title: [Loss of spontaneous action: the discomfort of men with acute myocardial infarction].
abstract: Considering that comfort and discomfort must be understood in the light of patients' interactions during illness and treatment -thus linked to institutions' objective factors, grounding rationale, and practices-, this study inquired on comfort and discomfort such as experienced by men who had suffered acute myocardial infarction (AMI). By resorting to the Symbolic Interactionism and to Grounded Theory methodology, data were collected by means of interviews with 13 men who had suffered AMI, at two health units in the city of São Paulo. The analysis led to building a theoretical model of such experience, made up by three phenomena and essentially prevaded by the discomfort of "undergoing loss of spontaneous action." This articles sums up the basic psychosocial process that emerges from that experience, and discusses its implications to question the clinical model of treatment, pointing to prevention as a further scope of action for nurses, besides raising issues to enhance nurse education.
authors.affiliation: Universidade Federal da Bahia. femussi@uol.com.br
authors.forename: Fernanda Carneiro
authors.initials: FC
authors.lastname: Mussi
authors.forename: Maria Sumie
authors.initials: MS
authors.lastname: Koizumi
authors.forename: Margareth
authors.initials: M
authors.lastname: Angelo
authors.forename: Marlito Souza
authors.initials: MS
authors.lastname: Lima
mesh_terms: D000328:Adult; D006801:Humans; D007398:Interpersonal Relations; D008297:Male; D009203:Myocardial Infarction / Q000523:psychology*