PATIENTS' PERSPECTIVES OF LIVING WITH MULTIPLE SCLEROSIS IN GREECE- AN INTERPRETIVE PHENOMENOLOGICAL ANALYSIS

Author(s)

Koulierakis G1, Karampli E2, Tsiantou V3, Naoum V1, Naoum P4, Athanasakis K1, Pavi E1, Kyriopoulos J3
1University of West Attica, Athens, Greece, 2University of West Attica, Athens, A1, Greece, 3National School of Public Health, Athens, Greece, 4University of West Attica, Piraeus, Greece

OBJECTIVES: Living with multiple sclerosis (MS), a chronic, incurable and sometimes progressive illness, constitutes a major challenge. This study explored the lived experiences of people with MS in their everyday life.

METHODS: Seventeen people with MS, living in Attica and Thessaly regions, in Greece, were recruited through the Association of People with Multiple Sclerosis and interviewed using semi-structured interviews. Patients’ mean age was 39.6 years; the mean time of being diagnosed with MS was 12.6 years. All interviews were recorded, transcribed and analysed using the Interpretive Phenomenological Analysis.

RESULTS: Five interrelated superordinated themes emerged: (1) The journey to diagnosis, (2) patients' perceptions of social policies, (3) coping with MS, (4) doctor-patient relationship, (5) living with MS. MS dominated patients’ life, triggering fears of losing autonomy and body control, uncertainty of the disease process and worries of being dependent on others. At the same time, MS patients use a variety of coping strategies, also being supported by their family, friends, doctor and “co-patients”. Each MS patient feels unique and all MS patients unified in a group, with common understanding, clearly separated from all other healthy people. MS was closely connected with disability and “the wheelchair”, while perceived in multiple ways such as “evil”, “test”, “mind game”, “unknown”, “erratic”. However, many patients were eager to share their experience with their wider social environment and felt eager to support newly diagnosed patients, fight for patient rights and contribute in the change of stereotypes regarding MS.

CONCLUSIONS:MS has a major negative impact on patients’ lives. MS health-related policies should facilitate them in dealing with the challenging tasks of managing multiple life dimensions such as health, family and work issues, by strengthening MS networks and enhancing individual capacities.

Conference/Value in Health Info

2019-11, ISPOR Europe 2019, Copenhagen, Denmark

Code

PND117

Topic

Health Policy & Regulatory, Patient-Centered Research

Topic Subcategory

Insurance Systems & National Health Care, Patient Behavior and Incentives

Disease

Neurological Disorders

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