Nadarajah Sheeba R, Buchholz Susan W, Wiegand Debra L, Berger Ann
1 Department of Nursing, Bowie State University, USA.
2 Adult Health and Gerontological Nursing, Rush University College of Nursing, USA.
Eur J Cardiovasc Nurs. 2017 Mar;16(3):230-239. doi: 10.1177/1474515116651977. Epub 2016 Jul 8.
Cardiac rehabilitation is often under-utilized despite its well-known benefits. Individuals with cardiac disease who exhibit a positive outlook often experience improved health outcomes. This study tried to explore the question: "What are the lived experiences of cardiac recovery in cardiac rehabilitation individuals with a predominantly positive outlook in the context of an acute cardiac event?"
Our primary aim explored the experiences of cardiac recovery in cardiac rehabilitation participants with a predominantly positive outlook, within the context of an acute cardiac event, including exploring barriers and facilitators of cardiac recovery. Our secondary aim explored how a positive outlook impacted completion of phase two of the cardiac rehabilitation program.
Husserlian phenomenology guided this study. A purposive sample of 10 individuals who had experienced an acute cardiac event and had a predominantly positive outlook were interviewed. Data were analyzed using Colaizzi's method.
Three themes emerged from the data. The first was "choosing life over death," where participants discussed how they made a decision to improve their health. The second theme was "learning to live a new self," where participants described the changes they had to make in order to improve their health. The third theme was "a life-transforming cardiac event" where participants shared how the cardiac event had changed their life.
The participants' decisions to choose to live, led them to embrace their cardiac recovery. It is important for nurses to identify individuals in cardiac rehabilitation that need additional support. In addition, alternative models of cardiac rehabilitation programs need to be explored.
尽管心脏康复有诸多益处,但它的利用率常常不足。患有心脏病且态度积极的个体往往健康状况改善。本研究试图探讨这个问题:“在急性心脏事件背景下,态度主要为积极的心脏康复个体的心脏康复生活体验是怎样的?”
我们的主要目的是探讨在急性心脏事件背景下,态度主要为积极的心脏康复参与者的心脏康复体验,包括探究心脏康复的障碍和促进因素。我们的次要目的是探讨积极态度如何影响心脏康复计划第二阶段的完成情况。
本研究采用胡塞尔现象学方法。对10名经历过急性心脏事件且态度主要为积极的个体进行了有目的抽样访谈。使用科莱齐法对数据进行分析。
数据中出现了三个主题。第一个是“选择生而非死”,参与者在此讨论了他们如何做出改善健康的决定。第二个主题是“学会以新的自我生活”,参与者描述了为改善健康必须做出的改变。第三个主题是“改变生活的心脏事件”,参与者分享了心脏事件如何改变了他们的生活。
参与者选择活下去的决定,促使他们接受心脏康复。护士识别出心脏康复中需要额外支持的个体很重要。此外,需要探索心脏康复计划的替代模式。