Life Events and Adaptive Coping Approaches to Self-Management From the Perspectives of Hospitalized Cardiovascular Patients: A Qualitative Study

Qiu, Ruolin; Tang, Leiwen; Wang, Xiyi; Ye, Zhihong

doi:10.3389/fpsyt.2021.692485

Cited by 6 publications

(10 citation statements)

References 51 publications

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“…The subject of coping strategies was hardly discussed in contemporary literature of off-facility care of chronic disease patients, since the focus is more on the patients rather than the caregivers. Other previous studies [23,46,47] a rmed this and reported poor knowledge about coping strategies among caregivers. This may not only lead to poor care for the patients, it could lead to high level of psychological challenges to the caregivers resulting in further maladaptive behaviours like engaging in drug use.…”

Section: Discussionsupporting

confidence: 57%

“…There is growing global recognition of how family care is complementing medical intervention in improving the health and quality of life of CVA survivors [12,17,18,21,22]. So far, there is signi cant agreement across literature [8, 9,18,23] a rming the e cacy of effective family support and care in improving the health quality of life of CVA survivors. Meanwhile, caring for CVA survivors can be labour and time intensive and pretty stressful, as the caregiver may have to contend with complex and sometimes unfamiliar instructions from the medical staff [11,18,19,21].…”

Section: Introductionmentioning

confidence: 99%

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Care for the Cardiovascular Accident Survivor: Experiences of Family Caregivers

Atsu,

Botha,

Ansah

et al. 2023

Preprint

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Background The role of family caregivers in the management of cardiovascular accident (CVA) survivors is invaluable. So far, there is strong evidence affirming the efficacy of effective family support for CVA survivors. Meanwhile, caring for CVA survivors can be labour and time intensive and pretty stressful for caregivers. The purpose was to examine the experiences of family caregivers providing support for CVA survivors. Methods Using a 15-item interview guide and descriptive phenomenology, we gathered and analysed data from 37 family caregivers in the Ho Municipality, Ghana. Results We found that caregivers had limited knowledge about cardiovascular disease-risk factors and were ill-prepared for their roles. Additionally, we found limited knowledge about coping strategies among the caregivers, and further report that some caregivers use fasting and prayer as coping strategies. Conclusions Caregivers suffered broken relationship, loss of jobs and incomes due to their caregiving role. Moreover, some engaged in fasting and prayers and alcohol use to cope with the stress of caregiving. We discuss the implications of our findings to achieving Sustainable Development Goal 3.4, which seeks to reduce by 75% mortality due to non-communicable diseases.

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Section: Discussionsupporting

confidence: 57%

Section: Introductionmentioning

confidence: 99%

Care for the Cardiovascular Accident Survivor: Experiences of Family Caregivers

Atsu,

Botha,

Ansah

et al. 2023

Preprint

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“…The competency of self-management and digital skills affect patients’ decisions to accept CR referral. Additionally, previous studies provided an insight regarding coping mechanisms with three core elements of illness perceptions, cognition and regulation processing, and adaptive coping strategies ( 34 ). These factors have also been observed among patients in the post-AMI period.…”

Section: Resultsmentioning

confidence: 99%

“…The literature review provided an overview of the core elements related to CR program process at different level of environments (institutional, individual, and interpersonal factors). With a summative review of previous study findings, the attitudes toward general self-management ( 32 ) and the adaptive coping strategies of Chinese cardiovascular patients ( 33 , 34 ) were extracted into the consideration of individual factors.…”

Section: Methodsmentioning

confidence: 99%

Development of an integrated cardiac rehabilitation program to improve the adaptation level of patients after acute myocardial infarction

