Meaning of quality of life among patients with familial hypercholesterolemia.
BACKGROUND
Living with a genetic predisposition to disease may influence quality of life. The presence of premature disease can lead to an increased focus on family history and genetic predisposition.


OBJECTIVE
The purpose of this study was to describe quality of life in patients with the genetic disease, familial hypercholesterolemia, who are at an increased risk of premature coronary heart disease.


METHODS
Interviews from 12 adult patients with FH were analyzed using constant comparative analysis. The findings of this qualitative study revealed that for patients, quality of life was equated with harmony in life, the core category. Attaining harmony in life presumes satisfaction and togetherness. Cognizance of the threat of coronary heart disease and impending mortality is balanced by the support of togetherness and satisfaction that builds harmony in life.


CONCLUSIONS
When caring for patients with familial hypercholesterolemia, it is important to meet each patient on his or her own level, and to support balance and their choices for maintaining or regaining harmony in life.
Department of Medicine and Care, Faculty of Health Sciences, University of Linköping, Linköping, Sweden. gunho@imv.liu.se
Gunilla
G
Hollman
Anna-Christina
AC
Ek
Anders G
AG
Olsson
Carina
C
Berterö
D000223:Adaptation, Psychological; D000328:Adult; D000368:Aged; D001293:Attitude to Death; D001294:Attitude to Health; D002755:Choice Behavior; D003327:Coronary Disease / Q000209:etiology; D005239:Fear; D005260:Female; D020022:Genetic Predisposition to Disease / Q000523:psychology*; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D006938:Hyperlipoproteinemia Type II / Q000150:complications / Q000451:nursing / Q000523:psychology*; D008297:Male; D008875:Middle Aged; D008960:Models, Psychological; D024802:Nurse's Role; D015404:Nursing Methodology Research; D010549:Personal Satisfaction; D036301:Qualitative Research; D011788:Quality of Life / Q000523:psychology*; D012307:Risk Factors; D012944:Social Support; D011795:Surveys and Questionnaires; D013548:Sweden