Experiencing the possibility of near death on a daily basis: A phenomenological study of patients with chronic heart failure
Keywords: 
Heart failure
Death
Suicide
Qualitative research
Van Manen method
Issue Date: 
2022
ISSN: 
0147-9563
Note: 
This is an open access article under the CC BY-NC-ND license
Citation: 
Olano-Lizarraga, M. (Maddi); Martín-Martín, J. (Jesús); Pérez-Diez del Corral, M. (María de las Mercedes); et al. "Experiencing the possibility of near death on a daily basis: A phenomenological study of patients with chronic heart failure". Heart and Lung. 51 (2022), 2022, 32 - 39
Abstract
Background: Chronic heart failure (CHF) is a syndrome that greatly impacts people's lives. Due to the poor prognosis of CHF, together with the frequent exacerbations of symptoms, death is a topic that is very present in the lives of patients with CHF. Objective: To explore thoughts about death experienced by patients with chronic heart failure in their daily lives. Methods: A hermeneutic phenomenological study was carried out. Conversational interviews were conducted with 20 outpatients with chronic heart failure. Analysis of the responses was based on the method proposed by van Manen. Results: From the analysis, four main themes emerged: (1) Feeling afraid of the possibility of dying; (2) Acceptance of the possibility of death; (3) Desiring death for relief from suffering; and (4) Striving to continue living to enjoy family. Conclusions: This study presents, as a novel finding, that people with CHF experience the possibility of near death on a daily basis. This experience, which they must encounter on their own, makes them afraid. In addition, some of them, in view of the discomfort they are living, wish to die, with some even considering committing suicide. (C) 2021 The Authors. Published by Elsevier Inc.

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