title: Health perceptions of young adults living with recessive limb-girdle muscular dystrophy.
abstract: OBJECTIVE
  The aim of this study was to describe health perceptions related to sense of coherence among young adults living with recessive limb-girdle muscular dystrophy.
  
  
  BACKGROUND
  Limb-girdle muscular dystrophy refers to a group of progressive muscular disorders that may manifest in physical disability. The focus in health care is to optimize health, which requires knowledge about the content of health as described by the individual.
  
  
  METHODS
  A descriptive study design with qualitative and quantitative data were used.
  
  
  METHODS
  Interviews were conducted between June 2012-November 2013 with 14 participants aged 20-30 years. The participants also answered the 13-item sense of coherence questionnaire. Qualitative data were analysed with content analysis and related to self-rated sense of coherence.
  
  
  RESULTS
  Health was viewed as intertwined physical and mental well-being. As the disease progressed, well-being was perceived to be influenced not only by physical impairment and mental strain caused by the disease but also by external factors, such as accessibility to support and attitudes in society. Factors perceived to promote health were having a balanced lifestyle, social relations and meaningful daily activities. Self-rated sense of coherence varied. The median score was 56 (range 37-77). Those who scored ≥56 described to a greater extent satisfaction regarding support received, daily pursuits and social life compared with those who scored <56.
  
  
  CONCLUSIONS
  Care should be person-centred. Caregivers, with their knowledge, should strive to assess how the person comprehends, manages and finds meaning in daily life. Through dialogue, not only physical, psychological and social needs but also health-promoting solutions can be highlighted.
authors.affiliation: Department of Health and Caring Sciences, Linnaeus University, Växjö, Sweden.
authors.forename: Anna Carin
authors.initials: AC
authors.lastname: Aho
authors.affiliation: Psychiatric Clinic, County Hospital, Ryhov, Jönköping, Sweden.
authors.forename: Sally
authors.initials: S
authors.lastname: Hultsjö
authors.affiliation: Department of Social and Welfare Studies, University of Linköping, Campus Norrköping, Sweden.
authors.forename: Katarina
authors.initials: K
authors.lastname: Hjelm
mesh_terms: D000328:Adult; D001294:Attitude to Health; D017028:Caregivers; D005260:Female; D006801:Humans; D008297:Male; D008603:Mental Health; D049288:Muscular Dystrophies, Limb-Girdle / Q000451:nursing / Q000523:psychology*; D011795:Surveys and Questionnaires; D055815:Young Adult
keywords: LGMD2; SOC-13; chronic diseases; disability; nursing; sense of coherence