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调查心脏病患者的支持需求。

Investigating support needs for people living with heart disease.

机构信息

Heart Foundation Victoria, Melbourne, Vic., Australia.

出版信息

J Clin Nurs. 2014 Jan;23(1-2):166-72. doi: 10.1111/jocn.12165. Epub 2013 Aug 19.

Abstract

AIM AND OBJECTIVES

To identify the issues that required ongoing support for people who have completed a cardiac rehabilitation programme.

BACKGROUND

Surviving a serious cardiac event is a stressful and traumatic experience, often resulting in major changes in a person's lifestyle, work, finances and family dynamics. Individuals who have experienced a cardiac event and completed a cardiac rehabilitation programme may require ongoing support. The issues requiring support are unclear.

DESIGN

A qualitative, descriptive study.

METHODS

Nine participants, who were at least four weeks postcompletion of a cardiac rehabilitation programme, were interviewed. Data were collected using semi-structured interviews and analysed using thematic analysis.

RESULTS

The participants in this project clearly articulated that informational, psychological and social supports were imperative in enabling recovery from a serious cardiac event. Even though participation in a cardiac rehabilitation programme is seen as being very valuable, there is a need for ongoing support to absorb shock, maintain lifestyle changes and navigate a new way of life.

CONCLUSIONS

This study highlights the gap in ongoing support for people postparticipation in cardiac rehabilitation programmes and the need for different levels of support during their recovery. Agencies such as Heart Foundation are well placed to facilitate connections between people living with heart disease and available support programmes and services. Initiatives that link individuals to community-run, peer-led support groups, walking and exercise programmes would be especially valuable.

RELEVANCE TO CLINICAL PRACTICE

Individuals who have experienced an acute cardiac event need ongoing support across the recovery continuum. Consideration needs to be given to care models that address this need including exploring the potential of peer support.

摘要

目的和目标

确定那些完成心脏康复计划的人需要持续支持的问题。

背景

经历严重心脏事件是一种压力和创伤性的经历,通常会导致一个人生活方式、工作、财务和家庭动态的重大变化。经历过心脏事件并完成心脏康复计划的个人可能需要持续支持。需要支持的问题尚不清楚。

设计

定性、描述性研究。

方法

采访了 9 名参与者,他们至少在完成心脏康复计划四周后接受了采访。使用半结构化访谈收集数据,并使用主题分析进行分析。

结果

该项目的参与者清楚地表达了信息、心理和社会支持对于从严重心脏事件中恢复是至关重要的。尽管参加心脏康复计划被认为非常有价值,但仍需要持续的支持来吸收冲击、维持生活方式的改变并适应新的生活方式。

结论

这项研究强调了心脏康复计划参与者在参与后持续支持的差距,以及在他们康复期间需要不同层次的支持。心脏基金会等机构非常适合促进患有心脏病的人与可用的支持计划和服务之间的联系。将个人与社区运营的、由同行领导的支持小组、步行和锻炼计划联系起来的举措将特别有价值。

临床相关性

经历过急性心脏事件的个人在整个康复过程中都需要持续支持。需要考虑满足这一需求的护理模式,包括探索同伴支持的潜力。

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