Mastery of everyday life and social support needs in older vulnerable women with myocardial infarction and their relatives: A qualitative study
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Mastery of everyday life and social support needs in older vulnerable women with myocardial infarction and their relatives : A qualitative study. / Pedersen, Maria; Støier, Louise; Egerod, Ingrid; Overgaard, Dorthe.
I: European Journal of Cardiovascular Nursing, Bind 20, Nr. 7, 2021, s. 641-647.Publikation: Bidrag til tidsskrift › Tidsskriftartikel › Forskning › fagfællebedømt
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TY - JOUR
T1 - Mastery of everyday life and social support needs in older vulnerable women with myocardial infarction and their relatives
T2 - A qualitative study
AU - Pedersen, Maria
AU - Støier, Louise
AU - Egerod, Ingrid
AU - Overgaard, Dorthe
N1 - Publisher Copyright: © 2021 SAGE Publications Inc.. All rights reserved.
PY - 2021
Y1 - 2021
N2 - Aims The Danish public healthcare system provides a comprehensive cardiac rehabilitation (CR) programme, but attendance rates are low among older vulnerable women. Effective interventions enabling increased CR attendance are warranted. Knowledge about everyday life and social support needs is crucial to the development of effective CR interventions in this group. To explore mastery of everyday life and social support needs in older, vulnerable women with myocardial infarction (MI) and their relatives. Methods and results A qualitative explorative design using semi-structured individual or dyadic interviews with patients (n = 21) and their relatives (n = 13) and applying thematic analysis. Five themes captured mastery of everyday life and social support needs. 'The Big Picture' suggesting that comorbidities dwarfed the impact of MI. 'Blaming the Doctor' illustrated issues of distrust and treatment delay. 'Rehabilitation Barriers' explained why these vulnerable patients failed to participate in CR. 'Caregiver Concerns' described relatives dual roles as supporters and supported. 'Finding their Way' indicated how patients were assisted by peer support to negotiate the trajectory. Conclusion The study offers a basis for the development of CR interventions customized to this group of patients. Interventions should target patients with multimorbidity, low motivation for lifestyle changes, and transportation issues. Peer support is suggested for this group of patients where relatives are also apt to be vulnerable.
AB - Aims The Danish public healthcare system provides a comprehensive cardiac rehabilitation (CR) programme, but attendance rates are low among older vulnerable women. Effective interventions enabling increased CR attendance are warranted. Knowledge about everyday life and social support needs is crucial to the development of effective CR interventions in this group. To explore mastery of everyday life and social support needs in older, vulnerable women with myocardial infarction (MI) and their relatives. Methods and results A qualitative explorative design using semi-structured individual or dyadic interviews with patients (n = 21) and their relatives (n = 13) and applying thematic analysis. Five themes captured mastery of everyday life and social support needs. 'The Big Picture' suggesting that comorbidities dwarfed the impact of MI. 'Blaming the Doctor' illustrated issues of distrust and treatment delay. 'Rehabilitation Barriers' explained why these vulnerable patients failed to participate in CR. 'Caregiver Concerns' described relatives dual roles as supporters and supported. 'Finding their Way' indicated how patients were assisted by peer support to negotiate the trajectory. Conclusion The study offers a basis for the development of CR interventions customized to this group of patients. Interventions should target patients with multimorbidity, low motivation for lifestyle changes, and transportation issues. Peer support is suggested for this group of patients where relatives are also apt to be vulnerable.
KW - Cardiac rehabilitation
KW - Myocardial infarction
KW - Nursing
KW - Peers
KW - Relatives
KW - Vulnerable patients
U2 - 10.1093/eurjcn/zvab014
DO - 10.1093/eurjcn/zvab014
M3 - Journal article
C2 - 33846726
AN - SCOPUS:85120372554
VL - 20
SP - 641
EP - 647
JO - European Journal of Cardiovascular Nursing
JF - European Journal of Cardiovascular Nursing
SN - 1474-5151
IS - 7
ER -
ID: 303031144