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Coping Experiences: A Pathway towards Different Coping Orientations Four and Twelve Months after Myocardial Infarction-A Grounded Theory Approach.
MedLine Citation:
PMID:  23304483     Owner:  NLM     Status:  PubMed-not-MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
Mari Salminen-Tuomaala; Päivi Astedt-Kurki; Matti Rekiaro; Eija Paavilainen
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Publication Detail:
Type:  Journal Article     Date:  2012-12-09
Journal Detail:
Title:  Nursing research and practice     Volume:  2012     ISSN:  2090-1437     ISO Abbreviation:  Nurs Res Pract     Publication Date:  2012  
Date Detail:
Created Date:  2013-01-10     Completed Date:  2013-01-11     Revised Date:  2013-04-03    
Medline Journal Info:
Nlm Unique ID:  101561211     Medline TA:  Nurs Res Pract     Country:  Egypt    
Other Details:
Languages:  eng     Pagination:  674783     Citation Subset:  -    
Affiliation:
Department of Nursing Science, University of Tampere, Pirkanmaa Hospital District, Science Center, Finland ; Mari Salminen-Tuomaala, School of Health Care and Social Work, Seinäjoki University of Applied Sciences, Koskenalantie 17, 60220 Seinäjoki, Finland.
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