Stress in women's daily life before and after a myocardial infarction: a qualitative analysis.
BACKGROUND
Little is known about women's perceptions of their daily life before and after a myocardial infarction (MI), especially with regard to stress, which is a risk factor for coronary heart disease (CHD).


OBJECTIVE
To describe and explore women's perceptions of stress before and after an MI.


METHODS
Two interviews with women who suffered an MI, the first at the hospital (n = 20) and the second 4-10 months after the MI (n = 14), were analysed using a phenomenographic approach.


RESULTS
The stress emanated either from within themselves (personal traits) or as an effect of their immediate surroundings. The period before the MI was stressful due to the different roles they had to maintain in their private and professional lives. They lost control over their daily life. After hospital discharge they both wanted and needed support, as they were terrified when they returned home. They did not know how much they could do and neither did their relatives, while little or no support was provided by the healthcare professionals.


CONCLUSIONS
To prevent CHD in daily life and avoid reinforcing stress, it is important to place greater emphasis on stress as an important risk factor. An understanding of this phenomenon can assist primary healthcare, coronary care unit (CCU) and rehabilitation nurses in supporting these women as well as their partners to adapt their daily lives both before and after an MI. It is essential to formulate and implement individualised treatment plans and to provide support groups for women.
Sjöström-Strand
Annica
A
Division of Nursing, Department of Health Sciences, Lund University, Lund, Sweden. annica.sjostrom-strand@med.lu.se
Fridlund
Bengt
B
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006801:Humans; D008875:Middle Aged; D009203:Myocardial Infarction / Q000523:psychology*; D013315:Stress, Psychological