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Life After Myocardial Infarction: A Qualitative Study on Experiences of Kurdish Patients Affected by Iran–Iraq War
BACKGROUND: Coronary artery disease (CAD) is a major cause of death globally. Myocardial infarction (MI) secondary to CAD affects patients’ quality of life and their lifestyle. The experience of war can affect people’s perception of phenomena. Given the scarcity of information in Kurdish patients wi...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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Dove
2020
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7592835/ https://www.ncbi.nlm.nih.gov/pubmed/33132705 http://dx.doi.org/10.2147/PROM.S265124 |
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author | Sepehrian, Elahe Pooralmasi, Maryam Abdi, Alireza Rajati, Mojgan Mohebi, Siamak Tavakol, Kamran Rajati, Fatemeh |
author_facet | Sepehrian, Elahe Pooralmasi, Maryam Abdi, Alireza Rajati, Mojgan Mohebi, Siamak Tavakol, Kamran Rajati, Fatemeh |
author_sort | Sepehrian, Elahe |
collection | PubMed |
description | BACKGROUND: Coronary artery disease (CAD) is a major cause of death globally. Myocardial infarction (MI) secondary to CAD affects patients’ quality of life and their lifestyle. The experience of war can affect people’s perception of phenomena. Given the scarcity of information in Kurdish patients with MI, the current study was designed to explore the lived experiences of individuals after MI in Kurdish patients affected by Iran–Iraq war. METHODS: This interpretive-phenomenological study was conducted on eleven patients with MI (9 men, 2 women) at Imam Ali Hospital, Center for Heart Diseases, in Kermanshah, Iran, considering MI as a phenomenon. Data was collected by a semi-structured interview and analyzed using the Van Mannen method. We employed the Lincoln and Guba criteria to examine the credibility, confirmability, dependability, and transferability of data. MAXQDA software was used for data management. We followed the COREQ checklist to ensure the rigor of our study RESULTS: Four themes and ten sub-themes were emerged as (1) “changes in the quality of life” including (a) negative physical outcomes, (b) mental effects, (c) social support, (d) adopting healthy behaviors, (e) increase or decrease in self-efficiency, (f) previous experience, and (g) developing future behaviors; (2) “bodily perceptions and medical care” including (a) medical care: saving or terminating life?, (b) a new message from the heart; (3) “returning to spirituality against death” including (a) spirituality as a guiding principle, (b) accepting death as an eventual destiny; and (4) denial. CONCLUSION: The results suggest that MI could change the quality of physical and mental health of the person, anywhere from deterioration to full recovery. Furthermore, the influence of spirituality and previous experience of war to overcome the complications of MI has been discussed, leading to either acceptance or denial of MI, and the consequences. |
format | Online Article Text |
id | pubmed-7592835 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Dove |
record_format | MEDLINE/PubMed |
spelling | pubmed-75928352020-10-29 Life After Myocardial Infarction: A Qualitative Study on Experiences of Kurdish Patients Affected by Iran–Iraq War Sepehrian, Elahe Pooralmasi, Maryam Abdi, Alireza Rajati, Mojgan Mohebi, Siamak Tavakol, Kamran Rajati, Fatemeh Patient Relat Outcome Meas Original Research BACKGROUND: Coronary artery disease (CAD) is a major cause of death globally. Myocardial infarction (MI) secondary to CAD affects patients’ quality of life and their lifestyle. The experience of war can affect people’s perception of phenomena. Given the scarcity of information in Kurdish patients with MI, the current study was designed to explore the lived experiences of individuals after MI in Kurdish patients affected by Iran–Iraq war. METHODS: This interpretive-phenomenological study was conducted on eleven patients with MI (9 men, 2 women) at Imam Ali Hospital, Center for Heart Diseases, in Kermanshah, Iran, considering MI as a phenomenon. Data was collected by a semi-structured interview and analyzed using the Van Mannen method. We employed the Lincoln and Guba criteria to examine the credibility, confirmability, dependability, and transferability of data. MAXQDA software was used for data management. We followed the COREQ checklist to ensure the rigor of our study RESULTS: Four themes and ten sub-themes were emerged as (1) “changes in the quality of life” including (a) negative physical outcomes, (b) mental effects, (c) social support, (d) adopting healthy behaviors, (e) increase or decrease in self-efficiency, (f) previous experience, and (g) developing future behaviors; (2) “bodily perceptions and medical care” including (a) medical care: saving or terminating life?, (b) a new message from the heart; (3) “returning to spirituality against death” including (a) spirituality as a guiding principle, (b) accepting death as an eventual destiny; and (4) denial. CONCLUSION: The results suggest that MI could change the quality of physical and mental health of the person, anywhere from deterioration to full recovery. Furthermore, the influence of spirituality and previous experience of war to overcome the complications of MI has been discussed, leading to either acceptance or denial of MI, and the consequences. Dove 2020-10-15 /pmc/articles/PMC7592835/ /pubmed/33132705 http://dx.doi.org/10.2147/PROM.S265124 Text en © 2020 Sepehrian et al. http://creativecommons.org/licenses/by-nc/3.0/ This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License (http://creativecommons.org/licenses/by-nc/3.0/). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms (https://www.dovepress.com/terms.php). |
spellingShingle | Original Research Sepehrian, Elahe Pooralmasi, Maryam Abdi, Alireza Rajati, Mojgan Mohebi, Siamak Tavakol, Kamran Rajati, Fatemeh Life After Myocardial Infarction: A Qualitative Study on Experiences of Kurdish Patients Affected by Iran–Iraq War |
title | Life After Myocardial Infarction: A Qualitative Study on Experiences of Kurdish Patients Affected by Iran–Iraq War |
title_full | Life After Myocardial Infarction: A Qualitative Study on Experiences of Kurdish Patients Affected by Iran–Iraq War |
title_fullStr | Life After Myocardial Infarction: A Qualitative Study on Experiences of Kurdish Patients Affected by Iran–Iraq War |
title_full_unstemmed | Life After Myocardial Infarction: A Qualitative Study on Experiences of Kurdish Patients Affected by Iran–Iraq War |
title_short | Life After Myocardial Infarction: A Qualitative Study on Experiences of Kurdish Patients Affected by Iran–Iraq War |
title_sort | life after myocardial infarction: a qualitative study on experiences of kurdish patients affected by iran–iraq war |
topic | Original Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7592835/ https://www.ncbi.nlm.nih.gov/pubmed/33132705 http://dx.doi.org/10.2147/PROM.S265124 |
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