Hogg Natalie M, Garratt Vanessa, Shaw Samantha K, Tagney Jenny
Bristol Doctorate in Clinical Psychology, University of Bristol, Bristol, UK.
Br J Health Psychol. 2007 Nov;12(Pt 4):651-62. doi: 10.1348/135910707X184770.
The experience of a myocardial infarction (MI), its potential meaning and consequences arouse a high level of emotional responsiveness in the individual. Researchers to date have argued that implementing adaptive coping strategies is necessary for emotional adjustment. This study aimed to advance coping research by providing more detailed insight into middle-aged men's personal experiences of coping with MI and the meaning they ascribe to these experiences.
Interpretative Phenomenological Analysis (IPA) was used to conduct an in-depth study of a small sample of patients who had suffered their first MI.
Semi-structured interviews were conducted with six men within 6 months of their first MI. Verbatim transcripts of these interviews were analysed using IPA.
Three superordinate themes emerged, which are described under the headings of 'Difficulty in Reflecting', 'Needing to Talk' and 'Back to Normal'.
Participants seemed to share difficulties in reflecting on their coping strategies and the concept of coping generally, but were keen to talk about specific events in relation to the MI. The findings suggest that cardiac rehabilitation needs to focus on individual priorities for recovery. Providing opportunities for patients to talk through their experiences individually may be an important aspect of such care. Further research is needed to investigate the challenges that patients confront and the support they require post-MI.
心肌梗死（MI）的经历、其潜在意义和后果会在个体中引发高度的情绪反应。迄今为止，研究人员认为实施适应性应对策略对于情绪调整是必要的。本研究旨在通过更深入地了解中年男性应对心肌梗死的个人经历以及他们赋予这些经历的意义，推动应对研究。
采用解释现象学分析（IPA）对一小部分首次发生心肌梗死的患者进行深入研究。
在6名男性首次发生心肌梗死后6个月内进行半结构化访谈。使用IPA对这些访谈的逐字记录进行分析。
出现了三个上位主题，分别在“反思困难”、“需要倾诉”和“恢复正常”的标题下进行描述。
参与者似乎在反思他们的应对策略和一般应对概念方面存在共同困难，但热衷于谈论与心肌梗死相关的具体事件。研究结果表明，心脏康复需要关注个体的恢复重点。为患者提供单独谈论其经历的机会可能是此类护理的一个重要方面。需要进一步研究来调查患者在心肌梗死后面临的挑战以及他们所需的支持。
