Get access

The caregiving role following percutaneous coronary intervention

Authors

  • John Rolley,

    1. Authors:John Rolley, PhD, RN, BN, Postdoctoral Research Fellow, Centre for Cardiovascular and Chronic Care, School of Nursing and Midwifery, Faculty of Health Science, Curtin University of Technology, Chippendale, NSW and St Vincent’s Centre for Nursing Research, School of Nursing and Midwifery, Australian Catholic University, Victoria; Janice Smith, RN, BN, CNC, Cardiac Rehabilitation, Nepean Hospital, Sydney West Area Health Service; Michelle DiGiacomo, BA, PhD, MHSc, Postdoctoral Research Fellow, Centre for Cardiovascular and Chronic Care, School of Nursing and Midwifery, Faculty of Health Science, Curtin University of Technology; Yenna Salamonson, PhD, RN, Senior Lecturer, School of Nursing and Midwifery, College of Health and Science, University of Western Sydney; Patricia Davidson, BA, MEd, PhD, RN, Director, Centre for Cardiovascular and Chronic Care, School of Nursing and Midwifery, Faculty of Health Science, Curtin University of Technology, Chippendale, NSW, Australia
    Search for more papers by this author
  • Janice Smith,

    1. Authors:John Rolley, PhD, RN, BN, Postdoctoral Research Fellow, Centre for Cardiovascular and Chronic Care, School of Nursing and Midwifery, Faculty of Health Science, Curtin University of Technology, Chippendale, NSW and St Vincent’s Centre for Nursing Research, School of Nursing and Midwifery, Australian Catholic University, Victoria; Janice Smith, RN, BN, CNC, Cardiac Rehabilitation, Nepean Hospital, Sydney West Area Health Service; Michelle DiGiacomo, BA, PhD, MHSc, Postdoctoral Research Fellow, Centre for Cardiovascular and Chronic Care, School of Nursing and Midwifery, Faculty of Health Science, Curtin University of Technology; Yenna Salamonson, PhD, RN, Senior Lecturer, School of Nursing and Midwifery, College of Health and Science, University of Western Sydney; Patricia Davidson, BA, MEd, PhD, RN, Director, Centre for Cardiovascular and Chronic Care, School of Nursing and Midwifery, Faculty of Health Science, Curtin University of Technology, Chippendale, NSW, Australia
    Search for more papers by this author
  • Michelle DiGiacomo,

    1. Authors:John Rolley, PhD, RN, BN, Postdoctoral Research Fellow, Centre for Cardiovascular and Chronic Care, School of Nursing and Midwifery, Faculty of Health Science, Curtin University of Technology, Chippendale, NSW and St Vincent’s Centre for Nursing Research, School of Nursing and Midwifery, Australian Catholic University, Victoria; Janice Smith, RN, BN, CNC, Cardiac Rehabilitation, Nepean Hospital, Sydney West Area Health Service; Michelle DiGiacomo, BA, PhD, MHSc, Postdoctoral Research Fellow, Centre for Cardiovascular and Chronic Care, School of Nursing and Midwifery, Faculty of Health Science, Curtin University of Technology; Yenna Salamonson, PhD, RN, Senior Lecturer, School of Nursing and Midwifery, College of Health and Science, University of Western Sydney; Patricia Davidson, BA, MEd, PhD, RN, Director, Centre for Cardiovascular and Chronic Care, School of Nursing and Midwifery, Faculty of Health Science, Curtin University of Technology, Chippendale, NSW, Australia
    Search for more papers by this author
  • Yenna Salamonson,

    1. Authors:John Rolley, PhD, RN, BN, Postdoctoral Research Fellow, Centre for Cardiovascular and Chronic Care, School of Nursing and Midwifery, Faculty of Health Science, Curtin University of Technology, Chippendale, NSW and St Vincent’s Centre for Nursing Research, School of Nursing and Midwifery, Australian Catholic University, Victoria; Janice Smith, RN, BN, CNC, Cardiac Rehabilitation, Nepean Hospital, Sydney West Area Health Service; Michelle DiGiacomo, BA, PhD, MHSc, Postdoctoral Research Fellow, Centre for Cardiovascular and Chronic Care, School of Nursing and Midwifery, Faculty of Health Science, Curtin University of Technology; Yenna Salamonson, PhD, RN, Senior Lecturer, School of Nursing and Midwifery, College of Health and Science, University of Western Sydney; Patricia Davidson, BA, MEd, PhD, RN, Director, Centre for Cardiovascular and Chronic Care, School of Nursing and Midwifery, Faculty of Health Science, Curtin University of Technology, Chippendale, NSW, Australia
    Search for more papers by this author
  • Patricia Davidson

    1. Authors:John Rolley, PhD, RN, BN, Postdoctoral Research Fellow, Centre for Cardiovascular and Chronic Care, School of Nursing and Midwifery, Faculty of Health Science, Curtin University of Technology, Chippendale, NSW and St Vincent’s Centre for Nursing Research, School of Nursing and Midwifery, Australian Catholic University, Victoria; Janice Smith, RN, BN, CNC, Cardiac Rehabilitation, Nepean Hospital, Sydney West Area Health Service; Michelle DiGiacomo, BA, PhD, MHSc, Postdoctoral Research Fellow, Centre for Cardiovascular and Chronic Care, School of Nursing and Midwifery, Faculty of Health Science, Curtin University of Technology; Yenna Salamonson, PhD, RN, Senior Lecturer, School of Nursing and Midwifery, College of Health and Science, University of Western Sydney; Patricia Davidson, BA, MEd, PhD, RN, Director, Centre for Cardiovascular and Chronic Care, School of Nursing and Midwifery, Faculty of Health Science, Curtin University of Technology, Chippendale, NSW, Australia
    Search for more papers by this author

John Rolley, Postdoctoral Research Fellow, Centre for Cardiovascular and Chronic Care, School of Nursing and Midwifery, Faculty of Health Science, Curtin University of Technology, 39 Regent Street, Chippendale, NSW 2008 Australia. Telephone: +61 2 8399 7838.
E-mail:j.rolley@curtin.edu.au

Abstract

Aim.  The aim of this study is to describe the experience of caregivers of individuals who have had a percutaneous coronary intervention (PCI).

Background.  Decreased lengths of hospital stay and an increased emphasis on chronic disease self-management increase the importance of carers in assisting in recovery and lifestyle modification.

Design.  Cross-sectional dual-moderated focus group design.

Method.  Three focus groups using a dual facilitation approach were held in the cardiac rehabilitation setting of a tertiary referral hospital in metropolitan Sydney. All sessions were audio recorded, transcribed and thematically analysed.

Results.  Four themes emerged from the data: (1) a gendered approach to health, illness and caring; (2) shock, disbelief and the process of adjustment following PCI; (3) challenges and changes of the carer–patient relationship and (4) the needs of the carer for support and information. Issues emerging from this study parallel other findings describing the experience, yet provide new insights into the issues surrounding PCI.

Conclusion.  These findings highlight the need for including carers in care planning and decision-making and providing them with support and resources.

Relevance to clinical practice.   

  •  Emphasises the importance of preparing carers of the likely experience following a PCI.
  • • Demonstrates the degree to which vigilance, deferment of carer-health needs and role conflict impact on the carer’s personal relationship.
  • • Demonstrates the need for formal support interventions for carers of patients who have had PCI.
Get access to the full text of this article

Ancillary