O infarto e a ruptura com o cotidiano: possível atuação da enfermagem na prevenção

Abstract

This proposal for Nursing action to prevent acute myocardial infarction (AMI) draws on a doctoral thesis research carried out to investigate the experience of comfort and discomfort in the patient's perspective, by means of the Symbolic Interactionism approach and the Grounded Theory methodology. Data collected by means of interviews with 13 men who had suffered AMI, at two hospitals in São Paulo, Brazil, allowed us to point out what they define as comfortable or uncomfortable. This article focuses on the first phase of these men's experience, when the main discomfort is the break with everyday life, brought about by the onset of symptoms or by the stroke itself, and discusses possibilities for Nursing action in primary and secondary AMI prevention.

Patients with acute myocardial infarction and interfering factors when seeking emergency care: implications for health education

“…The nurse is one of the main mediators of the teachinglearning process, aiming at health promotion, focusing on understanding the signs and symptoms of eminent cardiovascular conditions and the value of going to specialized services immediately (17) .…”

Delay factors on the administration of thrombolytic therapy in patients diagnosed with acute myocardial infarction in a general hospital

“…This result may be associated with the fact that 48% of patients are locals, and 57.5% used their own means of transportation to get to the hospital (2) . A previous study shows that the main discomfort caused by infarction is the rupture with the daily life; this may justify the denial of a heart attack (4) .…”

Qualidade de Vida de pacientes submetidos à revascularização do miocárdio

“…(23) Regarding risk factors, these were similar to those observed in other studies. (25,26) The literature reveals that changes in lifestyle could potentially reduce the risk of myocardial infarction hence, reducing mortality. However, the complexity of self-care which involves monitoring the therapeutic regimen, diet and physical activity can be a disincentive for chronically ill patients.…”