title: The first 12 weeks following discharge from hospital: the experience of Gujarati South Asian survivors of acute myocardial infarction and their families.
abstract: The period following discharge from hospital after an acute myocardial infarction (MI) is associated with vulnerability and psychosocial and physical morbidity for many survivors and their families. It is reported that people experience interpersonal, family and financial problems, self-care obstacles, work and physical difficulties. Culture and ethnicity undeniably influence the illness experience and the process of recovery and adjustment. This study investigated the perceptions of Gujarati survivors of acute MI and their families in Leicester, United Kingdom in the first 12 weeks following discharge in order to develop a profile of their health seeking beliefs and needs. Thirty-one interviews with 19 Gujarati MI survivors and their families (representing approximately 31 hours of dialogue) were analysed using grounded theory. Qualitative data revealed a period of vulnerability not only for survivors but also their families as they processed recent events and faced the future. Data analysis revealed nine interrelated themes describing the post-discharge experience for Gujarati survivors and their families. Data revealed that normal life was often markedly changed by the MI experience. Reflection, contemplation and resignation characterize this period of vulnerability. Overwhelmingly, data analysis revealed that the Gujarati culture, beliefs and customs influenced the recovery experience.
authors.affiliation: Coronary Care Unit, Leicester General Hospital, United Kingdom.
authors.forename: Rosemary A
authors.initials: RA
authors.lastname: Webster
authors.forename: David R
authors.initials: DR
authors.lastname: Thompson
authors.forename: Patricia M
authors.initials: PM
authors.lastname: Davidson
mesh_terms: D000223:Adaptation, Psychological; D000368:Aged; D001294:Attitude to Health; D018864:Cultural Diversity; D004644:Emotions; D005190:Family; D005260:Female; D006801:Humans; D007194:India / Q000208:ethnology; D008297:Male; D009203:Myocardial Infarction / Q000191:economics / Q000523:psychology*; D010351:Patient Discharge; D016746:Transcultural Nursing; D006113:United Kingdom