Binnie Kirsten, Neubeck Lis, McHale Sheona, Hanson Coral L
Centre for Cardiovascular Health, Edinburgh Napier University, Sighthill Campus, Sighthill Court, Sighthill, Edinburgh EH11 4BN, UK.
School of Health and Social Care, Edinburgh Napier University, Sighthill Campus, Sighthill Court, Sighthill, Edinburgh EH11 4BN, UK.
Eur J Cardiovasc Nurs. 2023 Dec 14;22(8):814-823. doi: 10.1093/eurjcn/zvad013.
Spontaneous coronary artery dissection (SCAD) is increasingly recognized as an important cause of myocardial infarction predominantly affecting women aged younger than 50 years. There is limited research addressing female and male SCAD survivors' experience of, or requirements for, support post-SCAD. This study explored what SCAD survivors wanted to support recovery.
A qualitative study using semi-structured video and telephone interviews. Data were analysed through thematic analysis using the framework approach. We interviewed 20 participants (19 females) with a mean age of 54.6 (+/-SD 8.5 years). Three overarching themes encapsulated participants' views about support requirements. (i) Education and information. Participants thought healthcare professionals involved in diagnosis and supporting recovery required greater awareness of SCAD and the psychological effect of SCAD. They wanted accessible SCAD information immediately post-event and during the educational component of cardiac rehabilitation. (ii) Physical activity. Requirements were for advice tailored to individuals' specific needs, physical capabilities, and physical activity preferences. Participants suggested that utilizing wearable technology was helpful to encourage a safe return to activity. (iii) Psychosocial support. Participants wanted formal psychosocial support immediately post-event, during cardiac rehabilitation and in the longer term.
Better healthcare professional training may improve diagnosis, and increase support and awareness of SCAD. SCAD support programmes should provide early SCAD specific education utilizing online sources, individually tailor physical activity prescription, offer wearable technology to support a return to being active, and provide short- and long-term psychosocial support. As SCAD is predominately a female condition, programmes should consider female physical activity preferences.
自发性冠状动脉夹层（SCAD）日益被认为是心肌梗死的一个重要原因，主要影响50岁以下的女性。关于SCAD女性和男性幸存者在SCAD后对支持的体验或需求的研究有限。本研究探讨了SCAD幸存者想要何种支持来促进康复。
一项采用半结构化视频和电话访谈的定性研究。通过使用框架方法的主题分析对数据进行分析。我们访谈了20名参与者（19名女性），平均年龄为54.6岁（标准差为8.5岁）。三个总体主题概括了参与者对支持需求的看法。（i）教育与信息。参与者认为，参与诊断和支持康复的医疗保健专业人员需要对SCAD及其心理影响有更高的认识。他们希望在事件发生后立即以及在心脏康复的教育阶段能够获取容易获得的SCAD信息。（ii）体育活动。需求是针对个人的特定需求、身体能力和体育活动偏好量身定制的建议。参与者建议利用可穿戴技术有助于鼓励安全恢复活动。（iii）心理社会支持。参与者希望在事件发生后立即、在心脏康复期间以及长期都能获得正式的心理社会支持。
更好地对医疗保健专业人员进行培训可能会改善诊断，并提高对SCAD的支持和认识。SCAD支持项目应利用在线资源提供早期的SCAD特定教育，个性化定制体育活动处方，提供可穿戴技术以支持恢复活动，并提供短期和长期的心理社会支持。由于SCAD主要是一种女性疾病，项目应考虑女性的体育活动偏好。
