Women's experiences of cardiac pain: a review of the literature.
Notice bibliographique
Résumé
BACKGROUND: Women experience coronary heart disease (CHD) differently than men. Presentations of cardiac pain for women can include vague signs and symptoms such as extreme fatigue, discomfort in the shoulder blades, and shortness of breath. Subsequently, the assessment, identification, treatment, and rehabilitation of women with CHD present challenging and unique opportunities for nurses because women experience a multiplicity of symptoms that are often not reported or recognized as cardiac in nature. Women have higher rates of functional disability and a lower prevalence of obstructive coronary heart disease, as evidenced by coronary angiogram, than men. It is important to understand the complexities of women's presentations of cardiac pain if nurses are to improve the quality of health experienced post diagnosis, treatment, and rehabilitation. PURPOSE: The purpose of this article is to identify current qualitative studies that specifically explore women's experiences of cardiac pain and to describe salient themes across the literature identifying implications for clinical practice and areas of further research related to women's cardiac pain experience. METHOD: Qualitative studies that were published in nursing literature between the years of 1995 and 2007 were analyzed to illustrate the current state of qualitative research on women's cardiac pain experiences. This review includes six articles that met the inclusion criteria. CONCLUSION: Results of this review revealed that women experience cardiac pain differently than men. Different cardiac pain experienced by women leads to misunderstandings of warning signs and symptoms of myocardial infarction and ischemic cardiac pain. Moreover, women do not recognize the threat of CHD, even with significant family history, and delay seeking health care for signs of acute myocardial infarction. Further research and education are warranted. Nurses need to challenge the antiquated assumptions surrounding women's experiences of cardiac pain. Clinicians must be cognizant of the importance of a thorough patient assessment, the ability to identify women at risk, individualizing the person's CHD experience, and providing health promotion strategies that educate women to recognize the signs and symptoms of CHD. Studies that identify the educational needs specific to women and cardiac pain are necessary. Educational intervention studies promoting health-related behaviour change that targets cardiac pain recognition for women are imperative. Future research examining whether the experience of changes in cardiac pain over time and post-intervention(s) need to be conducted.
Récupéré en direct depuis OpenAlex et désinversé. Les résumés ne sont pas conservés dans cette base de données : les index inversés représentent 8,6 Go des 9,3 Go de texte de la base, et le serveur dispose de 13 Go libres.
Comment cette classification a été obtenuedéplier
Prédiction distillée sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Apprise à partir de 10 348 étiquettes directes de Codex et de 10 348 étiquettes directes de Gemma. Le mode candidate est l'union des têtes enseignantes seuillées; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont ni des étiquettes humaines ni des étiquettes directes de modèles de pointe.
Scores Codex et Gemma par catégorie
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,002 | 0,002 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,003 | 0,001 |
| Bibliométrie | 0,000 | 0,001 |
| Études des sciences et des technologies | 0,000 | 0,000 |
| Communication savante | 0,000 | 0,000 |
| Science ouverte | 0,000 | 0,000 |
| Intégrité de la recherche | 0,000 | 0,001 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,000 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule tête enseignante, pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».