and Midwifery, Kashan University of Medical Sciences, Kashan, Iran.Associate Professor, Department of School of Nursing and Midwifery, Kashan University of Medical Sciences, Kashan, Iran.Associate Professor, Autoimmune Diseases Research Centre of Kashan University of Medical Sciences, Kashan, Iran.PhD Scholar, Department of School of Nursing and Midwifery, Kashan University of Medical Sciences, Kashan, Iran.Introduction: Systemic Lupus Erythematosus (SLE) is a chronic autoimmune disease which affects different body systems and different aspects of health. It has an irreversible course. Identifying the needs of SLE afflicted patients is the first step to help them manage and cope with their illness. Qualitative research among patients with SLE can identify aspects of the disease relevant to clinical research and practice. Aim: To explore the forgotten needs of patients with SLE. Materials and Methods: This qualitative study was conducted in Iran from April 2020 to March 2021 using conventional content analysis. All participants were patients with definite diagnosis of SLE purposefully selected from Iranian Lupus Association and Rheumatology Clinics in Kashan, Kerman and Bandarabbas, Iran. Data were collected with deep, semi-structured, and face-to-face interviews, which are focused on patients’ experiences of needs. Data collection continued until saturation was reached. Finally, 17 patients with SLE participated in this study. Data collection and data analysis were conducted concurrently. Data were analysed with conventional content analysis, and managed with the MAXQDA software 2020. Results: The forgotten needs of patients with SLE came into three main categories, namely social needs (with three subcategories), economic needs (with two subcategories), and need for self-control (with two subcategories). The seven subcategories of these three categories were the need for family support, the need for professional support by healthcare providers, the need for social support, the need for financial support by family members, the need for financial support by the government, the need for gaining autonomy, and the need for effective role performance. Conclusion: Patients with SLE have many forgotten psychological and socio-economic needs. Patient education, referrals to mental health professionals, and support organisations are important supplements to medical treatment. The findings can be used to develop strategies for providing quality care to patients with SLE and other chronic disabling conditions.https://www.jcdr.net/articles/PDF/16276/52712_CE[Ra1]_F(KR)_PF1(SC_KM)_PFA(SC_SHU)_PN(KM).pdfautoimmuneautonomydisease burdenshealthcarequalitative researchsocio-economic statussupport
spellingShingle Mansour Dianati
Mohsen Taghadosi
Batol Zamani
Fereshteh Mazhariazad
Forgotten Needs of Patients with Systemic Lupus Erythematosus: A Qualitative Study in Iran
Journal of Clinical and Diagnostic Research
autoimmune
autonomy
disease burdens
healthcare
qualitative research
socio-economic status
support
title Forgotten Needs of Patients with Systemic Lupus Erythematosus: A Qualitative Study in Iran
title_full Forgotten Needs of Patients with Systemic Lupus Erythematosus: A Qualitative Study in Iran
title_fullStr Forgotten Needs of Patients with Systemic Lupus Erythematosus: A Qualitative Study in Iran
title_full_unstemmed Forgotten Needs of Patients with Systemic Lupus Erythematosus: A Qualitative Study in Iran
title_short Forgotten Needs of Patients with Systemic Lupus Erythematosus: A Qualitative Study in Iran
title_sort forgotten needs of patients with systemic lupus erythematosus a qualitative study in iran
topic autoimmune
autonomy
disease burdens
healthcare
qualitative research
socio-economic status
support
url https://www.jcdr.net/articles/PDF/16276/52712_CE[Ra1]_F(KR)_PF1(SC_KM)_PFA(SC_SHU)_PN(KM).pdf
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AT batolzamani forgottenneedsofpatientswithsystemiclupuserythematosusaqualitativestudyiniran
AT fereshtehmazhariazad forgottenneedsofpatientswithsystemiclupuserythematosusaqualitativestudyiniran