Nursing School of Lisbon, Lisbon, Portugal
Nursing Research, Innovation and Development Centre of Lisbon (CIDNUR), Lisbon, Portugal.
BMJ Open. 2024 Jun 25;14(6):e079598. doi: 10.1136/bmjopen-2023-079598.
Cardiovascular diseases remain a leading cause of death worldwide. Recovery from myocardial infarction is challenging as the causes of symptoms span multiple aspects of health not just physical conditions. Evidence has shown a gap between the waycare is provided in the clinical setting and the person's needs and preferences. The implementation of person-centred care (PCC) interventions can promote recovery from myocardial infarction by allowing a greater understanding of the person's perception and its role on the overall recovering process. This study aims to culturally adapt an evidence-based PCC intervention to enhance self-efficacy in patients after myocardial infarction within a Portuguese healthcare context.
The Portuguese person-centred care for myocardial infarction recovery (P2MIR) intervention is set to be developed from an evidence-based intervention, rooted in the ethics of PCC. An intervention of PCC for patients with acute coronary syndrome, which has been successfully implemented and evaluated in the Swedish healthcare context will be validated, culturally adapted and harmonised to the Portuguese healthcare context by using qualitative methods. To evaluate its acceptability, appropriateness and feasibility, a sample of stakeholders, consisting of a sample of healthcare professionals and a sample of people who suffered a myocardial infarction, will be recruited from a hospital, including both inpatient and outpatient departments. The stakeholders will be invited to semistructured focus group discussions, aiming to gather their perceptions about the P2MIR intervention, which will be previously presented to them. Data analysis will be conducted using content analysis following a deductive-inductive approach to further inform the intervention adaptation process to its final intervention in a Portuguese healthcare context.
The study has been reviewed and approved by the Health Ethics' Committees of the Centro Hospitalar Lisboa Ocidental, Lisbon, Portugal (registry number 20170700050). The results will be disseminated through peer-reviewed journals and conference presentations.
心血管疾病仍然是全球范围内的主要死因。心肌梗死后的恢复具有挑战性，因为症状的原因涉及多个健康方面，而不仅仅是身体状况。有证据表明，临床护理的方式与患者的需求和偏好之间存在差距。实施以患者为中心的护理（PCC）干预措施可以通过更好地了解患者的感知及其在整体恢复过程中的作用，来促进心肌梗死后的恢复。本研究旨在将一种基于证据的 PCC 干预措施进行文化调适，以增强葡萄牙医疗保健背景下心肌梗死后患者的自我效能感。
葡萄牙人心肌梗死后恢复的以患者为中心的护理（P2MIR）干预措施将基于循证干预措施制定，该干预措施植根于 PCC 的伦理原则。一项基于循证的针对急性冠状动脉综合征患者的 PCC 干预措施已在瑞典医疗保健环境中成功实施和评估，该干预措施将通过定性方法进行验证、文化调适和与葡萄牙医疗保健环境相协调。为了评估其可接受性、适当性和可行性，将从一家医院招募包括住院和门诊部门在内的利益相关者样本，包括一组医疗保健专业人员和一组心肌梗死患者，对他们进行半结构化焦点小组讨论，旨在收集他们对 P2MIR 干预措施的看法，该干预措施将事先向他们介绍。数据分析将采用内容分析法，采用演绎-归纳方法进行分析，以进一步为干预措施在葡萄牙医疗保健环境中的最终干预措施的适应过程提供信息。
该研究已由葡萄牙里斯本西部中心医院的健康伦理委员会审查和批准（注册号 20170700050）。研究结果将通过同行评议的期刊和会议报告进行传播。
