Qualitative Study of Social Alienation in Elderly Patients with Coronary Heart Disease Undergoing Percutaneous Coronary Intervention
Objective To understand the real feeling of social alienation in elderly patients with coronary heart disease after percutaneous coronary intervention(PCI),and to provide reference for clinical nursing staff to formulate targeted intervention programs.Methods Using objective sampling method.A semi-structured interview was conducted in 14 elderly patients with coronary heart disease underwent PCI admitted to Department of Cardiovascular in the First Affiliated Hospital of Zhengzhou University from July 15 to 30,2022.The content of the interview was analyzed,summarized and arranged by Colaizzi 7-step method.Results Elderly patients with coronary heart disease who receive interventional therapy experience social alienation,which can be summarized into three themes and nine sub themes.(1)Patient's subjective sense of alienation:uncertainty about the disease,limited emotional resonance from peers,guilt towards family and loved ones,and incorrect perception of the disease.(2)Objective sense of alienation:changes in lifestyle,loss of spouse and peers,inconvenience in medical assistance.(3)Self acceptance,proactive seeking of positive assistance:self-care brings peace of mind to family members,community support and communication with patients,trust in medical staff,and regular check ups.Conclusion The subjective and objective sense of alienation of elderly patients with coronary heart disease after PCI leads to anxiety about the future and alienation of social relations.Medical workers should actively develop targeted intervention programs to ease patients'social alienation.
coronary heart diseaseold agesocial alienationpercutaneous coronary interventionqualitative research
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