Moeini Mahin, Naseri Nayereh, Zargham-Boroujeni Ali
School of Nursing and Midwifery, Nursing and Midwifery Care Research Center, Isfahan University of Medical Sciences, Isfahan, Iran.
Iran J Nurs Midwifery Res. 2012 Feb;17(2 Suppl 1):S137-42.
Ischemic heart disease (IHD) is one of the leading causes of death and disability among young and older women, respectively. Researches in this area mostly focused on manifestations, risk factors, and treatment of the patients with IHD. Therefore, there is a lack of information on the aspects of affects and feelings of such patients. This study aimed to describe lived experience of women with IHD to provide a suitable guide for nursing practice.
This was a descriptive phenomenological study. Participants were 8 women with IHD who were hospitalized in critical care units (CCUs) and ambulatory cardiac care centers of Isfahan University of Medical Sciences in Iran. They voluntarily responded to open-ended questions of semi-structured interviews. Data was analyzed using Colaizzi's method to extract meanings and concepts.
After analyzing the statements of the participants, 14 subthemes forming 5 main concepts of pain and relief, resistance, introversion, loss of control, and mutual communication were emerged.
Ischemic heart event is an experience with multidimensional impact on various aspects of the patient's life. This study demonstrated this experience as having 5 fundamental elements. Women with IHD expressed their suffering from frequent cycles of pain that drove their feelings and thoughts toward themselves and provoked their sense of resistance. They also faced loss of control on various aspects of their lives and changes in their relationships with others, too. This image would help nurses design their care plan based on a better understanding of these patients.
缺血性心脏病（IHD）分别是年轻女性和老年女性死亡和残疾的主要原因之一。该领域的研究大多集中在缺血性心脏病患者的表现、危险因素和治疗方面。因此，缺乏关于此类患者情感和感受方面的信息。本研究旨在描述缺血性心脏病女性患者的生活经历，为护理实践提供合适的指导。
这是一项描述性现象学研究。参与者为8名患有缺血性心脏病的女性，她们在伊朗伊斯法罕医科大学的重症监护病房（CCU）和门诊心脏护理中心住院。她们自愿回答半结构化访谈中的开放式问题。采用科拉齐方法分析数据以提取意义和概念。
在分析参与者的陈述后，出现了14个次主题，形成了疼痛与缓解、抵抗、内向、失去控制和相互交流这5个主要概念。
缺血性心脏病事件是一种对患者生活各个方面具有多维度影响的经历。本研究表明这种经历有5个基本要素。患有缺血性心脏病的女性表示，她们遭受频繁的疼痛周期折磨，这使她们的情感和思想转向自身，并激发了她们的抵抗感。她们还面临着生活各方面失去控制以及与他人关系的变化。这一情况将有助于护士在更好地理解这些患者的基础上设计护理计划。
