Health-related quality of life after myocardial infarction: An interview study

Alun Roebuck, Gill Furze, David, R. Thompson

Research output: Contribution to journalArticle

63 Citations (Scopus)

Abstract

Aim. The aim of this qualitative study was to explore and gain insights into the effects of myocardial infarction on health-related quality of life. Background. The study was undertaken as part of a larger on-going project to develop and validate a disease-specific health-related quality of life instrument suitable for use with patients after myocardial infarction. Methods. A consecutive sample of 31 patients admitted to a district general hospital in the North of England was recruited and interviewed at home. Semi-structured interviews were conducted based on a guide developed from a review of the literature pertaining to quality of life and expert opinion. Interviews were audio-taperecorded and transcribed verbatim. Transcripts were subjected to latent and manifest content analysis and inter-rater reliability was confirmed by a researcher not involved with the interview process. Findings. Analysis of the data revealed seven major categories: physical activity/ symptoms; insecurity; emotional reactions; dependency; lifestyle modification; concern over medication; and side-effects. Breathlessness, insecurity and feelings of over-protection were major problems, as was dissatisfaction with information and support. Conclusion. Myocardial infarction resulted in a variety of health-related problems which affected quality of life. Systematic monitoring and evaluation of health status should be performed routinely. This is likely to be aided by the development and use of a health-related quality of life instrument for this patient group.

Original languageEnglish
Pages (from-to)787-794
Number of pages8
JournalJournal of Advanced Nursing
Volume34
Issue number6
DOIs
Publication statusPublished - 01 Jan 2001

Keywords

  • General practice information
  • Health-related quality of life
  • Hospital discharge
  • Interview study
  • Myocardial infarction

ASJC Scopus subject areas

  • Nursing(all)

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