Junehag Lena, Asplund Kenneth, Svedlund Marianne
Department of Health Sciences, Mid Sweden University, Östersund, Sweden.
Intensive Crit Care Nurs. 2014 Feb;30(1):22-30. doi: 10.1016/j.iccn.2013.07.002. Epub 2013 Aug 17.
The aim of this study was to describe individuals' perceptions of the psychosocial consequences of an acute myocardial infarction (AMI) and of their access to support one year after the event.
The study included 20 participants (14 men and six women) who lived in rural areas and had experienced their first AMI. Eleven were offered contact with a mentor. The participants were interviewed one year after their AMI.
The findings are presented in three themes: having a different life, having to manage the situation and having access to support, with 11 subthemes. During their recovery, the participants experienced psychosocial consequences, consisting of anxiety and the fear of being afflicted again. Most mentees appreciated their mentor and some of those without mentors wished they had received organised support. Participants were often more dissatisfied than satisfied with the follow-up provided during recovery.
After an AMI, follow-up is important during recovery, but the standardised information provided is inadequate. During recovery, people need help dealing with existential crises. After discharge, receiving peer support from lay people with similar experiences could be valuable. The knowledge gleaned from this study could be used in education at coronary care units and in health care outside the hospital setting.
本研究旨在描述个体对急性心肌梗死（AMI）心理社会后果的认知以及事件发生一年后他们获得支持的情况。
该研究纳入了20名居住在农村地区且首次发生AMI的参与者（14名男性和6名女性）。其中11人获得了与一位导师联系的机会。参与者在发生AMI一年后接受了访谈。
研究结果呈现为三个主题：生活发生改变、必须应对现状以及获得支持，包含11个子主题。在康复过程中，参与者经历了心理社会后果，包括焦虑和再次患病的恐惧。大多数接受指导者对他们的导师表示赞赏，一些没有导师的参与者希望自己能得到有组织的支持。参与者对康复期间提供的随访服务往往不满意多于满意。
AMI后，康复期间的随访很重要，但提供的标准化信息不足。在康复过程中，人们需要应对生存危机的帮助。出院后，从有类似经历的非专业人士那里获得同伴支持可能很有价值。从本研究中收集到的知识可用于冠心病监护病房的教育以及医院外的医疗保健。
