Ammouri Ali Ahmad, Kamanyire Joy Kabasindi, Abu Raddaha Ahmad H, Achora Susan, Obeidat Arwa Atef
Res Theory Nurs Pract. 2017 Nov 1;31(4):334-348. doi: 10.1891/1541-6577.31.4.334.
Myocardial infarction (MI) is a life-threatening health condition that has physical, spiritual, emotional, and social changes. Understanding feelings and thoughts of patients who suffered MI attacks is essential to recovery. Among Jordanian patients who suffered an acute attack of MI, the aim of the study was to describe the experiences and the varied meanings that they assign to their experiences.
A qualitative hermeneutic phenomenological research design was used. Five participants were engaged in in-depth semistructured interviews. The participants were identified using a purposeful sampling technique, after being admitted at a coronary care unit in a university hospital located in Amman, the capital city of Jordan. The hospital provides a full range of cardiovascular medical and surgical care for patients admitted from different socioeconomic levels. Transcribed data were analyzed following inductive qualitative content analysis method.
The experience of MI was a traumatizing event characterized by life-threatening symptoms, and participants feared they would not come back home. However, cultural values and religiosity among the Jordanian patients played a major role in facilitating their positive coping during and after the MI attack. The participants' recount of their experience was summed-up into 5 major themes: frightening experience, needed support, religiosity, experiencing changes, and lifestyle modifications. After the MI attack, most of the participants felt that they had given another chance to live, showing a pressing need to make healthier lifestyle modifications to avoid another MI attack.
Health care workers should need not only pay attention on physical and physiological caring aspects but should also consider other patients' needs, while supporting the patients and their family members.
心肌梗死（MI）是一种危及生命的健康状况，会引发身体、精神、情感和社会方面的变化。了解心肌梗死发作患者的感受和想法对康复至关重要。本研究旨在描述约旦心肌梗死急性发作患者的经历以及他们赋予这些经历的不同意义。
采用定性诠释现象学研究设计。对五名参与者进行了深入的半结构化访谈。这些参与者是在约旦首都安曼一家大学医院的冠心病监护病房住院后，通过目的抽样技术确定的。该医院为来自不同社会经济水平的患者提供全方位的心血管内科和外科护理。转录的数据采用归纳定性内容分析法进行分析。
心肌梗死的经历是一个具有威胁生命症状的创伤性事件，参与者担心自己回不了家。然而，约旦患者的文化价值观和宗教信仰在心肌梗死发作期间及之后促进他们积极应对方面发挥了重要作用。参与者对其经历的叙述归纳为五个主要主题：可怕的经历、需要支持、宗教信仰、经历变化和生活方式改变。心肌梗死发作后，大多数参与者觉得自己获得了重生的机会，这表明迫切需要做出更健康的生活方式改变以避免再次发生心肌梗死。
医护人员不仅应关注身体和生理护理方面，还应在支持患者及其家属的同时考虑患者的其他需求。
