Conceptions on treatment and lifestyle in patients with coronary heart disease: a phenomenographic analysis
2002 (English)In: Patient Education and Counseling, ISSN 0738-3991, Vol. 47, no 2, 137-143 p.Article in journal (Refereed) Published
Twenty-three patients with an acute event of coronary heart disease (CHD) received routine care including information about medication and lifestyle changes. They were interviewed after 1 year about their conceptions concerning drug treatment and lifestyle changes. The interviews were taped, transcribed and analysed using the phenomenographic approach. Conceptions were hierarchically categorised with regard to level of understanding. The results showed that the patients’ understanding of the effects and health benefits of their treatment was superficial as judged on an informed layman level. The knowledge was fragmentary and mechanistic. Several misconceptions were revealed. Few answers related to prognostic benefits. However, a conception about effects of stopping drug intake was risk of relapse. Some patients considered fate and heredity as the main causes of CHD. Thus, our patients had not achieved an adequate understanding of CHD treatment. The level of knowledge was lower than anticipated.
Place, publisher, year, edition, pages
2002. Vol. 47, no 2, 137-143 p.
Coronary disease, Drug therapy, Lifestyle, Patient education, Patients and knowledge
Medical and Health Sciences
IdentifiersURN: urn:nbn:se:liu:diva-13741DOI: 10.1016/S0738-3991(01)00185-9OAI: oai:DiVA.org:liu-13741DiVA: diva2:21241