Aims The recent rise in the number of nonagenarians (age ≥ 90 years) undergoing percutaneous coronary intervention (PCI) has revealed gaps in research, in particular on patients’ experiences. Therefore, the aim of the study was to explore and describe nonagenarians’ internal resources and their experiences of the in-hospital pathway. Methods and results Nineteen nonagenarian patients (women n = 9), mean age 91 years, 9 acutely, and 10 electively treated, were consecutively enrolled from a tertiary university hospital from June 2021 to February 2023. In-depth interviews were conducted during hospitalization, audiotaped and transcribed. The interviews were analysed using qualitative content analysis. Three sub-themes emerged from the nonagenarians’ experiences with the PCI treatment trajectory: (i) Taking lifelong responsibility for own physical and mental health describes a population striving to live a healthy life and to stay independent. Physical and mental activities including healthy food choices had been an integral aspect of their lives from early childhood. (ii) Individual internal resources influenced the PCI pathway describes how their internal resources were used, from actively engaging in the decision-making process to withstanding discomfort during the PCI procedure. (iii) The post-PCI pathway was multifaceted describes a short stay at the cardiac ward with individual post-procedural experiences, close monitoring, and preparation for discharge including cardiac rehabilitation. Conclusion Nonagenarians undergoing PCI demonstrated a personal incentive to stay healthy and independent. Their internal resources of independence, stoicism, and resilience were used during their in-hospital stay contributing to a successful PCI procedure. Individual cardiac rehabilitation strategies were highlighted after discharge from hospital.

中文翻译：

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“当年龄不再是障碍”：九十多岁患者接受经皮冠状动脉介入治疗经历的探索性研究

目的 最近接受经皮冠状动脉介入治疗 (PCI) 的九十多岁老人（年龄≥ 90 岁）数量的增加揭示了研究方面的差距，特别是在患者体验方面。因此，本研究的目的是探索和描述九十多岁老人的内部资源及其住院途径的经历。方法与结果 2021 年 6 月至 2023 年 2 月期间连续纳入某三级大学医院 19 名九十多岁患者（女性 n = 9），平均年龄 91 岁，其中急性治疗 9 例，择期治疗 10 例。录音并转录。使用定性内容分析对访谈进行分析。九十多岁老人接受 PCI 治疗的经历中出现了三个子主题：(i) 对自己的身心健康承担终生责任描述了一群努力过健康生活并保持独立的人群。从幼儿时期起，身心活动（包括选择健康食品）就已成为他们生活中不可或缺的一部分。(ii) 影响 PCI 途径的个人内部资源描述了如何使用他们的内部资源，从积极参与决策过程到承受 PCI 程序期间的不适。(iii) PCI 后途径是多方面的，描述了在心脏病房的短暂停留，包括个人术后经历、密切监测和出院准备，包括心脏康复。结论 接受 PCI 的九十多岁老人表现出保持健康和独立的个人动机。他们在住院期间利用了独立、坚忍和坚韧的内部资源，为 PCI 手术的成功做出了贡献。出院后强调了个体心脏康复策略。