Korean J Adult Nurs.  2014 Apr;26(2):203-213. 10.7475/kjan.2014.26.2.203.

The Health Behavioral Experience of Patients with Myocardial Infarction during the Recovery Period

• Kang KJ
• Kim MJ

• KMID: 2351604
• DOI: http://doi.org/10.7475/kjan.2014.26.2.203

Abstract

PURPOSE
The purpose of this study was to understand and describe the every day life experience of patients with acute myocardial infarction (AMI) during the recovery period after Percutaneous Coronary Intervention (PCI) using a qualitative approach.
METHODS
Twelve patients with AMI participated in this study. Their age ranged from 42 to 75. The data were collected by individual in-depth interviews and all interviews were audio-taped and transcribed verbatim. The transcribed data were analyzed using traditional qualitative content analysis.
RESULTS
Six sub-themes emerged from the data as follows: Getting to know about illness, getting motivated for health behavior, putting an effort into health behavioral change, having difficulties maintaining health behavior, setting up coping strategies for health behavior and having a need for a tailored education. The results of this study showed how the health behaviors of patients with AMI are related to their every day life experiences.
CONCLUSION
The results of this study could help health professionals to better understand patients with AMI and design effective educational interventions to improve their health behaviors.

MeSH Terms

Education
Health Behavior*
Health Occupations
Humans
Life Change Events
Myocardial Infarction*
Percutaneous Coronary Intervention
Qualitative Research

Reference

Bergman E.., Bertero C.2003. 'Grasp life again' A qualitative study of the motive power in myocardial infarction patients. European Journal of Cardiovascular Nursing. 24:303––310. http://dx.doi.org/10.1016/S1474-5151(03)00098-7.

Chan I. W. S.., Lai J. C. L.., Wong K. W. N.2006. Resilience is associated with better recovery in Chinese people diagnosed with coronary heart disease. Psychology and Health. 21:335––349. http://dx.doi.org/10.1080/14768320500215137.

Choi E. H.2002. The lived experience of the acute myocardial infarction patients. Unpublished master's thesis, Chung-Ang University, Seoul.

Davidson P. M.., Daly J.., Leung D.., Ang E.., Paull G.., DiGia-como M., et al. 2011. Health-seeking beliefs of cardiovascular patients: A qualitative study. International Journal of Nursing Studies. 48:1367––1375. http://dx.doi.org/10.1016/j.ijnurstu.2011.02.021.

Geiss L. S.., James C.., Gregg E. W.., Albright A.., Williamson D. F.., Cowie C. C.2010. Diabetes risk reduction behaviors among U. S. adults with prediabetes. American Journal of Preventive Medicine. 38:403––409. http://dx.doi.org/10.1016/j.amepre.2009.12.029.

Graneheim U. H.., Lundman B.2004. Qualitative content analysis in nursing research: Concepts, procedures and measures to achieve trustworthiness. Nurse Education Today. 24:105––112. http://dx.doi.org/10.1016/j.nedt.2003.10.001.

Hallveig B.., Louise J.., Colleen N.., Michelle G.2009. Health-related quality of life in women with coronary artery disease. European Journal of Cardiovascular Nursing. 8:18––25. http://dx.doi.org/10.1016/j.ejcnurse.2008.05.002.

Hanssen T. A.., Nordrehaug J. E.., Eide G. E.., Hanestad B. R.2007. Improving outcomes after myocardial infarction: A randomized controlled trial evaluating effects of a telephone follow up intervention. European Journal of Cardiovascular Prevention and Rehabilitation. 14:429––437. http://dx.doi.org/10.1097/HJR.0b013e32801da123.

Jackson D.., Daly J.., Davidson P.., Elliott D.., Cameron-Traub E.., Wade V., et al. 2000. Women recovering from first-time myocardial infarction(MI): A feminist qualitative study. Journal of Advanced Nursing. 32:1403––1411. http://dx.doi.org/10.1046/j.1365-2648.2000.01622.x.

Jairath N.1999. Myocardial infarction patients use of metaphors to share meaning and communicate underlying frames of experience. Journal of Advanced Nursing. 29:283––289. http://dx.doi.org/10.1046/j.1365-2648.1999.00838.x.

Kang K. J.., Song M. S.2010. Development and evaluation of motivational enhancement therapy for patients with coronary artery disease. Journal of Korean Clinical Nursing Research. 16(2):5––16.

Khuder S. A.., Milz S.., Jordan T.., Price J.., Silvestri K.., Butler P.2007. The impact of a smoking ban on hospital admissions for coronary heart disease. Preventive Medicine. 45:3––8. http://dx.doi.org/10.1016/j.ypmed.2007.03.011.

Korean National Statistics Office. 2011. Annual report on the cause of death statistics. Retrieved May 28, 2013, from. http://www.kostat.go.kr.

Lee Y. J.2007. An education program to modify lifestyle: Effects on health behavior and physiological parameters in patients with coronary disease. Journal of Korean Clinical Nursing Research. 13(3):43––54.

Paquet M.., Bolduc N.., Xhignesse M.., Vanasse A.2005. Re-engineering cardiac rehabilitation programmes: Considering the patients point of view. Journal of Advanced Nursing. 51:567––576. http://dx.doi.org/10.1111/j.1365-2648.2005.03544.x.

Park I. S.., Song R. Y.., Ahn S. H.., So H. Y.., Kim H. L.., Joo K. O.2008. Factors explaining quality of life in individuals with coronary artery disease. Journal of Korean Academy of Nursing. 38:866––873. http://dx.doi.org/10.4040/jkan.2008.38.6.866.

Pattenden J.., Watt I.., Lewin R. J. P.., Stanford N.2002. Decision making processes in people with symptoms of acute myocardial infarction: Qualitative study. British Medical Journal. 324:1006––1009. http://dx.doi.org/10.1136/bmj.324.7344.1006.

Peterson J. C.., Allegrante J. P.., Pirraglia P. A.., Robbins L.., Lane P. K.., Boschert K. A., et al. 2010. Living with heart disease after angioplasty: A qualitative study of patients who have been successful or unsuccessful in multiple behavior change. Heart & Lung. 39:105––115. http://dx.doi.org/10.1016/j.hrtlng.2009.06.017.

Sandelowski M.1986. The problem of rigor in qualitative research. Advances in Nursing Science. 8(3):27––37.

Shin N. Y.2011. The relationships among health locus of control and resilience, social support and health promoting behavior in patients with coronary artery disease. Unpublished master's thesis, Ewha Womans University, Seoul.

Shin S. J.2006. Grounded theory research on recovery process of myocardial infarction patients. Unpublished doctoral dissertation, Ewha Womans University, Seoul.

Son Y. J.2008. The development and effects of an integrated symptom management program for prevention of recurrent cardiac events after percutaneous coronary intervention. Journal of Korean Academy of Nursing. 38:217––228. http://dx.doi.org/10.4040/jkan.2008.38.2.217.

Wong M. S.., Chair S. Y.2007. Changes in health related quality of life following percutaneous coronary intervention: A longitudinal study. International Journal of Nursing Studies. 44:1334––1342. http://dx.doi.org/10.1016/j.ijnurstu.2006.07.011.

Yang I. S.., Choi D. H.., Kang Y. H.2010. The awareness of cardiovascular risk factors and its correlates in patients with coronary artery diseases. Korean Journal of Adult Nursing. 22:499––508.