Accepting Myocardial Infarction Diagnosis As an Important Challenge During the Transition Process: A Qualitative Study Publisher



Estakhri K ; Taheriezbarami Z ; Peyrovi H ; Leyli EK ; Isanazar A ; Fakhrmousavi SA ; Jafaraghaee F
Source: Nursing Practice Today Published:2025

Abstract

Background & Aim: Failure to accept the disease can make a person susceptible to negative emotions, maladjustment to the disease, and disruption of the bio-psychosocial balance. This study aimed to investigate factors facilitating and inhibiting acceptance of myocardial infarction in newly diagnosed patients. Methods & Materials: In this qualitative content analysis study, participants were patients experiencing myocardial infarction for the first time, their caregivers, nurses, and specialist physicians. Data were collected between June 2023 and January 2024 through in-depth, semi-structured individual interviews with 11 participants selected through purposive sampling. Data analysis followed the three-step method proposed by Elo and Kyngas. Results: Several key themes were identified as influential factors in the acceptance of disease among newly diagnosed myocardial infarction patients. Facilitators of acceptance included social support, adaptation to new roles, perceived susceptibility to the disease, spirituality, and the role of healthcare providers. Conversely, barriers to acceptance encompassed symptom reduction, unexpected diagnosis of myocardial infarction, and lack of awareness. Understanding these factors is essential for developing targeted interventions to improve patient adjustment and outcomes. Conclusion: Identifying facilitators and barriers to the acceptance of disease can enhance patient engagement and adherence to treatment plans. Understanding these factors allows healthcare providers to tailor interventions that promote positive coping strategies. Ultimately, fostering acceptance can reduce healthcare costs by minimizing complications. © 2025 Elsevier B.V., All rights reserved.