Colella Tracey J F, Hardy Marsha, Hart Donna, Price Jennifer A D, Sarfi Hope, Mullen Kerri-Anne, Mulvagh Sharon, Norris Colleen M
Toronto Rehab Cardiovascular Prevention and Rehabilitation Program, University Health Network, Toronto, Ontario, Canada.
Canadian Women's Heart Health Alliance, Ottawa, Ontario, Canada.
CJC Open. 2021 Feb 10;3(3):229-235. doi: 10.1016/j.cjco.2020.11.020. eCollection 2021 Mar.
In recent years, public awareness campaigns have targeted knowledge gaps and inequities in care while focusing on the unique female experience and heightened cardiovascular disease (CVD) risk profile. Recognizing and understanding the sex and gender constructs, barriers, facilitators, and factors that affect access, treatment, and recovery after an acute cardiac event from the unique patient perspective is a key step in transforming clinical practice and care patterns. The aim of this atlas chapter is to provide a knowledge review and to identify gaps regarding the experience of living with CVD from the perspective of the female survivor. The sections are as follows: (1) experiencing and living with CVD as a woman; (2) "stopped at the gate": barriers to accessing acute cardiovascular care; and (3) action items to "open the gate" to women: what our patients want and need. The final section culminates with targeted recommendations stemming from recent literature and most importantly, from women with the lived experience of CVD.
近年来,公众宣传活动针对医疗保健方面的知识差距和不平等现象,同时关注独特的女性经历以及心血管疾病(CVD)风险的增加。从独特的患者视角认识和理解性别结构、障碍、促进因素以及影响急性心脏事件后获得治疗、接受治疗和康复的因素,是改变临床实践和护理模式的关键一步。本章图谱的目的是提供知识综述,并从女性幸存者的角度找出在心血管疾病生活经历方面的差距。各部分如下:(1)作为女性经历和患有心血管疾病;(2)“在门口受阻”:获得急性心血管护理的障碍;(3)“打开大门”让女性受益的行动项目:我们的患者想要什么和需要什么。最后一部分汇集了来自近期文献,最重要的是来自有心血管疾病亲身经历的女性的针对性建议。