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Life course of people with coronary artery disease
1Department of Nursing Science and Health Administration, University of Oulu, Finland. hannele.lukkarinen@oulu.fi
Insights
Patients with coronary artery disease (CAD) experience distinct life courses post-treatment. An accepting, progressive life course leads to better rehabilitation outcomes compared to a non-accepting, regressive one.
Area of Science:
- Cardiology
- Psychology
- Sociology
Background:
- Coronary artery disease (CAD) significantly impacts patients' lives.
- Understanding patient perspectives on life course post-treatment is crucial for effective care.
Purpose of the Study:
- To describe the life course of CAD patients from their perspective.
- To analyze experiences during onset, inpatient care, and one-year aftercare.
Main Methods:
- Thematic interviews were conducted with 19 CAD patients one year after treatment.
- Patients had undergone either coronary artery bypass surgery or percutaneous transluminal coronary angioplasty.
Main Results:
- Two distinct life course patterns emerged: accepting/progressive and non-accepting/regressive.
- Patients with an accepting/progressive life course demonstrated superior rehabilitation.
- Specific factors like early onset, career disruption, and financial/family issues correlated with poorer outcomes.
Conclusions:
- Healthcare providers should identify patients at risk for a non-accepting, regressive life course.
- Tailored support and rehabilitation programs are essential for these patients.
- Listening to patients' lived experiences is vital for improving care and planning.
Abstract:
The purpose of this study was to describe the life course of coronary artery disease patients from their own perspective at the onset of coronary artery disease and during both the in-patient period and the one-year period of aftercare. Nineteen people selected from a population of 200 patients who had undergone either coronary artery bypass surgery or percutaneous transluminal coronary angioplasty were available for thematic interviews. Interviews were conducted one year after the treatment in the subject's homes. Analyses revealed two distinct types of life course; accepting and progressive, as opposed to non-accepting and regressive. Participants who represented an accepting and progressive life course achieved a better level of rehabilitation than those with a non-accepting and regressive life course. If health care personnel are able to identify the problems related to a non-accepting, regressive life course, they will be better able to support patients' individual life course planning. According to the present findings, a rehabilitation programme is particularly needed for patients with acute onset of coronary artery disease at a relatively early age, disruption of an active working career, financial problems, dissatisfaction with outcome of treatment, family problems and a dismal view of the future. The findings challenge health care personnel to listen to coronary patients' own experiences.