Kärner Anita, Dahlgren Madeleine Abrandt, Bergdahl Björn
Department of Medicine and Care, Division of Cardiology, Faculty of Health Sciences, Linköping University, Linköping, Sweden.
J Clin Nurs. 2004 Feb;13(2):167-76. doi: 10.1046/j.1365-2702.2003.00871.x.
Spouses are important in the rehabilitation process of their partner after coronary heart disease event. Their knowledge and attitudes have an impact on their support to the partner concerning lifestyle changes and drug treatment after an event.
To explore spouses' conceptions concerning causes of coronary heart disease and drug treatment 1 year after the partner's cardiac event.
Qualitative with an empirical and inductive approach.
Semi-structured interviews with strategically selected spouses (17 women and eight men) were taped. The transcripts were analysed within the phenomenographic framework.
Spouses' conceptions about causes of coronary heart disease and its treatment consisted of correct facts, as judged on a lay level, less elaborated conceptions and misconceptions. Among causes of coronary heart disease, the spouses were most knowledgeable about fat intake. They knew less about contributions from inactivity, stress and smoking. Ambivalent feelings were expressed about benefits vs. side effects of drugs. The treatment was conceived as necessary for the heart, but harmful for other organs. Men and women were evenly distributed in most of the derived categories. More women than men considered stress as a cause of coronary heart disease and also misconceived physical exercise to cause the disease.
A variation of spouses' conceptions was revealed about causes of coronary heart disease and drug treatment. There was a lack of understanding concerning important parts of cardiac rehabilitation activities. These misconceptions may have implications by influencing their partner's co-operative behaviour.
Spouses' pre-existing conceptions of coronary heart disease and its treatment should be considered in the rehabilitation process of their partner. Couples with misconceptions should be given the opportunity to increase qualitatively their knowledge starting from their point of view rather than from that of the professional perspective.
配偶在冠心病事件后其伴侣的康复过程中起着重要作用。他们的知识和态度会影响其在事件发生后对伴侣生活方式改变和药物治疗方面的支持。
探讨伴侣发生心脏事件1年后，配偶对冠心病病因和药物治疗的认知。
采用实证归纳法的定性研究。
对经过策略性选择的配偶（17名女性和8名男性）进行半结构式访谈并录音。在现象学框架内对访谈记录进行分析。
配偶对冠心病病因及其治疗的认知包括在普通层面判断为正确的事实、阐述较少的概念和误解。在冠心病病因方面，配偶对脂肪摄入最为了解。他们对缺乏运动、压力和吸烟的影响了解较少。对药物的益处与副作用表达了矛盾的感受。治疗被认为对心脏是必要的，但对其他器官有害。在大多数衍生类别中，男性和女性分布均匀。认为压力是冠心病病因以及误解体育锻炼会导致该病的女性多于男性。
揭示了配偶对冠心病病因和药物治疗的认知存在差异。对心脏康复活动的重要部分缺乏了解。这些误解可能会通过影响其伴侣的合作行为而产生影响。
在其伴侣的康复过程中，应考虑配偶对冠心病及其治疗的既有认知。对于有误解的夫妻，应给予机会从他们自己的角度而非专业角度定性地增加知识。
