Water on Fire: The Patients’ Lived Experience of Primary Percutaneous Coronary Intervention

Abstract

Background: The success of a coronary angioplasty in the treatment of myocardial infarction is affected by patients' experiences. However, the experiences of the people with an emergency angioplasty have remained unknown. Objective: This study was conducted to explore the patients' experiences of an emergency angioplasty. Method: This study was performed using the qualitative research method and interpretive phenomenological approach. Nine patients under emergency angioplasty were selected using purposeful sampling. A total of 11 deep and semistructured interviews were performed with the patients. The data were analyzed using van Manen method. Results: Five subthemes of "diagnosis shock," "being in an emergency situation," "trying to self-control," "the need for reassuring care," and "stability" formed the structure of the patients' experiences under the main theme of "water on fire". Water on fire was the participants' main perception of the emergency angioplasty. Patient-centered interactions and meeting the care, supportive, and educational needs of the patients in the case of diagnosis shock lead to a pleasant experience of returning to life. Conclusion: The findings of this study may have implications for care of patients undergoing emergency cardiovascular interventions.

Last Chance Between Life and Death: Experiences of Patients with Transcatheter Aortic Valve Implantation

“…[19] Diğer kardiyak kateterizasyon sonrası hastaların deneyimlerinin incelendiği çalışmalarda da hastalar işlem konusunda bilgi sahibi olmadıklarını ve bu durumun anksiyeteye sebep olduğunu bildirmiştir. [20,21] Eğitimin hemşireler tarafından verilmemesinin nedenleri arasında hemşirelerin eğitici rolünü benimsememeleri ya da yoğun iş yükleri olabileceği düşünülmektedir.…”

Emergency percutaneous coronary intervention and stent implantation: Patients' lived experiences

“…Yet, to date, this topic has attracted little attention from researchers. To the best of our knowledge, only three studies 17‐19 have explored the lived experiences of patients who have undergone PCI with stent implantation, and these studies have considered elective procedures only. The first study involved 15 patients, and the results showed that the patients were satisfied with the PCI procedure because it was a valid alternative to open‐heart surgery and that it was associated with both shorter recovery time and shorter hospital stay 17 .…”

“…In another study, the patients experienced a “sense of need” due to their lack of education as well as due to the emotional and economic issues they faced 17 . In yet another study, Javadi‐Pashaki et al 18 analysed the lived experiences of patients who needed an emergency PCI intervention. They have identified five themes that describe the patients' experiences under the main theme “water on fire”: “diagnosis shock,” “being in an emergency situation,” “trying to self‐control,” “the need for reassuring care,” and “stability.”…”