A Phenomenology of First Myocardial Infarction (MI): patient perspective on future family life.

Aim: To explore the experiences of younger patients and their outlook following their first MI, focusing upon family life.

Background: Previous studies have focused upon the impact of an MI upon patients with respect to Cardiac Rehabilitation, Spousal Anxiety and Depression. There is limited knowledge about the patient’s perspectives relating to family especially within the younger demography. An increase in prevalence of Cardiovascular Disease (CVD) is expected by the Department of Health as a result of lifestyle factors such as; smoking, poor diet, physical inactivity, heavy drinking, obesity and hypertension. It is important that nurses are able to fully understand the needs of their patients in order to tailor the care offered following MI.

Method: A Phenomenological approach using semi-structured interviews as a means to co-create knowledge through a Heideggerian philosophy.

Results: Main themes were identified to reflect the experiences of the 7 participants; Guilt, Grief, “Why Me? and Motivation. Within these themes the study objectives were addressed and it was found that “family” was a primary factor for motivation when making lifestyle changes. Participants also appeared to be affected greatly by guilt and grief particularly relating to previous lifestyle choices and the suffering their families had experienced throughout their MI.

Conclusion: More support is required directly following an MI to ensure patients are kept safe and feel supported. More emphasis is needed on the emotional wellbeing of post MI patients. Families require more independent support. More education is need for Primary Prevention of Cardiovascular Disease.