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心肌梗死后女性的康复经历:一项元综合分析

Women's experiences of recovery after myocardial infarction: a meta-synthesis.

作者信息

Hildingh Cathrine, Fridlund Bengt, Lidell Evy

机构信息

School of Social and Health Sciences, Halmstad University, Halmstad, Sweden.

出版信息

Heart Lung. 2007 Nov-Dec;36(6):410-7. doi: 10.1016/j.hrtlng.2007.02.008.

Abstract

BACKGROUND

Women report lower well-being, compared with men, during recovery after myocardial infarction (MI). To support women in their recovery it is important to understand their experiences from their own perspective. However, a single study using a qualitative method does not have the potential to contribute to evidence-based nursing practice, and it is therefore important to synthesize findings from several qualitative studies.

OBJECTIVES

The aim of this study was to perform a meta-synthesis of findings of women's experiences of recovery after MI.

METHODS

A meta-synthesis with seven qualitative studies, including a total of 70 women, was performed.

RESULTS

Recovery was characterized by subordination and superordination. The women strived to preserve their self, and at the same time they were strongly oriented toward other people. Four concepts emerged: protecting, adjusting, downgrading, and succumbing.

CONCLUSION

Women oscillate between subordination and superordination. Protecting the matriarchy and being a victim of the patriarchy shed light on this ambivalence in the same way as adjusting to the situation and succumbing to the disease do.

摘要

背景

与男性相比,女性在心肌梗死(MI)后的康复过程中幸福感较低。为了支持女性康复,从她们自己的角度了解她们的经历很重要。然而,仅一项使用定性方法的研究无法为循证护理实践做出贡献,因此综合多项定性研究的结果很重要。

目的

本研究的目的是对女性心肌梗死后康复经历的研究结果进行元综合分析。

方法

对七项定性研究进行了元综合分析,共纳入70名女性。

结果

康复的特点是从属和主导。女性努力保持自我,同时又强烈地以他人为导向。出现了四个概念:保护、调整、降级和屈服。

结论

女性在从属和主导之间摇摆不定。保护母权制和成为父权制的受害者,与适应情况和屈服于疾病一样,揭示了这种矛盾心理。

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