O'Keefe-McCarthy Sheila, Taplay Karyn, Flynn-Bowman Allison, Keeping-Burke Lisa, Sjaarda Vanessa, McCleary Lynn, Abernethy Jean, Prentice Melanie, Tyrer Kayleigh, Salfi Jenn
Faculty of Applied Health Sciences/Department of Nursing, Brock University, St Catharines, Ontario, Canada.
Department of Nursing and Health Sciences, University of New Brunswick, Saint John, New Brunswick, Canada.
Can J Pain. 2020 Sep 24;4(3):71-86. doi: 10.1080/24740527.2020.1801339.
: Understanding the experience of prodromal ischemic cardiac pain and associated symptoms through use of literary and visual art evokes heightened a wareness of the emotional journey.
The aim of this study was to describe the initial early prodromal pain-related symptoms and feelings associated with adjusting to this new cardiac health concern and explore the subjective experience of coming to the realization and awareness of developing heart disease.
This study is a secondary supplemental qualitative analysis, using an arts-based embodied layered exploration assisted to translate the experiences of 23 individuals' journeys through symptom recognition. The analytic process involved three iterative layers: qualitative descriptive analysis of participant pain narratives, interpretation with thematic poetry, and representation via visual art to evoke an aesthetic, heightened level of understanding of the data.
Denial and disbelief, encroaching pain and symptoms of heart disease, and self-recrimination were three themes that emerged from the data. Pain described by participants brought forward the emotional dimensions of the experience. Participants described their process of realization as a tumultuous time, fraught with feelings of vulnerability and uncertainty, where anger and self-effacing ridicule permeated their thoughts that were tempered with profound gratitude at survival.
Bridging the connection between science and art to disseminate awareness of the nature of living with cardiac-related prodromal pain and disease is novel. Providing invitation and entrance into an individual's pain experience through qualitative inquiry with use of arts-based approaches makes visible the emotional meaning of pain.
通过文学和视觉艺术来理解前驱性缺血性心脏疼痛及相关症状的经历，能唤起对情感历程的更高认识。
本研究旨在描述与适应这种新的心脏健康问题相关的最初早期前驱性疼痛相关症状和感受，并探索意识到和知晓患心脏病的主观体验。
本研究是一项二次补充定性分析，采用基于艺术的具身分层探索，以帮助解读23个人通过症状识别的历程体验。分析过程包括三个迭代层次：对参与者疼痛叙述的定性描述分析、用主题诗歌进行解读，以及通过视觉艺术进行呈现，以唤起对数据的美学的、更高层次的理解。
否认与怀疑、心脏病的渐进性疼痛和症状以及自我谴责是从数据中浮现出的三个主题。参与者描述的疼痛揭示了该经历的情感层面。参与者将他们的认知过程描述为一段动荡的时期，充满了脆弱和不确定的感觉，愤怒和自嘲充斥着他们的思想，而对生存的深深感激则缓和了这些情绪。
将科学与艺术联系起来，以传播对患有心脏相关前驱性疼痛和疾病的生活本质的认识，这是新颖的。通过使用基于艺术的方法进行定性探究，邀请并让人们进入个人的疼痛体验，使疼痛的情感意义变得可见。
