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The desire for a good life - patients beliefs of self-care after a coronary event
Östergötlands Läns Landsting, Local Health Care Services in Finspång, Primary Health Care in Finspång. Östergötlands Läns Landsting, Local Health Care Services in East Östergötland.
Östergötlands Läns Landsting, Local Health Care Services in West Östergötland, Primary Health Care in Motala.
Linköping University, Department of Medical and Health Sciences, Division of Nursing Science. Linköping University, Faculty of Health Sciences.
Linköping University, Department of Medical and Health Sciences, Division of Community Medicine. Linköping University, Faculty of Health Sciences. Östergötlands Läns Landsting, Local Health Care Services in East Östergötland.
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2013 (English)Conference paper, Oral presentation with published abstract (Other academic)
Abstract [en]

     

Introduction: After a first coronary event there is an increased risk for a recurrent event. Despite that risk, 1/5 of the patients continue to smoke, 1/3 is obese and more than half of the patients have elevated blood pressure and total cholesterol. Secondary preventive self-care activities are needed to improve outcomes and the belief of patients plays a vital role in changing behavior.                         

Aim: To examine patients’ beliefs of self-care 6-12 months after a coronary event.                         

Method: The study design was qualitative. Twenty-five patients, including 10 women, mean age 65 years with stable coronary artery disease participated in four focus group interviews. Data were taped, transcribed and analyzed according to the conventional content analysis.                         

Findings: Patients’ belief of self-care is influenced by their desire of a good life even though life seems fragile. Patients try to live up to the standard of health care prescription and advices. However, these achievements require behavior change and conscious boundaries, which are challenged by various obstacles such as fear of, overstrain and stress. Physical activity is considered as both a source to well-being and a necessity, but patients are uncertain and afraid for overstraining. A healthy diet is seen as important but the advices given are sometimes contradictory and create confusion. Medication is found important but not at the cost of all the side-effects. Patients also report that in order to believe in their ability and to be responsible for self-care, support from health care providers is expected. But at the same time the invaluable support and information is often not provided, creating uncertainty.                         

Discussion: The study highlights the patients’ perspective of self-care and what they view as important in self-care after an event of coronary artery disease. The patients’ expectations on health services comprise information, support and continuous follow-up. This is necessary to facilitate the patient’s responsibility for their own care.                         

Conclusion: Patients’ beliefs about the concept of self-care after an event of coronary artery disease are multifaceted and voluminous compared to the health care definition. The findings of the study challenge health care policies approach to self-care. There is a need to reconsider and assess what and how secondary preventive patient education should be performed after an event of coronary artery disease.  

                    

Place, publisher, year, edition, pages
Sage Publications, 2013. -37 p.
Series
European Journal of Cardiovascular Nursing, ISSN 1474-5151 ; 2013:12, Suppl 1
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:liu:diva-107992DOI: 10.1177/1474515113477019OAI: oai:DiVA.org:liu-107992DiVA: diva2:729228
Conference
EuroHeartCare 2013, 22-23 March 2013, Glasgow, United Kingdom
Note

The DOI links to a summary of all oral sessions. Se page S37 in PDF file for the publication (P 98).

Available from: 2014-06-25 Created: 2014-06-24 Last updated: 2016-08-31Bibliographically approved

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Tingström, PiaNilsson, StaffanJaarsma, TinyKärner, Anita

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Primary Health Care in FinspångLocal Health Care Services in East ÖstergötlandPrimary Health Care in MotalaDivision of Nursing ScienceFaculty of Health SciencesDivision of Community MedicineDivision of Health, Activity and Care
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CiteExportLink to record
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