The existential experience of everyday life with systemic lupus erythematosus

Janni Lisander Larsen*, Elisabeth O.C. Hall, Søren Jacobsen, Regner Birkelund

*Corresponding author for this work

Research output: Contribution to journalJournal articleResearchpeer-review

Abstract

Aim: To explore from the perspective of women the nature of basic existential conditions while living with systemic lupus erythematosus. Background: Systemic lupus erythematosus has an unpredictable disease course and is documented to cause an existential rearrangement of life. The significance of changes in existential conditions and related experiences are unclear in the context of nursing and women with systemic lupus erythematosus. Design: A qualitative design guided by Van Manen's hermeneutic-phenomenological methodology. Method: Individual in-depth interviews with 15 women diagnosed with systemic lupus erythematosus and of various ages, disease durations and severities were undertaken from September 2013 - October 2015. Data were analysed following van Manen's phenomenological approach and using drawing as an interpretive tool. Findings: The main existential experience was interpreted as a person “moving with the waves of systemic lupus erythematosus” constituted by the themes “oscillating between presence and absence of systemic lupus erythematosus,” “recognizing space and bodily possibilities and limitations” and “being enriched through relationships and activities.” When systemic lupus erythematosus was flaring, well-being was threatened and a laborious time to escape the feeling of a setback-in-life persisted long after the disease was medically under control. Conclusion: Daily life with systemic lupus erythematosus is conditioned by a prominent need to be in existential motion, related to the absence and presence of systemic lupus erythematosus. The experience of a setback-in-life by illness might challenge well-being and indicates that periods of disease flares or disturbing symptoms are critical time points to provide support.

Original languageEnglish
JournalJournal of Advanced Nursing
Volume74
Issue number5
Pages (from-to)1170-1179
ISSN0309-2402
DOIs
Publication statusPublished - 2018

Keywords

  • chronic illness
  • hermeneutic
  • nursing
  • phenomenology
  • qualitative research
  • rheumatology
  • systemic lupus erythematosus
  • women's health

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