Kerr Evelyn E, Fothergill-Bourbonnais Frances
Ottawa Hospital, University of Ottawa, Ottawa, Ontario, Canada.
Heart Lung. 2002 Sep-Oct;31(5):355-67. doi: 10.1067/mhl.2002.127939.
The purpose of this study was to examine the experience of recovery in women 65 years of age and older during initial recovery from acute myocardial infarction.
The study was designed with Heideggerian phenomenology, purposive sampling, and unstructured interactive interviews. Data were analyzed with interpretive processes of hermeneutics.
The study was set in a Canadian metropolitan teaching hospital and in patient homes.
Seven women who had had a first time myocardial infarction were recruited. Age ranged from 67 to 86 years (mean, 74 years).
Analysis revealed that recovery for these women was highly contextual and consisted of life experience resembling a mosaic, in which the women described how they "created a new picture for themselves." The data were clustered into 4 substantive themes that included: life is scattered; trying to make sense of it; learning to live with it; and getting settled.
The older women in this study underestimated their susceptibility to acute myocardial infarction, were avid planners and coordinators of their recovery, equated the loss of the homemaker role to job loss, used their ability to socialize as an indicator of the recovery progress, and lacked support to perform household duties, such as laundry, and those women with fewer symptoms "cheated" in relation to activity and diet. These findings may serve as a basis for the development of healthcare strategies reflective of older women's recovery.
本研究旨在调查65岁及以上女性在急性心肌梗死后初期恢复过程中的康复体验。
本研究采用海德格尔现象学、目的抽样和非结构化互动访谈设计。数据采用诠释学的解释过程进行分析。
本研究在加拿大一家大都市教学医院和患者家中进行。
招募了7名首次发生心肌梗死的女性。年龄在67至86岁之间（平均74岁）。
分析显示，这些女性的康复具有高度情境性，由类似拼图的生活经历组成，她们描述了自己如何“为自己创造一幅新图景”。数据聚类为4个主要主题，包括：生活分散；试图理解它；学会与之共处；以及安顿下来。
本研究中的老年女性低估了自己患急性心肌梗死的易感性，是康复的积极规划者和协调者，将家庭主妇角色的丧失等同于失业，将社交能力作为康复进展的指标，缺乏进行洗衣等家务的支持，且症状较轻的女性在活动和饮食方面“作弊”。这些发现可为制定反映老年女性康复情况的医疗保健策略提供依据。
