Hardeland Camilla, Leonardsen Ann-Chatrin Linqvist, Isern Cecilie Benedicte, Berge Hilde Moseby
Norwegian National Advisory Unit on Prehospital Emergency Medicine (NAKOS), Division of Prehospital Services, Oslo University Hospital, Norway.
Faculty of Health, Welfare and Organization, Østfold University College, Norway.
Resusc Plus. 2022 Aug 22;11:100293. doi: 10.1016/j.resplu.2022.100293. eCollection 2022 Sep.
To explore how young exercisers experience surviving sudden cardiac arrest (SCA), focusing on interpretation of warning signs and experiences with the healthcare system.
The study had a qualitative design, and data was collected using individual, semi-structured interviews. Inclusion criteria were SCA survivors aged 18-50 years old who reported at least five hours of exercise/week prior to SCA, or who suffered SCA during or ≤60 min after exercise.
18 interviews were performed (4 females), age range 19-49 years old. Analysis identified the themes [1] neglected warning signs, [2] fluctuating between gratitude and criticism and [3] one size does not fit all. When young exercisers experienced symptoms such as fainting, chest pain, arrythmia, shortness of breath and fatigue, these were often ignored by either the participants, healthcare personnel or both. SCA survivors were grateful to the healthcare system and for the efforts made by healthcare personnel, but experienced a mismatch between what patients needed and could utilize, and what they actually received regarding both information and individualised services. Being young exercisers, the participants reported to have individual needs, but treatment and rehabilitation were not adapted and were mainly targeted to rehabilitation of older patients.
Patients and healthcare personnel should be aware of cardiac related symptoms and warning signs for SCA, and these should be properly assessed in the population of young exercisers. SCA survivors need useful and repeated information. The needs of SCA survivors among young exercisers require individualisation of services.
探讨年轻运动者经历心脏骤停（SCA）幸存后的体验，重点关注对警示信号的解读以及与医疗系统的接触经历。
本研究采用定性设计，通过个体半结构化访谈收集数据。纳入标准为年龄在18至50岁之间的SCA幸存者，他们在SCA发作前每周至少锻炼5小时，或在运动期间或运动后≤60分钟内发生SCA。
共进行了18次访谈（4名女性），年龄范围为19至49岁。分析确定了以下主题：[1]被忽视的警示信号；[2]在感恩与批评之间摇摆不定；[3]一刀切并不适用。当年轻运动者出现如昏厥、胸痛、心律失常、呼吸急促和疲劳等症状时，这些症状往往被参与者、医护人员或双方忽视。SCA幸存者对医疗系统以及医护人员所做的努力心怀感激，但在患者所需及可利用的资源与他们实际获得的信息和个性化服务之间存在差距。作为年轻运动者，参与者表示有个性化需求，但治疗和康复并未得到调整，主要针对老年患者的康复。
患者和医护人员应了解与心脏相关的症状及SCA的警示信号，并应在年轻运动者群体中对这些症状进行适当评估。SCA幸存者需要有用且反复的信息。年轻运动者中SCA幸存者的需求需要服务的个性化。
