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Patients´ experiences in acute coronary syndromes

Conference contribution
Authors Andreas Fors
Kerstin Dudas
Inger Ekman
Published in Fifth Geneva conference on person-centered medicine. April 30 – May 2, 2012
Publication year 2012
Published at University of Gothenburg Centre for person-centred care (GPCC)
Institute of Health and Care Sciences
Language en
Links www.personcenteredmedicine.org/docs...
Subject categories Health Sciences

Abstract

Background

Many patients report persistent fatigue (with or without concomitant depression) after an acute coronary syndrome (ACS), which has been shown to negatively affect daily life.

Purpose

The aim was to illuminate the meaning of lived experience of being affected by an event of acute coronary syndrome.

Methods

A qualitative method was used, 5 men and 2 women afflicted by ACS narrated their experiences during their stay at the coronary care unit. The interview texts were analyzed according to a phenomenological hermeneutic approach (naive reading, structural analysis and comprehensive understanding).

Results

One theme was “Panic and Chaos” with the subthemes: “Threatening Pain and Fear”, “Feelings of Concern and Uncertainty” and “Taken by Surprise”. The other theme was “Struggling to obtain a sense of security” with the subthemes: “Living life forward, understanding life backwards”, “Lulled into a Doubtful Sense of Security” and “Feelings of Frailty”.

Conclusions

To be affected by an event of ACS means a life-threatening and hazardous adventure where patients deal with themselves in order to find a common thread and obtain a sense of security. This turbulent situation emphasizes the importance of individual care plans and person-centred care in order to help patients regaining ordinary life pattern activities such as returning to work or other daily activities.

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