title: Experiences of problems in individuals with hypersensitivity to odours and chemicals.
abstract: OBJECTIVE
  The purpose of the study was to describe how individuals with hypersensitivity to odours and chemicals handle their problems.
  
  
  BACKGROUND
  One group of patients we often encounter consists of those with upper and lower respiratory problems who also have a pronounced sensitivity to odours and chemicals. Earlier studies have shown that these symptoms can be related to sensory hyperreactivity (SHR). This hyperreactivity is characterised by respiratory tract symptoms triggered by odours and chemicals, along with high sensitivity to inhaled capsaicin and a positive score on the chemical sensitivity scale for SHR. However, there is still a lack of studies in which SHR sufferers describe their situations in their own words.
  
  
  METHODS
  The study was conducted using a qualitative approach.
  
  
  METHODS
  Eight individuals with confirmed SHR were selected from a population-based epidemiological study and interviewed. A qualitative content analysis was performed on the data.
  
  
  RESULTS
  Four themes emerged from the data analysis: Limitations in one's life situation, Lack of understanding from others, Concern that the symptoms will develop into a serious disease and Disparagement of one's own personal experience. The results show how individuals manage their daily lives with the help of various strategies, how they relate to other people, how they cope with their concerns and the fact that they sometimes choose to disparage their own experience of their problems.
  
  
  CONCLUSIONS
  The results indicate that people with SHR experience limitations in their life situations. These limitations consist of the adjustments they make to avoid triggering factors.
  
  
  CONCLUSIONS
  To improve care, nurses need to know how people experience SHR and how they cope with their hypersensitivity to odours and chemicals.
authors.affiliation: Department of Otorhinolaryngology, Central Hospital, Skövde, Sweden.
authors.forename: Christel
authors.initials: C
authors.lastname: Larsson
authors.forename: Lena
authors.initials: L
authors.lastname: Mårtensson
mesh_terms: D000222:Adaptation, Physiological; D000223:Adaptation, Psychological; D000328:Adult; D000368:Aged; D016535:Bronchial Hyperreactivity / Q000209:etiology / Q000451:nursing / Q000523:psychology*; D005260:Female; D006801:Humans; D007407:Interviews as Topic; D008297:Male; D008875:Middle Aged; D018777:Multiple Chemical Sensitivity / Q000209:etiology / Q000451:nursing / Q000523:psychology*; D009812:Odorants; D036301:Qualitative Research; D012042:Registries; D012130:Respiratory Hypersensitivity / Q000209:etiology / Q000451:nursing / Q000523:psychology*; D011795:Surveys and Questionnaires