Octogenarian preferences and expectations for acute coronary syndrome treatment
| Autor: | Åsa B. Axelsson, Sofie Andréen, Per Albertsson, Charlotte Widell |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Male
Acute coronary syndrome medicine.medical_specialty Frail Elderly Decision Making Disease 030204 cardiovascular system & hematology 03 medical and health sciences Health personnel 0302 clinical medicine Elderly persons Internal medicine medicine Humans 030212 general & internal medicine Myocardial infarction Acute Coronary Syndrome Qualitative Research Aged 80 and over Sweden Advanced and Specialized Nursing Unstable angina business.industry Incidence Incidence (epidemiology) Patient Preference medicine.disease Patient preference Medical–Surgical Nursing Female Cardiology and Cardiovascular Medicine business |
| Zdroj: | European Journal of Cardiovascular Nursing. 19:521-528 |
| ISSN: | 1873-1953 1474-5151 |
| Popis: | Background: The number of elderly persons with cardiovascular disease is increasing. In Sweden, the incidence of acute myocardial infarction is the highest among individuals aged 85 years and over. However, there is still little evidence about whether this population benefits from established treatments. Furthermore, the values and preferences of octogenarians (age ⩾80 years), as well as how they could be involved in treatment decisions, have been largely overlooked in research. Overall, increased knowledge about the preferences and expectations of octogenarians is needed to incorporate their treatment expectations into the decision-making process. Aims: This study aimed to describe the treatment choice preferences and post-treatment life expectations of octogenarians with acute coronary syndrome. Methods: A total of 19 patients (eight women, 11 men) aged 80 years and older and diagnosed with non-ST-elevation myocardial infarction or unstable angina were enrolled in this qualitative study. Data were collected between May 2011 and June 2013 through semistructured interviews. The data were analysed using qualitative content analysis. Results: We identified two main categories: Wanting the best and Hope for increased wellbeing. Participant preferences were influenced by their own and others’ previous experiences and their confidence in healthcare professionals. With respect to treatment outcomes, the participants hoped to get well, stay active, experience fewer symptoms and regain vitality. Conclusion: The studied octogenarians desired the best treatment option and trusted that their healthcare providers will make appropriate recommendations. These patients expected their treatment to result in increased wellbeing and fewer symptoms. |
| Databáze: | OpenAIRE |
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