Wang

Lee

et al. 2023

Front. Public Health

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BackgroundIndividual’s adaptation following acute myocardial infarction (AMI) and low attendance of whole-course cardiac rehabilitation (CR) are significant issues. For optimal health post AMI, an integrated CR program aiming at individual’s adaptive behaviors is imperative for improving the CR efficiency and patients’ outcomes. This study aims to develop theory-guided interventions to increase CR attendance and adaptation level of patients post-AMI.MethodsThis study was conducted in a tertiary hospital from July 2021 to September 2022 in Shanghai China. Guided by the theory of adaptation to chronic illness (ACI theory), the study followed the Intervention mapping (IM) framework to develop the interventions for CR program. Four phases included: (1) needs assessment of patients and facilitators using a cross-sectional study and semi-structured, in-depth interviews, (2) identification of implementation outcomes and performance objectives, (3) selection of theoretical methods to explain the mechanism of patients’ adaptive behaviors and to use for behavior change, and (4) development of implementation protocol from the results of the previous phases.ResultsA total of 226 AMI patient-caregivers paired samples were eligible for the data analysis, 30 AMI patients participated in the qualitative inquiry, 16 experts in the CR field evaluated the implementation protocol, and 8 AMI patients commented on the practical interventions. Following the IM framework, an integrated cardiac rehabilitation program using mHealth strategies was developed for AMI patients to facilitate CR attendance and completion, to improve their adaptation level and health outcomes.ConclusionUsing the IM framework and ACI theory, an integrated CR program was developed to help guide the behavior change and improve adaptation among AMI patients. The preliminary findings suggest that further intervention in enhancing the combination of three-stage CR is required. A feasibility study will be conducted to assess the acceptability and effectiveness of this generated CR intervention.

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“…5,45 Notably, stressful life events in general may stimulate growth, adaptation, and building resilience in the face of adversity. 3,46 Cumulative lifetime adversity (experienced at a moderate level rather than no adversity or nonextreme high adversity) is associated with resilient responses to controlled stressors and is considered beneficial for achieving optimal well-being. 47 Newer measures capturing the cumulative effect of a range of stressful events (ie, lifetime adversity rather than recent or childhood experiences alone) may better account for the variation in resiliency over time.…”

Section: Limitationsmentioning

confidence: 99%

Magnitude of Incapability and Pain Intensity are Associated More with Unhelpful Thoughts Than Stressful Life Events

et al. 2023

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Prior studies show that stressful life events are associated with greater magnitude of incapability and symptom intensity. We sought to understand the association of such events (i.e., both adverse childhood experiences and recent difficult life events [DLEs]) alongside feelings of worry or despair and unhelpful, on the magnitude of incapability and symptom intensity in musculoskeletal patients. One hundred and thirty-six patients presenting for musculoskeletal specialty care completed measures of incapability, pain intensity, adverse childhood experiences, DLEs in the last year, unhelpful thoughts, symptoms of anxiety and depression, and sociodemographic factors. Factors associated with the magnitude of incapability and pain intensity were sought in multivariable analysis. Accounting for potential confounders, greater incapability was associated with greater unhelpful thoughts (RC = −0.81; 95% CI = −1.2 to −0.42; P ≤ .001), but not with stressful life events (either during childhood or more recently). Greater pain intensity was associated with greater unhelpful thoughts(RC = 0.25; 95% CI = 0.16 to 0.35; P ≤ .001) and being divorced or widowed (RC = 1.8; 96% CI = 0.43 to 3.2; P = .011), but again, not with stressful life events. The strong association of unhelpful thoughts with magnitude of incapability and pain intensity can motivate musculoskeletal specialists to anticipate patients expressing negative pain thoughts and behaviors. Future studies might account for social and environmental context behind stressful life events and the influence of resiliency and pain-coping strategies on these interactions. Level of Evidence: Level III, prognostic study

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Life Events and Adaptive Coping Approaches to Self-Management From the Perspectives of Hospitalized Cardiovascular Patients: A Qualitative Study

Cited by 6 publications

References 51 publications

Care for the Cardiovascular Accident Survivor: Experiences of Family Caregivers

Care for the Cardiovascular Accident Survivor: Experiences of Family Caregivers

Development of an integrated cardiac rehabilitation program to improve the adaptation level of patients after acute myocardial infarction

Magnitude of Incapability and Pain Intensity are Associated More with Unhelpful Thoughts Than Stressful Life Events

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