Department of Cardiology, Örebro University Hospital, School of Health and Medical Sciences, Örebro University and Centre for Health Care Sciences, Örebro County Council, Örebro, Sweden.
J Clin Nurs. 2011 Jun;20(11-12):1677-84. doi: 10.1111/j.1365-2702.2010.03312.x. Epub 2010 Sep 29.
This study aimed to explore and describe women's experience of intimate relationships in connection to and after their partner's first myocardial infarction.
Support from partners is important for recovery, but little is known about partners' experience of intimate relationships after myocardial infarction.
The study used an explorative, qualitative design.
The first author interviewed 20 women having a partner who had suffered a first myocardial infarction during the preceding year. Qualitative content analysis was used to analyse the data.
Three themes emerged: 'limited life space', 'sense of life lost' and 'another dimension of life'. The women described how their self-assumed responsibility led to a more stifling and limited life. Their sense of life lost was described in terms of deficits and feeling the loss. The women also described experiencing another dimension of life characterised by three subthemes: 'uncertainty of life', 'certain of relationship' and 'share life more'.
The partners' myocardial infarction had an impact on the interviewees' intimate relationships; they suffered a major loss and missed their 'former' partner, both emotionally and sexually. They struggled with the new asymmetry in their intimate relationship and felt compelled to adapt to their partners' lack of sexual desire or function. Also, their partner controlled them, which lead towards a stifling, more limited life space.
Caregivers in hospital and primary care settings could apply the findings in their efforts to help couples recover or maintain intimate relationships following myocardial infarction.
本研究旨在探讨和描述女性在伴侣首次心肌梗死后与伴侣的亲密关系经历。
伴侣的支持对康复很重要,但对伴侣在心肌梗死后亲密关系的体验知之甚少。
本研究采用探索性定性设计。
第一作者采访了 20 名女性,她们的伴侣在过去一年中患有首次心肌梗死。采用定性内容分析方法对数据进行分析。
出现了三个主题:“有限的生活空间”、“生活丧失感”和“生活的另一个维度”。女性描述了她们的自我责任感如何导致生活更加压抑和有限。她们的生活丧失感体现在缺陷和失落感上。女性还描述了经历了另一个维度的生活,其特点是三个子主题:“生活的不确定性”、“对关系的确定”和“更多地分享生活”。
伴侣的心肌梗死对受访者的亲密关系产生了影响;她们在情感和性方面都遭受了重大损失,失去了“以前”的伴侣。她们在亲密关系中的新不对称中挣扎,并感到被迫适应伴侣缺乏性欲或功能。此外,她们的伴侣控制着她们,导致生活空间变得压抑和更加有限。
医院和初级保健机构的护理人员可以将这些发现应用于帮助夫妻在心肌梗死后恢复或维持亲密关系的努力中。