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Factors influencing female patients' recovery after their first myocardial infarction as experienced by cardiac rehabilitation nurses
Jönköping University, School of Health and Welfare, HHJ. ADULT.
Jönköping University, School of Health and Welfare, HHJ, Dep. of Nursing Science. Jönköping University, School of Health and Welfare, HHJ. ADULT.ORCID iD: 0000-0002-7406-8732
Jönköping University, School of Health and Welfare, HHJ, Dep. of Nursing Science. Jönköping University, School of Health and Welfare, HHJ. ADULT.
School of Social and Health Sciences, Halmstad University, Halmstad, Sweden.
2013 (English)In: Open Journal of Nursing, ISSN 2162-5336, E-ISSN 2162-5344, Vol. 3, no 2, p. 230-240Article in journal (Refereed) Published
Abstract [en]

Background: In the developed part of the world, coronary heart disease is the major cause of death and is one of the leading causes of disease burden. In Sweden, more than 30,000 people per year are affected by myocardial infarction and out of these approximately 40% are women. Nearly 70% of the women survive and after a myocardial infarction a recovery process follows. Today’s health care focuses more on treatment, symptoms and risk factors than on the individuals’ perceptions of the recovery process. Aim: To explore cardiac rehabilitation nurses’ experiences of factors influencing female patients’ recovery after their first myocardial infarction. Methods: Twenty cardiac rehabilitation nurses were interviewed. The study was conducted using qualitative content analysis. Results: The cardiac rehabilitation nurses experienced that women’s recovery after a first myocardial infarction was influenced whether they had a supportive context, their ability to cope with the stresses of life, if they wanted to be involved in their own personal care and how they related to themselves. Conclusions: Women’s recovery after a myocardial infarction was influenced by factors related to surroundings as well as own individual factors. The underlying meaning of women’s recovery can be described as the transition process of a recovery to health. Our findings suggest that a focus on person-centered nursing would be beneficial in order to promote the every woman’s personal and unique recovery after a myocardial infarction. Finally, the cardiac rehabilitation nurses’ experiences of factors influencing male patients’ recovery after their first myocardial infarction should be important to investigate.

Place, publisher, year, edition, pages
2013. Vol. 3, no 2, p. 230-240
Keywords [en]
Cardiac Rehabilitation Nurses; Myocardial Infarction; Recovery; Transition Process; Women
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:hj:diva-23130DOI: 10.4236/ojn.2013.32032OAI: oai:DiVA.org:hj-23130DiVA, id: diva2:688243
Available from: 2014-01-16 Created: 2014-01-16 Last updated: 2019-03-07Bibliographically approved
In thesis
1. Women’s recovery after a first myocardial infarction from an organisational, a relational and an individual perspective
Open this publication in new window or tab >>Women’s recovery after a first myocardial infarction from an organisational, a relational and an individual perspective
2014 (English)Doctoral thesis, comprehensive summary (Other academic)
Alternative title[sv]
Kvinnors återhämtning efter en första hjärtinfarkt ur ett organisatoriskt, relationellt och individuellt perspektiv
Abstract [en]

The overall aim of this thesis was to explore and describe women’s recovery after a first myocardial infarction (MI) from an organisational, a relational and an individual perspective. In this thesis a longitudinal, explorative and descriptive design combining both quantitative (papers I-II) and qualitative (papers III-IV) methods has been used. Data was collected from healthcare professionals at 18 acute hospitals (paper I), which on two occasions answered a questionnaire dealing with cardiac rehabilitation efforts. From these 18 hospitals, 240 women who had suffereda first MI (paper II) were consecutively chosen to answer a questionnaire on three occasions on the subject of social support and social network. Descriptive and inferential statistics were used to analyse data over time. Paper III and IV had an exploratory and descriptive design based on an inductive, qualitative content analysis approach. Interviews were conducted with 20 cardiac rehabilitation nurses (CRN) (paper III) and with 26 women suffering a first MI (paper IV).

The results showed that patients with MI, and their next of kin, were offered a well-functioning cardiac rehabilitation on both measurement occasions. None of the hospitals offered a CRP that was specifically designed for women (paper I). The women perceived that the extent of general support, support from relatives, and professional support changed positively over time (paper II). The CRNs experienced that women’s recovery was influenced by their ability to cope with the stresses of life, if they wanted to be involved in their own personal care and how they related to themselves, and their opportunities to receive support (paper III). Women experienced that ability to approach the new perspective of life depended on how they embraced the three dimensions; behaviour, i.e. women’s acting and engaging in various activities, social i.e. how women receive and give support in their social environment, and psychological i.e. their way of thinking, reflect and appreciate life (paper IV).

In conclusion, the four studies show that women’s recovery after a first MI is depending on factors emerging from an organisational, a relational and an individual perspective. Using knowledge from these three perspectives the possibility of a holistic approach to women’s recovery process to health will increase and the risk of a reductionist thinking will decrease.

Place, publisher, year, edition, pages
Jönköping: Hälsohögskolan i Jönköping, 2014. p. 88
Series
Hälsohögskolans avhandlingsserie, ISSN 1654-3602 ; 54
Keywords
Cardiac rehabilitation, longitudinal, myocardial infarction, nursing, recovery process, secondary prevention, qualitative content analysis, social support, women
National Category
Nursing
Identifiers
urn:nbn:se:hj:diva-24425 (URN)978-91-85835-53-9 (ISBN)
Public defence
2014-09-19, Forum Humanum, Hälsohögskolan i Jönköping, Jönköping, 09:00 (Swedish)
Opponent
Supervisors
Available from: 2014-08-25 Created: 2014-08-25 Last updated: 2019-03-07Bibliographically approved

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