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Women's experiences of how their recovery process is promoted after a first myocardial infarction: Implications for cardiac rehabilitation care
Jönköping University, School of Health and Welfare, HHJ. IMPROVE (Improvement, innovation, and leadership in health and welfare). School of Social and Health Sciences, Halmstad University, Halmstad, Sweden.
Jönköping University, School of Health and Welfare, HHJ, Dep. of Nursing Science. Jönköping University, School of Health and Welfare, HHJ. ADULT.
Jönköping University, School of Health and Welfare, HHJ. ADULT.
School of Social and Health Sciences, Halmstad University, Sweden.
2016 (English)In: International Journal of Qualitative Studies on Health and Well-being, ISSN 1748-2623, E-ISSN 1748-2631, Vol. 11, 30633Article in journal (Refereed) Published
Abstract [en]

Background: After a myocardial infarction and discharge from the hospital a recovery process follows for the women. In order to facilitate their recovery, both a preventive and promotive perspective should be taken into consideration. Despite this, today´s healthcare focuses more on prevention and thus research into the promotion of women’s recovery process is needed.

Aim: To explore how women’s recovery processes are promoted after a first myocardial infarction

Methods: The study had an explorative and descriptive design based on qualitative content analysis.

Findings: The women’s recovery process was promoted through using external and internal resources as well as embracing behaviour, social and psychological dimensions. The women embraced these dimensions to a varying extent and this process led to them being able to take in a new perspective on life.

Conclusions: The women’s personal recovery is a multidirectional process with a desire to develop and approach a new perspective on life. It is important for cardiac rehabilitation nurses to not only focus on lifestyle changes and social support, but also on working actively with the women’s inner strength in order to promote the personal recovery of the women. Furthermore, it would be interesting to investigate men’s experiences of how their recovery process after a first Myocardial infarction is promoted.

Place, publisher, year, edition, pages
Taylor & Francis, 2016. Vol. 11, 30633
Keyword [en]
myocardial infarction, promote, qualitative content analysis, recovery process, women
National Category
Nursing
Identifiers
URN: urn:nbn:se:hj:diva-24426DOI: 10.3402/qhw.v11.30633ISI: 000396164600001PubMedID: 27172514Scopus ID: 2-s2.0-84980662316OAI: oai:DiVA.org:hj-24426DiVA: diva2:740580
Funder
Swedish Heart Lung Foundation
Note

Included in thesis in manuscript (preprint) version.

Available from: 2014-08-25 Created: 2014-08-25 Last updated: 2017-05-03Bibliographically 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. 88 p.
Series
Hälsohögskolans avhandlingsserie, ISSN 1654-3602 ; 54
Keyword
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: 2014-08-25Bibliographically approved

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