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Mitt hjärta, mitt liv: Kvinnors osäkra resa mot hälsa efter en hjärtinfarkt
University of Skövde, School of Life Sciences.ORCID iD: 0000-0002-9194-3244
2008 (Swedish)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

The thesis describes the phenomenon women’s health and illness experiences following a myocardial infarction (MI). The purpose of the thesis is to explore women’s experiences of their care and health processes, as well as their experiences of body, lifeworld and meaningful relationships related to the illness. A reflective lifeworld approach, based on phenomenological philosophy, is used. The thesis is comprised of four studies; three are based on interviews with a total of 26 women following an MI, followed by a fourth, theoretical, study.

The first study explores women’s experiences of care and health processes following an MI, with a particular focus on well-being and participation (I). The findings show that an MI is an event that suddenly interrupts the ordinary life of the women. Participation is a sense of being involved in their own health and care processes, which may also encourage them to take responsibility for health promoting activities in a healthy and meaningful way.

The second study explores women’s lifeworld experience of their bodies and lives following an MI (II). This study finds that an MI, as a major event in the women’s lives, influences and restricts their everyday activities over a long period of time. Following the illness, they live with an existential uncertainty about their life and the heart, and this feeling entails suffering for them.

The third study explores the meaning of close relationships and sexuality to women’s health and well-being following an MI (III). The mmeaning of close relationships appears to be vitally intertwined with their long-term health process; both health processes and relationships are affected after an MI. The suffering following an MI can be compared to taking a fall, where meaningful close relationships can function as a safety net that catches the women in their fall.

The fourth study is a concept development aimed at elucidating the meaning of the concepts uncertainty, control, secure and risk in relation to the thesis phenomenon and the findings of the empirical interview studies (IV). The existential uncertainty is an important matter in the women’s health processes. In these processes the concepts control, secure and risk play a central role. Women who have suffered an MI want to be as safe as possible in order to live well. The analysis illuminates a paradox, that the women’s ambition to achieve greater safety may lead them into an even greater experience of uncertainty.

The conclusion is that women’s experiences of health and illness can be described as a journey characterized by existential uncertainty. The women’s lives go through different existential phases following an MI, which is a major event. They are not prepared for the reactions that this event causes and are in need of support and guidance to manage their illness experiences. If acknowledged and well met, the significance and meaning of the women’s reactions and experiences can give impetus and energy to their health processes.

Place, publisher, year, edition, pages
Växjö University Press , 2008. , 82 p.
Series
Acta Wexionensia, ISSN 1404-4307 ; 158
Keyword [en]
heart disease, phenomenology, reflective lifeworld research, patient perspective, health processes, caring science, patient participation, existential, uncertainty, nursing
National Category
Nursing
Research subject
Medical sciences
Identifiers
URN: urn:nbn:se:his:diva-2709ISBN: 978-91-7636-633-2 OAI: oai:DiVA.org:his-2709DiVA: diva2:159616
Public defence
(English)
Opponent
Supervisors
Note

List of Papers: I. The meaning of well-being and participation in the process of health and care - Women's experiences following a myocardial infarction. Johansson, A. & Ekebergh, M. International Journal of Qualitative Studies on Health and Well-being, (2006), 1(2), 100-108 II. Living with experiences following a myocardial infarction. Johansson, A., Dahlberg, K. & Ekebergh, M. European Journal of Cardiovascular Nursing (2003), 2(3), 229-236 III. The meaning of close relationships and sexuality. Women's well-being following a myocardial infarction. Johansson. A, Ekenstam, C. & Dahlberg, K. Qualitative Health Research In press. IV. Hjärtats osäkerhet. Begreppsutredning på livsvärldsteoretisk grund. Submitted

Available from: 2010-04-09 Created: 2009-02-09 Last updated: 2013-11-04Bibliographically approved
List of papers
1. The meaning of well-being and participation in the process of health and care - women's experiences following a myocardial infarction
Open this publication in new window or tab >>The meaning of well-being and participation in the process of health and care - women's experiences following a myocardial infarction
2006 (English)In: International Journal of Qualitative Studies on Health and Well-being, ISSN 1748-2623, Vol. 1, no 2, 100-108 p.Article in journal (Refereed) Published
Place, publisher, year, edition, pages
CoAction Publishing, 2006
Research subject
Medical sciences
Identifiers
urn:nbn:se:his:diva-7017 (URN)
Available from: 2013-01-17 Created: 2013-01-17 Last updated: 2013-01-28Bibliographically approved
2. Living with experiences following a myocardial infarction
Open this publication in new window or tab >>Living with experiences following a myocardial infarction
2003 (English)In: European Journal of Cardiovascular Nursing, ISSN 1474-5151, E-ISSN 1873-1953, Vol. 2, no 3, 229-236 p.Article in journal (Refereed) Published
Place, publisher, year, edition, pages
Elsevier, 2003
National Category
Nursing
Research subject
Medical sciences
Identifiers
urn:nbn:se:his:diva-7021 (URN)10.1016/S1474-5151(03)00033-1 (DOI)14622631 (PubMedID)2-s2.0-0141682020 (Scopus ID)
Available from: 2013-01-18 Created: 2013-01-18 Last updated: 2013-01-25
3. The Meaning of Close Relationships and Sexuality: Women's Well-Being Following a Myocardial Infarction
Open this publication in new window or tab >>The Meaning of Close Relationships and Sexuality: Women's Well-Being Following a Myocardial Infarction
2009 (English)In: Qualitative Health Research, ISSN 1049-7323, E-ISSN 1552-7557, Vol. 19, no 3, 375-387 p.Article in journal (Refereed) Published
Abstract [en]

Relationships and sexuality following heart attack (MI) have been studied; nevertheless, little is known about the meaning of social support and relationships to health and well-being after an MI. To our knowledge, no qualitative studies have further investigated the phenomenon. In this study we explore the meaning of close relationships and sexuality to women's health and well-being following MI. Ten women were interviewed using a reflective lifeworld approach and phenomenological epistemology. The meaning of women's close relationships following an MI appears to be closely intertwined with their long-term health process; both health processes and the relationships are affected. Suffering after an MI can be compared to taking a fall in that close relationships can become a safety net. Close relationships and sexuality are integrated into their lived bodies, and in that way have profound influence in their lifeworld experiences. Not all close relationships are intimate; however, all close and meaningful relationships can provide power and strength to the women's health processes. At the same time, these relationships also appear to drain energy and cause suffering.

Place, publisher, year, edition, pages
Sage Publications, 2009
Keyword
heart attack (MI), interviews, lived body, phenomenology
National Category
Medical and Health Sciences
Research subject
Medical sciences
Identifiers
urn:nbn:se:his:diva-3281 (URN)10.1177/1049732309331882 (DOI)000263702900008 ()19224880 (PubMedID)2-s2.0-61349092310 (Scopus ID)
Available from: 2009-07-09 Created: 2009-07-09 Last updated: 2013-10-31Bibliographically approved
4. Hjärtats osäkerhet: Begreppsutredning på livsvärldsteoretisk grund
Open this publication in new window or tab >>Hjärtats osäkerhet: Begreppsutredning på livsvärldsteoretisk grund
(Swedish)Article in journal (Refereed) Submitted
National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:his:diva-7053 (URN)
Available from: 2013-01-25 Created: 2013-01-25 Last updated: 2015-12-21Bibliographically approved

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