Adversity of prolonged extreme cold exposure among adult clients diagnosed with coronary artery diseases: a primer for recommending community health nursing intervention

Nurs Open. 2017 Dec 23;5(1):62-69. doi: 10.1002/nop2.111. eCollection 2018 Jan.

Abstract

Aim: This research study explored the lived experiences of adults diagnosed with Coronary Artery Disease (CAD) when exposed to a prolonged period of extreme cold.

Design: This research study utilized descriptive qualitative research design.

Methods: Face-to-face interview sessions with audio recording were conducted. There were 30 informants who participated in the study. Descriptive phenomenology with Colaizzi's method of data analysis was used.

Results: Results revealed three themes, namely: (i) elucidating cold exposure; (ii) challenges of cold exposure; and (iii) translating adverse exposure to self-management. The results further revealed the significance of nursing health care especially to health promotion, disease prevention and health restoration especially in community setting.

Conclusion: In conclusion, manifestations of CAD are triggered when exposed to a prolonged period of extremely low environmental temperature.

Keywords: Coronary Artery Disease (CAD); climate change; cold adversities; coping; extreme cold.