Motivation is a crucial factor for adherence to a healthy lifestyle among people with coronary heart disease after percutaneous coronary intervention

Kähkönen, Outi; Kankkunen, Päivi; Saaranen, Terhi; Miettinen, Heikki; Kyngäs, Helvi; Lamidi, Marja‐Leena

doi:10.1111/jan.12708

Cited by 49 publications

(87 citation statements)

References 31 publications

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“…The important forms of health behaviour regarding the prevention of CHD—such as high‐to‐moderate physical activity and high vegetable consumption—predicted the motivation towards self‐care, sense of normality and perceived results of care, which were found to be crucial factors influencing adherence to treatment in many studies (Kääriäinen et al., ; Oikarinen, Engblom, & Kääriäinen, ; Kähkönen et al, ). The health benefits of physical activity are undeniably important when it comes to mitigating modifiable CHD risk factors, such as hypercholesterolaemia, hypertension, overweight and stress (Current Care Guideline: Stable Coronary Artery Disease, ).…”

Section: Discussionmentioning

confidence: 99%

“…Furthermore, the dependent mean sum variables related to adherence to treatment were responsibility, cooperation, support from next of kin, sense of normality, motivation, results of care, support from nurses, support from physicians and fear of complications. (Kyngäs, ; Kyngäs, Duffy et al., ; Kyngäs, Skaar‐Chandler et al., ; Kääriäinen et al., ; Kähkönen et al, . )…”

Section: Methodsmentioning

confidence: 99%

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Predictors of adherence to treatment by patients with coronary heart disease after percutaneous coronary intervention

Kähkönen

Saaranen

Kankkunen

et al. 2018

Journal of Clinical Nursing

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Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Predictors of adherence to treatment by patients with coronary heart disease after percutaneous coronary intervention

Kähkönen

Saaranen

Kankkunen

et al. 2018

Journal of Clinical Nursing

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“…Central here is the notion of 'adherence to treatment', or what used to be called compliance, and sometimes also known as 'concordance' depending on the emphasis being placed upon patient agency (Kähkönen, Kankkunen, Saaranen, Miettinen, Kyngäs & Lamidi, 2015). Motivation and responsibility figure highly as predictive factors in adherence, along with other items like feeling a sense of normality, fear of complications and support from family and health care professionals (ibid).…”

Section: Resultsmentioning

confidence: 99%

Recovery From Heart Attack, Biomedicalization, and the Production of a Contingent Health Citizenship

Langdridge

2016

Qual Health Res

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In this article I explore the experience of recovery from a heart attack through an analytic autoethnography. I discuss the tensions inherent in biomedical subjectivities of health and ill health during cardiac recovery through three key themes: (1) the transfer of responsibility and becoming a subject 'at risk', (2) technologies of biomedicine and the disciplining of subjectivities, and (3) the transformation of a body towards a new pharmaceuticalized bodily normal.Through an analysis driven by the biomedicalization thesis of Clarke, alongside work on biopower and the governmentality of health by Foucault, Rose and Rabinow, I seek to provide new insights into the process of cardiac recovery and the relationship between individual experience and broader socio-political processes. Key to this analysis is a focus on the contingent subjectivities brought into being through biomedicalisation that constitute a new form of health citizenship that is otherwise not accounted for in narratives of recovery.Keywords: heart attack recovery; biomedicalisation; health citizenship; subjectivities of health and illness. Abstract word count: 150Main body word count: 7069 (excluding references) 2 Recovery from heart attack, biomedicalisation and the production of a contingent health citizenship

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“…Kähkönen et al. () found that motivation was a key factor for adherence to secondary prevention. These findings highlight the need for patient participation during treatment to enhance the understanding of their condition and their motivation to initiate lifestyle changes.…”

Section: Introductionmentioning

confidence: 99%

Patients' narratives of their patient participation in the myocardial infarction pathway

Bårdsgjerde

Kvangarsnes

Landstad

et al. 2019

Journal of Advanced Nursing

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Aim To explore how patients in areas without local percutaneous coronary intervention (PCI) facilities experience patient participation in different phases of the myocardial infarction pathway. Background Acute treatment of myocardial infarction often involves PCI. In Norway, this treatment is centralized at certain hospitals; thus, patients often require long‐distance transportation and experience frequent hospital transfers. Short hospital stays, transfers between hospitals and the patient's emotional state pose challenges to promoting patient participation. Design A qualitative design with a narrative approach. Methods Participants were recruited through purposive sampling. Eight men and two women were interviewed in 2016. Findings Four themes related to the patients' experiences at the beginning, middle and end of the pathway were identified: (a) Lack of verbal communication in the acute phase; (b) trust in healthcare professionals and treatment; (c) lack of participation and coordination at discharge; and (d) shared decision‐making in rehabilitation. The findings showed how the patients moved from a low level of patient participation in the acute phase to a high level of patient participation in the rehabilitation phase. Conclusion This is the first study to explore patient participation in different phases of the myocardial infarction pathway. We argue that individual plans for information and patient participation are important to improve patient involvement in an earlier stage of the pathway. Further research from a healthcare professional perspective can be valuable to understand this topic. Impact This study gives new insight that can be valuable for healthcare professionals in implementing patient participation throughout the pathway.

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Motivation is a crucial factor for adherence to a healthy lifestyle among people with coronary heart disease after percutaneous coronary intervention

Cited by 49 publications

References 31 publications

Predictors of adherence to treatment by patients with coronary heart disease after percutaneous coronary intervention

Predictors of adherence to treatment by patients with coronary heart disease after percutaneous coronary intervention

Recovery From Heart Attack, Biomedicalization, and the Production of a Contingent Health Citizenship

Patients' narratives of their patient participation in the myocardial infarction pathway

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