The Experiences and Challenges of Mothers of Adult Patients with Mucopolysaccharidosis; Mothers of Adults with Severe Mucopolysaccharidosis

Yukiko SAKAGUCHI, Kyoko KUBO
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Abstract

Although many studies have examined the treatment and symptoms of children with MPS, very few studies have focused on adults with MPS. This study aimed to clarify the experiences and challenges of mothers of adult patients with severe mucopolysaccharidosis (MPS) who live at home. The data from semi-structured interviews with twelve mothers (patients’ ages ranged 19-44 years) were analyzed. The following six categories were extracted: fear that the disease will continue to progress despite treatment, tired of shifting gears in care and healing, fatigue due to multi-department visits to control the progression of the disease, the pain of not being able to see a bright future, desperate for new treatment methods for MPS, and developing care and a place to stay after parental support is gone. A unique issue of patients with MPS is that enzyme replacement therapy must be continued throughout life, and there is an urgent need to create a system that allows patients with severe MPS to receive enzyme replacement therapy for the rest of their lives, even after their parents pass away.
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成人粘多糖病患者母亲的经验与挑战严重粘多糖病成人的母亲
虽然许多研究已经检查了MPS儿童的治疗和症状,但很少有研究关注MPS成人。本研究旨在了解重度粘多糖病(MPS)成年患者的母亲在家中生活的经验和挑战。对12位母亲(患者年龄在19-44岁之间)的半结构化访谈数据进行分析。我们提取了以下六类:担心尽管接受了治疗,但疾病仍会继续发展;厌倦了在护理和治疗方面换位换位;由于多次就诊以控制疾病进展而感到疲劳;看不到光明未来的痛苦;迫切需要治疗MPS的新方法;以及在父母失去支持后发展护理和寻找住所。MPS患者的一个独特问题是,酶替代治疗必须在整个生命中持续进行,迫切需要创建一个系统,允许严重MPS患者在他们的余生中接受酶替代治疗,即使在他们的父母去世后。
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