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Open Access Positive Shifts in the Perceived Meaning of Cardiac Pain Following a Psychoeducation Program for Chronic Stable Angina Évolution positive de la perception des patients à l'issue d'un programme de psychoéducation pour angine stable chronique

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Abstract:

This study examined the meaning of cardiac pain for chronic stable angina (CSA) patients who participated in a standardized angina psychoeducation program. The patients documented what angina meant to them at sessions 1 and 6 of a 6-week standardized psychoeducation program aimed at enhancing CSA self-management. At session 1, angina was described as a major negative life change characterized by fear, frustration, limitations, and anger. At session 6, angina signified a broad and ongoing pain problem requiring continual self-management in order to maximize quality of life. The findings suggest that the perceived meaning of angina as a burdensome and debilitating life change shifts, during psychoeducation, to one of angina as a broad pain problem requiring ongoing self-management in order to preserve life goals and functioning. How such perceptual shifts in the meaning of cardiac pain might contribute to the overall effectiveness of psychoedcuation warrants further investigation.

French
La présente étude vise à analyser la perception de la douleur thoracique associée à l'angine stable chronique (ASC) chez des patients inscrits à un programme de psychoéducation standardisé de six semaines, axé sur l'autogestion de la maladie. Aux première et sixième séances, on a demandé aux patients d'expliquer comment ils voyaient l'apparition de cette maladie dans leur vie. À la première séance, les sujets ont décrit l'angine comme un bouleversement majeur, caractérisé par la peur, la frustration, les restrictions et la colère. À la sixième, ils ont dit la considérer comme un problème général et permanent, nécessitant une autogestion continue pour s'assurer la meilleure qualité de vie possible. Les données indiquent que la perception des patients évolue au cours du processus de psychoéducation : d'un changement de vie pénible et débilitant, l'angine devient un problème de douleur exigeant une autogestion assidue pour qui veut préserver ses objectifs de vie et son mode de fonctionnement. D'autres recherches devront être menées pour déterminer en quoi ces changements de perception contribuent de manière générale à l'utilité de la psychoéducation.

Keywords: CHRONIC STABLE ANGINA; MEANING; PAIN; PSYCHOEDUCATION

Document Type: Research Article

Publication date: 2007-06-01

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