Javadi-Pashaki Nazila, Salari Arsalan, Emami Sigaroudi Abdolhosein
Social Determinants of Health Research Center, Guilan University of Medical Sciences, Rasht, Iran.
Cardiovascular Diseases Research Center, Department of Cardiology, Heshmat Hospital, School of Medicine, Guilan University of Medical Sciences, Rasht, Iran.
J Patient Exp. 2020 Aug;7(4):493-498. doi: 10.1177/2374373519850971. Epub 2019 Jun 6.
The success of a coronary angioplasty in the treatment of myocardial infarction is affected by patients' experiences. However, the experiences of the people with an emergency angioplasty have remained unknown.
This study was conducted to explore the patients' experiences of an emergency angioplasty.
This study was performed using the qualitative research method and interpretive phenomenological approach. Nine patients under emergency angioplasty were selected using purposeful sampling. A total of 11 deep and semistructured interviews were performed with the patients. The data were analyzed using van Manen method.
Five subthemes of "diagnosis shock," "being in an emergency situation," "trying to self-control," "the need for reassuring care," and "stability" formed the structure of the patients' experiences under the main theme of "water on fire". Water on fire was the participants' main perception of the emergency angioplasty. Patient-centered interactions and meeting the care, supportive, and educational needs of the patients in the case of diagnosis shock lead to a pleasant experience of returning to life.
The findings of this study may have implications for care of patients undergoing emergency cardiovascular interventions.
冠状动脉血管成形术治疗心肌梗死的成功率受患者经历的影响。然而，急诊血管成形术患者的经历尚不清楚。
本研究旨在探索急诊血管成形术患者的经历。
本研究采用定性研究方法和解释现象学方法。采用目的抽样法选取9例接受急诊血管成形术的患者。对患者进行了共11次深入的半结构式访谈。采用范曼方法对数据进行分析。
“诊断休克”“处于紧急情况”“努力自我控制”“需要安心护理”和“稳定”这五个子主题构成了“着火的水”这一主题下患者经历的结构。“着火的水”是参与者对急诊血管成形术的主要认知。以患者为中心的互动以及在诊断休克时满足患者的护理、支持和教育需求，会带来回归生活的愉快体验。
本研究结果可能对接受急诊心血管介入治疗的患者护理具有启示意义。
