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Title: Experience of Married Women with Rheumatic Heart Disease
Authors: Lisan, Atnafe
Advisors: Ashenafi Hagos (PhD candidate).
Keywords: Experience Marriage
Rheumatic
Copyright: Jun-2011
Date Added: 3-Nov-2012
Publisher: AAU
Abstract: This paper describes the experience of married women with rheumatic heart disease and its influence on their marriage. It focuses in their relationship with their husband, family members, neighbourhoods, and the coping mechanism they utilize to manage their illness. The study was undertaken among married women with rheumatic heart disease that are within the reproductive age group, who have follow up in cardiac clinic of Tikur Anbesa Specialized Hospital. The study was conducted using an interpretive phenomenological approach among eight women (three of which have undergone mechanical valve replacement). Four health professionals (two nurses and two medical doctors) were also included as key informants. In-depth interview was conducted to obtain information from the participants. Thematic categorization and content analysis were used for analyzing data. The information gathered from the participants was analyzed and presented in four thematic areas. The first thematic area discusses about the context of rheumatic heart which is explained by factors that predispose women to rheumatic heart disease. The study reveals the presence of low level of awareness about not getting early treatment of throat infection and its consequence, lack of access to proper medical care, and low socioeconomic status. The second theme describes the challenges faced by married women having rheumatic heart disease in their marriage in relation to the limitation resulted from the illness. Their illness forced them unable to do laborious household chores, and give birth. Not giving birth for some result in dispute with in-law family and being left by husband. Most of the participants reported that their husbands provided them with emotional, psychological as well as material support. The experience of not being able to give birth in the absence of infertility problem resulted in feelings of inferiority, depression, and incompleteness among study participants. The underlying causes for this were identified as societal expectation, the meaning, and values attached to children. They described the role of children as a means of securing marriage, love from husband, happiness, continuation of lineage, acceptance from in-laws. The third theme describes about the influence of their heart problem in their social life. The physical limitation resulted from the illness restricted their ability to participate in social life events. The fourth thematic area states about coping mechanisms that are utilized by the participants. The participants demonstrated that they utilized different coping mechanisms to regulate their negative emotions and to get relief from the disease. The findings showed that there is a need of social work intervention in the form of advocacy by working with policy makers to bring attention to the problem of rheumatic heart disease and to create awareness on early treatment of sore throat infection, having access for proper medical service, involving families and husband in the provision of care for patients, creating support groups for women having rheumatic heart disease and their families. Finally, the effects of rheumatic heart disease have not gotten the deserved attention which calls for further research in our country on unmarried women having rheumatic heart disease, unmarried women having
URI: http://hdl.handle.net/123456789/3609
Appears in:Hydrogeology

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