Lowe Erin, Banner Davina, Estefan Andrew, King-Shier Kathryn
University of Calgary, Calgary, Alberta, Canada.
Red Deer College, Red Deer, Alberta, Canada.
Qual Health Res. 2022 Mar;32(4):609-621. doi: 10.1177/10497323211005431. Epub 2021 Apr 10.
Cardiovascular disease (CVD) is a leading cause of morbidity and mortality worldwide. Secondary prevention strategies reduce disease progression to heart failure. Rural cardiac patients typically have less access to health care resources to support them in managing secondary prevention, and services to improve quality of life tend to be lacking in rural settings. The study aim was to examine the process that rural cardiac patients go through to access health care and cardiac rehabilitation (CR) following myocardial infarction (MI). In-depth interviews with 11 post-MI participants using Straussian grounded theory were undertaken. Analysis revealed a linear process from hospital discharge to maintaining health. There were five elements: comfort with health information, relationship with health care providers, social support, taking ownership, and availability of/for CR. The core category was "being uncertain." Findings can be used to identify ways to improve access and address uncertainty stemming from a lack of perceived information and supports following discharge.
心血管疾病（CVD）是全球发病和死亡的主要原因。二级预防策略可减少疾病进展为心力衰竭。农村心脏病患者通常难以获得医疗保健资源来支持他们进行二级预防，而且农村地区往往缺乏改善生活质量的服务。该研究的目的是调查农村心脏病患者在心肌梗死（MI）后获得医疗保健和心脏康复（CR）的过程。采用施特劳斯扎根理论对11名心肌梗死后参与者进行了深入访谈。分析揭示了从出院到维持健康的线性过程。有五个要素：对健康信息的舒适度、与医疗保健提供者的关系、社会支持、自主意识以及心脏康复的可及性/适用性。核心类别是“不确定”。研究结果可用于确定改善可及性的方法，并解决因出院后缺乏可感知的信息和支持而产生的不确定性。
