A qualitative study on men's experiences of health after treatment for ischaemic heart disease.

Abstract

Globally, ischaemic heart disease (IHD) is one of the leading causes of mortality among men, and the health management of men is pivotal to prevention and recovery. Many men delay help-seeking and lack knowledge of disease symptomologies. Thus, the aim was to explore how men experience and manage their health while suffering from ischaemic heart disease and having received treatment with coronary artery bypass grafting (CABG) or percutaneous coronary intervention (PCI). The study applied a qualitative approach designed within a phenomenological-hermeneutical methodology. Interviews were conducted between April and November 2019 with a criterion sample of 21 male patients within 1-2 weeks post-discharge. The analysis was guided by Paul Ricoeur's theory of text interpretation. After analysing the interviews, the following themes were identified: A functioning body as health, illuminating how a functioning body leads to a feeling of independence; misinterpreting signs of illness showing how symptoms are interpreted as signs of ageing rather than disease; and navigating life with ischaemic heart disease focusing on how men retain or maintain health after the threat to life. The findings of this study provide insight into men's health and their health management: illuminating how a functioning body can give men a sense of freedom and control, making it difficult to interpret signs of illness, and thus, failing to seek help and feel motivated to make changes when facing a serious health threat. These perspectives should be considered when planning future care and communication with male patients.