Holder Gerard N, Young William C, Nadarajah Sheeba R, Berger Ann M
Pain and Palliative Care Service,National Institutes of Health Clinical Center,Bethesda,Maryland.
Department of Nursing,Bowie State University,Bowie,Maryland.
Palliat Support Care. 2015 Jun;13(3):749-56. doi: 10.1017/S1478951514000583. Epub 2014 Jun 3.
One of the most prevalent life-threatening illnesses is heart disease. The initial trauma of being diagnosed with a life-threatening illness or having a cardiac event can begin a psychosocial chain reaction that results in a transformation of the lives of these patients. The goal of our study was to investigate the lived experiences of psychosocial healing in rehabilitation of cardiac patients using a qualitative written interview.
A purposive sample of 14 cardiac event survivors was recruited. Participants were interviewed after informed consent and screening. We used a qualitative analysis and model-revision approach similar to the procedure outlined by Charmaz (2006).
Participants consistently mentioned that a heightened awareness of mortality was a motivating factor that led to participants focusing more on their family and relationships, having an enhanced outlook on life, and making healthy lifestyle changes.
If clinicians are able to employ a measure to better understand the nature of a patient's progression from cardiac event to successful recovery, interventions such as cardiac rehabilitation can be implemented earlier and more effectively during the course of the illness and recovery phases of treatment. Theoretically, this early detection of a patient's progression could reduce the time spent recovering from a cardiac event, and it would allow treatments for these conditions to better alleviate the psychosocial concerns faced by patients.
心脏病是最常见的危及生命的疾病之一。被诊断患有危及生命的疾病或经历心脏事件带来的最初创伤可能引发心理社会连锁反应，从而改变这些患者的生活。我们研究的目的是通过定性书面访谈来调查心脏病患者康复过程中心理社会康复的生活经历。
招募了14名心脏事件幸存者作为有目的的样本。在获得知情同意并经过筛选后对参与者进行访谈。我们使用了类似于Charmaz（2006年）概述的程序的定性分析和模型修订方法。
参与者一致提到，对死亡率的更高认识是一个激励因素，促使参与者更加关注自己的家庭和人际关系，对生活有更积极的看法，并做出健康的生活方式改变。
如果临床医生能够采用一种措施来更好地了解患者从心脏事件到成功康复的进展情况，那么诸如心脏康复等干预措施就可以在疾病和治疗康复阶段更早、更有效地实施。从理论上讲，对患者进展情况的这种早期检测可以减少从心脏事件中恢复所需的时间，并且可以使针对这些病症的治疗更好地缓解患者面临的心理社会问题。
