Digiacomo Michelle, Davidson Patricia M, Zecchin Robert, Lamb Kate, Daly John
Centre for Cardiovascular and Chronic Care, Faculty of Nursing, Midwifery and Health, University of Technology Sydney and Curtin University, P.O. Box 123, Broadway, NSW 2007, Australia.
Nurs Res Pract. 2011;2011:376020. doi: 10.1155/2011/376020. Epub 2011 May 22.
Cardiovascular disease is the largest killer of women internationally and women often suffer inferior outcomes following an acute cardiac event as compared to men. A gendered approach to investigating cardiovascular disease in women incorporates the unique social, cultural, and economic circumstances that being a woman brings to the health encounter. The multiple roles enacted by many women may be important factors in this health discrepancy. In order to more fully understand the impact of the roles of women on health, a questionnaire was administered to participants of the Heart Awareness for Women group cardiac rehabilitation program which assessed women's role perceptions followed by discussions. We found that caregiving can be both positive and negative. It gives a sense of purpose, meaning, and community connection as well as burden and conflict. Emphasis must be placed on promoting strategies in women to achieve a balance between caregiving responsibilities and prioritisation of cardiovascular health.
心血管疾病是全球女性的头号杀手，与男性相比，女性在急性心脏事件后往往预后较差。采用性别视角来研究女性心血管疾病，要考虑到女性在就医过程中所面临的独特社会、文化和经济状况。许多女性所扮演的多重角色可能是导致这种健康差异的重要因素。为了更全面地了解女性角色对健康的影响，我们对参加“女性心脏健康意识”团体心脏康复项目的参与者进行了问卷调查，该问卷评估了女性的角色认知，随后进行了讨论。我们发现，照顾他人既有积极影响，也有消极影响。它能带来目标感、意义感和社区联系感，但同时也会带来负担和冲突。必须着重推动相关策略，帮助女性在照顾他人的责任与心血管健康的优先性之间找到平衡。
