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Patients´ experiences in acute coronary syndromes

Konferensbidrag (offentliggjort, men ej förlagsutgivet)
Författare Andreas Fors
Kerstin Dudas
Inger Ekman
Publicerad i Fifth Geneva conference on person-centered medicine. April 30 – May 2, 2012
Publiceringsår 2012
Publicerad vid Centrum för personcentrerad vård vid Göteborgs universitet (GPCC)
Institutionen för vårdvetenskap och hälsa
Språk en
Länkar www.personcenteredmedicine.org/docs...
Ämneskategorier Hälsovetenskaper

Sammanfattning

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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