Dahlviken Rønnaug M, Fridlund Bengt, Mathisen Lars
Institute of Nursing, Bergen University College, Bergen, Norway.
Department of Cardiology, Oslo University Hospital, Oslo, Norway.
Scand J Caring Sci. 2015 Jun;29(2):258-67. doi: 10.1111/scs.12158. Epub 2014 Jun 21.
Takotsubo cardiomyopathy is a reversible condition mimicking acute myocardial infarction. The phenomenon is associated with emotional and physical stressful trigger events. Evidence-based patient counselling should be based on disease-specific knowledge of patient experiences.
The aim of the study was to describe women's experiences of Takotsubo cardiomyopathy in a short-term perspective.
The study design was explorative and descriptive.
Semi-structured interviews were conducted with 14 women diagnosed with Takotsubo cardiomyopathy, 1 day to 9 months after hospitalisation. The transcriptions underwent qualitative content analysis.
The main theme that emerged was Takotsubo cardiomyopathy as a continuous process of making sense and adapting. To begin with, understanding and coping with signs and symptoms were described as having a diversity of signs and symptoms, taking actions towards signs and symptoms, receiving treatment for suspected ST/non ST-elevation myocardial infarction diagnosis and finally being diagnosed with Takotsubo cardiomyopathy. Understanding the context of illness was expressed as getting treated for Takotsubo cardiomyopathy diagnosis and having previous stressful conditions of life. The changing perspective that emanated was a combination of having prospects and expectations and experiencing limitations. Finally, managing to live with Takotsubo cardiomyopathy was manifested as returning home with the illness and receiving follow-up health care.
Information on regaining prior health status and capacity within a short-term perspective may not be accurate. These women struggle and require education and counselling from healthcare professionals to comprehend and manage having a Takotsubo cardiomyopathy diagnosis. Women experiencing Takotsubo cardiomyopathy may be a target group for holistic and individual health care with a longer duration of follow-up.
应激性心肌病是一种可逆转的疾病，类似于急性心肌梗死。这种现象与情绪和身体应激触发事件有关。基于证据的患者咨询应基于对患者经历的疾病特异性了解。
本研究的目的是从短期角度描述女性对应激性心肌病的经历。
本研究设计为探索性和描述性。
对14名诊断为应激性心肌病的女性进行了半结构式访谈，访谈时间为住院后1天至9个月。对访谈记录进行了定性内容分析。
出现的主要主题是应激性心肌病是一个不断理解和适应的过程。首先，理解和应对体征和症状被描述为具有多种体征和症状、对体征和症状采取行动、因疑似ST段/非ST段抬高型心肌梗死诊断接受治疗，最终被诊断为应激性心肌病。对疾病背景的理解表现为因应激性心肌病诊断接受治疗以及有过先前的生活应激状况。产生的视角变化是既有前景和期望又有局限性的结合。最后，设法与应激性心肌病共存表现为患病回家并接受后续医疗保健。
短期内关于恢复先前健康状态和能力的信息可能不准确。这些女性面临挣扎，需要医疗专业人员的教育和咨询，以理解和应对应激性心肌病的诊断。经历应激性心肌病的女性可能是需要更长随访期的整体和个性化医疗保健的目标群体。
