The cardiac patients’ perceptions of their responsibilities in adherence to care: a qualitative interview study

Kangasniemi, Mari; Hirjaba, Marina; Kohonen, Katja; Vellone, Ercole; Moilanen, Tanja; Pietilä, Anna‐Maija

doi:10.1111/jocn.13642

Cited by 4 publications

(4 citation statements)

References 49 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…When patients acknowledge the role that lifestyle behaviors play in the course of their disease, it is feasible to say that they can understand their personal control over these behaviors and their active and responsible role in disease control, including drug management, symptom recognition, and risk factor modification. 35,36 In this scenario, it is also necessary to highlight the importance of healthcare providers and educators to support and guide patients to translate that knowledge and awareness into action, which was also identified by a previous study. 37 Therefore, providing suf- ficient information is one of the steps for autonomy and accountability in adherence to care, with the role of health professionals as facilitators in the process of effective self-care engagement being crucial so that patients feel confident to self-manage their conditions.…”

Section: Discussionmentioning

confidence: 92%

A qualitative study of patient’s perceptions of two cardiac rehabilitation models

Nascimento

Assis

Ghisi

et al. 2021

Brazilian Journal of Physical Therapy

View full text Add to dashboard Cite

Section: Discussionmentioning

confidence: 92%

A qualitative study of patient’s perceptions of two cardiac rehabilitation models

Nascimento

Assis

Ghisi

et al. 2021

Brazilian Journal of Physical Therapy

View full text Add to dashboard Cite

“…Findings on other heart patients after an acute myocardial infarction show that a sense of coherence plays a significant role in how people manage their illness and treatment (Norekval et al, ). Among other cardiac patients, the individual resources and motivation were the main factor that influenced the patients’ responsibilities concerning adherence to care (Kangasniemi et al, ).…”

Section: Discussionmentioning

confidence: 99%

Transforming the experience of aortic valve disease in older patients: A qualitative study

Kirk

Missel

2019

Journal of Clinical Nursing

View full text Add to dashboard Cite

Aim and objectives:To explore patients' lived experiences of daily life and coping with recovery after transcatheter aortic valve implantation (TAVI).Background: Transcatheter aortic valve implantation is increasingly used to treat older patients with severe aortic stenosis with high surgical risk. This novel treatment has been shown to be effective in relieving symptoms, improving survival and prognosis, but its impact on patients' daily life has been sparsely explored. Design: Qualitative design.Methods: Qualitative interviews were conducted in a purposeful sample of ten patients three-four months after TAVI. A phenomenological hermeneutical approach comprised an epistemological stance and Ricoeur's work inspired the qualitative methodological foundation. The study adhered to the COREQ guidelines.Results: This study is illuminating patients' perception of recovery after TAVI. The patients experienced a transformation of bodily sensations, a changed bodily attention and enhanced physical possibilities to cope with life. Undergoing TAVI changed the pre-treatment symptoms that limited daily activities, allowing the patients to resume or participate in activities that were previously impossible. TAVI gives patients the feeling that they can do more than before, which strengthens their faith in the body's possibilities and means that they can live a more self-reliant and independent life. Conclusion:For older patients, TAVI can serve to bolster a sense of trusting their own body again. A clear distinction between pre-and post-TAVI is recognised.Patients may be able to resume everyday activities following TAVI. The recovery process, however, must take into account the individual patient's own resources.Relevance to clinical practice: The impact of TAVI on daily life activities should be communicated to the patient in decision-making. Recovery depends on the patient's own effort, why identification of the patients who need support for recovery after TAVI as well as differentiated rehabilitation is required. Walking as a parameter should be integrated in the recovery trajectory. K E Y W O R D S aged, aortic stenosis, patient experience, qualitative research, recovery, Ricoeur, transcatheter aortic valve implantation (TAVI) SUPPORTING INFORMATION Additional supporting information may be found online in the Supporting Information section at the end of the article. How to cite this article: Kirk BH, De Backer O, Missel M.Transforming the experience of aortic valve disease in older patients: A qualitative study.

show abstract

“…However, this syndrome remains a challenge to face to improve both the patients' quality of life and insulin therapy management. Literature has widely demonstrated that adherence to care is essential to patients in order to ameliorate the path of treatment of the illness [14] and that a scarce adherence to care in DM can lead to poor management of illness. Poor perception of self-efficacy in curing one's disease leads to psychological problems such as anxiety [15], depression [16], and distress [17].…”

Section: Introductionmentioning

confidence: 99%

The Role of the Person Focused IARA Model in Reducing Anxiety and Improving Body Awareness and Illness Management in Diabetics with Acquired Lipodystrophy: A Mixed-Method Study

Viglino

Sellami

Broglio

et al. 2022

JPM

View full text Add to dashboard Cite

Background: Lipodystrophy is one of the most frequent complications in people with diabetes following subcutaneous insulin therapy, and poor management can lead to several problems, such as impaired glycemic control and adherence to therapy, anxiety, and depression. Poor injection technique represents the main risk factor for lipodystrophies. In order to enhance the patient’s insulin injection technique to heal lipodystrophy, improve psychological indices, and promote involvement in their health and care, the efficacy of emerging person-centered care called the IARA model was tested. Methods: A total of 49 patients were randomly allocated to the IARA group (Experimental; n = 25) or standard education (Control; n = 24). The following questionnaires were used in a mixed-method design: (i) State Anxiety Scale; (ii) Beck Depression Inventory; (iii) Italian Summary of Diabetes Self-Care Activities. An ad hoc open-ended questionnaire was structured for the qualitative analysis. Finally, photos were taken in order to verify if injection sites were changed until the follow-up at 12 months. The number of patients who participated until the completion of the study was 17 in the IARA and 11 in the Control group. Results: State anxiety was significantly reduced in people who followed IARA to follow-up at 3 and 6 months (p < 0.05). The IARA group also demonstrated better compliance in blood glucose monitoring and foot-care compared to Control at follow-up at 12 months. The management of insulin injections dramatically improved in participants who received IARA intervention. Conclusions: IARA could be considered an effective strategy to improve well-being and compliance in people affected with diabetes mellitus and lipodystrophy complications.

show abstract

The cardiac patients’ perceptions of their responsibilities in adherence to care: a qualitative interview study

Cited by 4 publications

References 49 publications

A qualitative study of patient’s perceptions of two cardiac rehabilitation models

A qualitative study of patient’s perceptions of two cardiac rehabilitation models

Transforming the experience of aortic valve disease in older patients: A qualitative study

The Role of the Person Focused IARA Model in Reducing Anxiety and Improving Body Awareness and Illness Management in Diabetics with Acquired Lipodystrophy: A Mixed-Method Study

Contact Info

Product

Resources

About