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Regaining control: the process of adjustment after myocardial infarction
1Faculty of Nursing, University of Alberta, Edmonton, Canada.
Heart & Lung : the Journal of Critical Care
|March 1, 1990
Summary
Individuals adjust to myocardial infarction (MI) through four distinct stages, focusing on regaining personal control. This adjustment process involves defending against loss of control, coming to terms with the event, and reestablishing mastery.
Area of Science:
- Cardiology
- Psychology
- Health Psychology
Background:
- Myocardial infarction (MI) significantly impacts an individual's life.
- Understanding the psychological adjustment post-MI is crucial for patient recovery.
Purpose of the Study:
- To examine the adjustment process individuals undergo after experiencing a myocardial infarction (MI).
- To identify the stages and core processes involved in post-MI adjustment.
Main Methods:
- Grounded theory approach.
- In-depth interviews with 14 individuals who had experienced an MI.
Main Results:
- The adjustment process after MI is variable and comprises four distinct stages.
- A core theme throughout all stages is the individual's focus on regaining a sense of personal control.
- Stages include defending against loss of control, coming to terms with the MI, employing strategies to reestablish control, and finally, acceptance and mastery.
Conclusions:
- Post-MI adjustment is a dynamic, multi-stage process centered on regaining control.
- Successful adjustment involves accepting limitations and shifting focus beyond the cardiac event.
- Reestablishing a sense of mastery is a key outcome of effective adjustment.