You can do it if you set your mind to it: a qualitative study of patients with coronary artery disease

Bergman, Eva; Berterö, Carina

doi:10.1046/j.1365-2648.2001.02040.x

Cited by 46 publications

(62 citation statements)

References 21 publications

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“…74 Other studies have reported patient concerns about medicines without relating this to compliance. This includes concern about side effects, 81,[84][85][86][87] as well as patients perceiving medicines to be an "intrusion on their daily life" and concern about having to take them for the rest of their lives 84 or that some patients disliked taking medicines. 83,84,87 Studies have reported that some patients view medicines in terms of preventing another heart attack, 74,82,84 delaying progression of CVD, 88 or as an aid to recovery.…”

Section: Patient Perspectives On Taking Prescribed Medicinesmentioning

confidence: 99%

“…83,84,87 Studies have reported that some patients view medicines in terms of preventing another heart attack, 74,82,84 delaying progression of CVD, 88 or as an aid to recovery. 85 However, studies have also found that either some or many patients did not know what medicines they were taking or how the medicines work. 76 …”

Section: Patient Perspectives On Taking Prescribed Medicinesmentioning

confidence: 99%

“…Firstly, some patients, but not all, make and maintain some lifestyle changes but not necessarily all of the changes recommended. 76,80,85,87,[89][90][91][92][93] Secondly, patients often experience difficulty in making and maintaining lifestyle changes. 85,[94][95][96][97][98][99][100] The literature also provides valuable insights into the reasons why people make lifestyle changes and how they respond to information about lifestyle modification provided by cardiac rehabilitation programs and health promotion programs.…”

Section: Patient Perspectives On Lifestyle Modification Recommendationsmentioning

confidence: 99%

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Effectiveness of public health and education programs for creating awareness of and managing cardiovascular disease

White¹

2011

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This paper reviews the effectiveness of public health and education programs for creating awareness of, preventing and managing cardiovascular disease (CVD), with a particular focus on their impact on people's behavior. Evidence-based guidance recommends that such programs, eg, cardiac rehabilitation, should include risk assessment, modification of lifestyle risk factors and, where appropriate, medication. However, despite substantial evidence of cardiac rehabilitation being beneficial, a significant proportion of eligible patients fail to receive cardiac rehabilitation and numerous barriers to attendance remain, particularly because cardiac rehabilitation service provision continues to be patchy and of variable quality. Evidence suggests that educational programs to prevent CVD may achieve favorable reductions in mortality and overall CVD risk. However, whilst people tend to have significant knowledge of the modifiable risk factors for CVD, this does not necessarily lead to action to reduce risk, because lay epidemiology appears to play a significant role in sophisticated determinations of CVD causation, amongst other factors. Some people, but not all, make and maintain some lifestyle changes, but not necessarily all of the changes recommended, because they may only change aspects of lifestyle that are perceived to have been likely causes of their CVD. In addition, many people experience difficulty in making and maintaining lifestyle changes. There appears to be considerable disquiet among patients about taking medicines prescribed for CVD, particularly concerning side effects, which in some instances may affect medicine-taking. New developments and patient approaches recognize the wider societal issues that influence the lifestyle choices people make. Initiatives to increase attendance and widen access to cardiac rehabilitation have included home-based and technological innovations as alternatives to hospital-based cardiac rehabilitation programs. Effective future approaches are likely to build on these developments, and offer even greater choice in accessing preventative services.

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Section: Patient Perspectives On Taking Prescribed Medicinesmentioning

confidence: 99%

Section: Patient Perspectives On Taking Prescribed Medicinesmentioning

confidence: 99%

Section: Patient Perspectives On Lifestyle Modification Recommendationsmentioning

confidence: 99%

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Effectiveness of public health and education programs for creating awareness of and managing cardiovascular disease

White¹

2011

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“…Supporting factors reported by the patients recovering after MI and coronary artery disease include both personal factors and external support [2,[9][10][11][12][13][14][15] . Besides good physical health, various psychological factors have been reported to be supportive after MI.…”

Section: Introductionmentioning

confidence: 99%

“…In addition, a variety of personal coping strategies have been reported [11][12][13][14][15] . Supporting external factors include helpful interpersonal relations and concrete practical help from family, friends and professionals [2,9,11,16] .…”

Section: Introductionmentioning

confidence: 99%

Supporting and inhibiting factors in recovery experienced by the patients after myocardial infarction during an 18-month follow-up

Oranta

Luutonen

Leino‐Kilpi

2012

JNEP

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Objective: There is a need for studies on recovery as experienced by the patient after myocardial infarction. This study is a report on supporting and inhibiting factors in recovery of Finnish patients after myocardial infarction in an Interpersonal Counselling intervention group and in a control group given standard care at 6 months and 18 months after myocardial infarction. Methods:Firstly, during the 6 months following patients receiving IPC (n=21) and standard care (n=19) kept diaries related to supporting and inhibiting factors in recovery. The data were analyzed by inductive content analysis. Secondly, the patients (44 in the intervention group and 42 in the control group) were interviewed with the same open-ended questions 18 months after myocardial infarction. This data were analyzed using deductive content analysis. An attribution analysis was performed on both data. Results:Five main categories, including supporting and inhibiting factors and subcategories, were identified: (1) clinical and physical, (2) psychological, (3) social, (4) functional and (5) professional. There were no differences between the groups. Conclusions:Recovery experienced by the patient after myocardial infarction seems to consist of many supporting and inhibiting factors. This is important to take into account in developing nursing practice. The topic calls for more specific studies. These results could be useful material in developing and testing a quantitative instrument for more precise measuring of recovery after MI in a randomized setting. To develop theory, the results indicate numerous possibilities to test relationships between supporting and inhibiting factors in recovery after myocardial infarction.

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The Contributions of Qualitative Research to Cardiac Conditions

Clark

Neubeck

Strachan

et al. 2016

Handbooks in Health, Work, and Disability

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You can do it if you set your mind to it: a qualitative study of patients with coronary artery disease

Cited by 46 publications

References 21 publications

Effectiveness of public health and education programs for creating awareness of and managing cardiovascular disease

Effectiveness of public health and education programs for creating awareness of and managing cardiovascular disease

Supporting and inhibiting factors in recovery experienced by the patients after myocardial infarction during an 18-month follow-up

The Contributions of Qualitative Research to Cardiac Conditions

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