Experiences of the onset of coronary artery disease in a spouse.
The purpose of this study was to describe the experiences of persons whose spouses have newly diagnosed coronary artery disease (CAD). The purpose was to obtain knowledge that would help us to understand better the life of persons with a chronically ill spouse and to develop the education and rehabilitation of both the patients and their spouses. Data were collected from healthy spouses by an open-ended question. There were 146 informants. They were asked to write about their experiences of everyday life after their spouse had been diagnosed for CAD. The data were analyzed by methods of content analysis. The following categories were formulated to describe the healthy spouses' experiences: slow pace of life, limited life and unsure life. Slow pace of life meant that the disease had been adopted as a normal part of life. Life was organized in a new way, and the earlier busy and work-oriented lifestyle had been given up. The informants whose spouses had medication considered their personal freedom to be limited, because they had to assume responsibility for the care of their spouses. The spouses of the patients who had undergone bypass surgery (CABS) or angioplasty (PTCA) had a new role in the family. They had to monitor for symptoms, treat symptoms, take care, understand and support. They had to assume responsibility for everyday life. They felt themselves to be alone in that situation. They did not receive support from health care providers. All informants felt uncertainty due to financial problems, poorly planned care and unexpected changes in the course of the disease. As a conclusion, it can be said that life was limited by the sick spouse's needs. The disease caused changes in emotional balance, a need for continuous control of life, fears about a new myocardial infarction and worries about many issues of everyday life.
Lukkarinen
Hannele
H
Department of Nursing and Health Administration, University of Oulu, Oulu University Hospital, P.O. Box 5300, University of Oulu 90014, Finland. hannele.lukkarinen@oulu.fi
Kyngäs
Helvi
H
D000223:Adaptation, Psychological; D015906:Angioplasty, Balloon, Coronary / Q000523:psychology; D001294:Attitude to Health; D002317:Cardiovascular Agents / Q000627:therapeutic use; D002908:Chronic Disease; D001026:Coronary Artery Bypass / Q000523:psychology; D003324:Coronary Artery Disease / Q000523:psychology* / Q000628:therapy; D005260:Female; D005387:Finland; D006801:Humans; D008016:Life Change Events; D008019:Life Style; D008297:Male; D008393:Marriage / Q000523:psychology; D020380:Needs Assessment; D015404:Nursing Methodology Research; D010353:Patient Education as Topic; D036301:Qualitative Research; D011788:Quality of Life; D012803:Sick Role; D012944:Social Support; D018454:Spouses / Q000193:education / Q000523:psychology*; D011795:Surveys and Questionnaires
D002317:Cardiovascular Agents