Trajectoire et vécu des personnes traitées pour un infarctus du myocarde en région éloignée : étude exploratoire descriptive

Rech Soins Infirm. 2020 Dec:(142):111-122. doi: 10.3917/rsi.142.0111.
[Article in French]


Introduction : Cardiovascular disease is on the rise and is the second leading cause of death among Canadians. Background : The care pathway followed by myocardial infarction patients in remote areas has an impact on their continuity of care.Objective : To describe the care pathway of myocardial infarction patients living in a remote area.Methods : A qualitative formative research design was used. Two samples were created, the first comprising sixteen people who had undergone a percutaneous transluminal coronary angioplasty, and the second made up of four health professionals working in Family Medicine Groups (FMGs).Results : Eight steps were identified and three priority needs were raised, namely : 1) understanding the pathway of care and services ; 2) effectively communicating health information to the various establishments ; and 3) setting up follow-up by FMG health professionals when the patient returns home.Discussion : Nurses play a key role in all steps of the pathway and in meeting patients’ needs.Conclusion : The care and service pathway are suboptimal but the same for participants from this remote area.

MeSH terms

  • Angioplasty, Balloon, Coronary*
  • Canada
  • Cardiac Rehabilitation*
  • Continuity of Patient Care*
  • Health Personnel
  • Humans
  • Myocardial Infarction / psychology*
  • Myocardial Infarction / therapy*
  • Qualitative Research
  • Rural Population