Person-Centered Interview as a Tool for Clinical Work in Myocardial Infarction Setting

The issue of non-communcable diseases risk factors is one of the main in global targets of healthcare. However the key point in this direction is still a patient-clinician communication that demands high level of understanding and empathy. A useful tool for clinical work might be person-centered interview. Aim. To evaluate epistemological role of person-centered interview and to define its place in cardiological care for acute myocardial infarction patients (MI). Material and methods. The study is done in qualitative methodology: in-depth semistructured interview. Totally, 216 consequent MI patients screened. After inclusion criteria assessment (economically active males with first MI, none severe comorbidities and no anamnesis of coronary heart disease) and study procedures, 14 interviews included into analysis by phenomenological descriptive with the elements of interpretation, method. Results. A range of non-expressed experiences revealed of the living through of the disease state in this group of patients: serious life change, borderline of life “before” and “after”; anxiety and fear of sudden death and repeat of the event; discourage and confusion; puzzlement; disorientation in symptoms, misunderstanding; loss of perspective for better in life; stigmatization; self-image changes; feelings of guilt and resentment; somatic markers; specifics of social stress. Conclusion. Person-centered interview as a method of dialogue, implemented to the work of clinician, makes it to reveal the nonexpressed but very important sides of the disease course. In the experiencing of males with first MI, economically active, there is a range of issues requiring specific work. Addressing to the phenomenal of patients might be a higher level position in the work with life style determined non-communicable diseases.