To be seen as a unique person after suffering a second myocardial infarction: Expressed needs of patients and descriptions of personnel

Abstract

Objectives: The aim of this study was to describe patients' expressed needs during cardiac rehabilitation after suffering a second myocardial infarction in comparison to personnel's descriptions of how they work with these patients.

Research methodology: A descriptive qualitative design. Interviews were conducted with patients affected by two myocardial infarctions and registered nurses, physiotherapists and cardiologists working with cardiac rehabilitation. Data were analysed with qualitative content analysis.

Findings: An interpretation of the underlying meaning in the categories was formulated into one theme: 'To be seen as a unique person'. Patients expressed a need for individualised care; they wanted the cardiac rehabilitation to be customised to their condition and prognosis; however, they did not perceive their care was individualised. Personnel described the importance of the care being individualised, although they had guidelines to follow. It was crucial for them to see the individual and discover what was important for each patient.

Conclusions: There was a shared opinion from patients and personnel that individual care is essential. Using the concept and working in accordance with person-centred care could meet the patients' need for individualised care.

Keywords: Cardiac rehabilitation; Needs; Person-centred care; Qualitative content analysis; Second myocardial infarction.