Lyapunov's equation says: given any $Q > 0$ ($Q$ positive definite) there is $P > 0$ such that $A^T P + P A + Q = 0$ if and only if for $\frac{dx(t)}{dt}=A x(t)$ it is the case that the real part of each eigenvalue of $A$ is negative. Then, the ellipsoid $x^T P x \leq 1$ is an invariant of $\frac{dx(t)}{dt}=A x(t)$.
The geometric interpretation of $P$ is such that the eigenvectors of $P$ form the principal axes of the ellipsoid and each eigenvalue is related to the length of the ellipsoid along the axis represented by the corresponding eigenvector.
What is the geometric interpretation of $Q$ resp. how does the choice of $Q$ affect $P$?
It turns out that $P$ is dependent on the properties $Q$. If you define $P$ as
$$P:=\int_{0}^{+\infty} e^{A^Tt}Qe^{At}dt$$
Since the eigenvalues of $A$ have negative real part, this integral exists and the results are clearly dependent on the eigenvalues and eigenvectors of $Q$. One can see that $P$ is a solution to $A^TP+PA=-Q$, that is,
$$A^TP+PA=\int_{0}^{+\infty} (A^Te^{A^Tt}Qe^{At}+e^{A^Tt}Qe^{At}A)dt =\int_{0}^{+\infty}\frac{d}{dt}(e^{A^Tt}Qe^{At})dt = -Q$$
Further, the matrix $Q$ can be understood as the energy dissipated in a specific point $x$, and $P$ as the energy stored in $x$.