Mental Health during Adaptation among Patients with Acute Coronary Syndrome who are Discharged after Percutaneous Coronary Intervention Mana Doi 1,2 , Hiroki Fukahori 1,3 , Yumiko Oyama 2 1Graduate School of Health Care Sciences, Tokyo Medical and Dental University 2Nursing Course, School of Medicine, Yokohama City University 3Faculty of Nursing and Medical Care, Keio University Keyword: 経皮的冠動脈形成術 , 急性冠症候群 , 精神的健康 , ロイの適応モデル , percutaneous coronary intervention , acute coronary syndrome , mental health , Roy's Adaptation Model pp.142-150
Published Date 2018/12/31
  • Abstract
  • Reference

Objective: This study aimed to describe adaptation, including the stimuli, responses, and mental health, of patients with acute coronary syndrome who are discharged after percutaneous coronary intervention.

Methods: We conducted semi-structured interviews with ten patients after one month from the onset of the disease and intervention, and data were analyzed by content analysis. Onset, intervention, and discharge were predefined as focal stimuli based on the Roy Adaptation Model. Responses that were provoked by stimuli, mental health, and contextual and residual stimuli were described.

Results: Nine categories, including “having fear for cardiac diseases,” were identified as contextual and residual stimuli, and 22 categories, including “having cardiac symptoms after discharge” and “recognizing that it is better not to overtax myself,” were identified as responses. Six categories of mental health, including “having worry about recurrence” and “having trauma for appearance of cardiac symptoms,” were identified.

Conclusions: Our results indicate that patients experienced poor mental health. The identification of patients at a high risk of depression by observing both at hospitalization and ambulatory setting, review of experience at the onset, and instruction of response for cardiac event may be effective for patients' mental health.

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