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Coping Experiences: A Pathway towards Different Coping Orientations Four and Twelve Months after Myocardial Infarction—A Grounded Theory Approach

Background. Patients recovering from a myocardial infarction (MI) are faced with a number of serious challenges. Aim. To create a substantive theory on myocardial infarction patients' coping as a continuum. Methods. Grounded theory method was used. Data were collected by using individual interv...

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Autores principales: Salminen-Tuomaala, Mari, Åstedt-Kurki, Päivi, Rekiaro, Matti, Paavilainen, Eija
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi Publishing Corporation 2012
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3523568/
https://www.ncbi.nlm.nih.gov/pubmed/23304483
http://dx.doi.org/10.1155/2012/674783
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author Salminen-Tuomaala, Mari
Åstedt-Kurki, Päivi
Rekiaro, Matti
Paavilainen, Eija
author_facet Salminen-Tuomaala, Mari
Åstedt-Kurki, Päivi
Rekiaro, Matti
Paavilainen, Eija
author_sort Salminen-Tuomaala, Mari
collection PubMed
description Background. Patients recovering from a myocardial infarction (MI) are faced with a number of serious challenges. Aim. To create a substantive theory on myocardial infarction patients' coping as a continuum. Methods. Grounded theory method was used. Data were collected by using individual interviews. The informants were 28 MI patients. Results. The core category “coping experiences—a pathway towards different coping orientations” includes 2 main categories: “positive and negative coping experiences” (4 months after MI) and “different coping orientations” (12 months after MI). Conclusion. Coping with a myocardial infarction is a long-term dynamic process of dealing with varied emotions and adjustment needs. Coping is threatened, if the patient denies the seriousness of the situation, suffers from depression and emotional exhaustion, or if there are serious problems in the interaction with family members. This study stresses the importance of recognizing the patient's depressive state of mind and the psychological aspects which affect family dynamics. A more family-centered approach involving a posthospital counseling intervention is recommended. Relevance to Clinical Practice. The results of this study can be used in nursing care practice when organizing support interventions for myocardial infarction patients.
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spelling pubmed-35235682013-01-09 Coping Experiences: A Pathway towards Different Coping Orientations Four and Twelve Months after Myocardial Infarction—A Grounded Theory Approach Salminen-Tuomaala, Mari Åstedt-Kurki, Päivi Rekiaro, Matti Paavilainen, Eija Nurs Res Pract Research Article Background. Patients recovering from a myocardial infarction (MI) are faced with a number of serious challenges. Aim. To create a substantive theory on myocardial infarction patients' coping as a continuum. Methods. Grounded theory method was used. Data were collected by using individual interviews. The informants were 28 MI patients. Results. The core category “coping experiences—a pathway towards different coping orientations” includes 2 main categories: “positive and negative coping experiences” (4 months after MI) and “different coping orientations” (12 months after MI). Conclusion. Coping with a myocardial infarction is a long-term dynamic process of dealing with varied emotions and adjustment needs. Coping is threatened, if the patient denies the seriousness of the situation, suffers from depression and emotional exhaustion, or if there are serious problems in the interaction with family members. This study stresses the importance of recognizing the patient's depressive state of mind and the psychological aspects which affect family dynamics. A more family-centered approach involving a posthospital counseling intervention is recommended. Relevance to Clinical Practice. The results of this study can be used in nursing care practice when organizing support interventions for myocardial infarction patients. Hindawi Publishing Corporation 2012 2012-12-09 /pmc/articles/PMC3523568/ /pubmed/23304483 http://dx.doi.org/10.1155/2012/674783 Text en Copyright © 2012 Mari Salminen-Tuomaala et al. https://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research Article
Salminen-Tuomaala, Mari
Åstedt-Kurki, Päivi
Rekiaro, Matti
Paavilainen, Eija
Coping Experiences: A Pathway towards Different Coping Orientations Four and Twelve Months after Myocardial Infarction—A Grounded Theory Approach
title Coping Experiences: A Pathway towards Different Coping Orientations Four and Twelve Months after Myocardial Infarction—A Grounded Theory Approach
title_full Coping Experiences: A Pathway towards Different Coping Orientations Four and Twelve Months after Myocardial Infarction—A Grounded Theory Approach
title_fullStr Coping Experiences: A Pathway towards Different Coping Orientations Four and Twelve Months after Myocardial Infarction—A Grounded Theory Approach
title_full_unstemmed Coping Experiences: A Pathway towards Different Coping Orientations Four and Twelve Months after Myocardial Infarction—A Grounded Theory Approach
title_short Coping Experiences: A Pathway towards Different Coping Orientations Four and Twelve Months after Myocardial Infarction—A Grounded Theory Approach
title_sort coping experiences: a pathway towards different coping orientations four and twelve months after myocardial infarction—a grounded theory approach
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3523568/
https://www.ncbi.nlm.nih.gov/pubmed/23304483
http://dx.doi.org/10.1155/2012/674783
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