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‘There is always a way to living with illness’—Self‐management strategies reported by Chinese hospitalized patients with cardiovascular disease: A descriptive qualitative study

OBJECTIVES: Patients living with cardiovascular diseases use different strategies to solve various problems. This study aimed to identify the category, type and specific self‐management strategies reported by hospitalized patients with cardiovascular diseases. METHODS: This is a qualitative descript...

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Autores principales: Qiu, Ruolin, Schick‐Makaroff, Kara, Tang, Leiwen, Wang, Xiyi, Zhang, Qi, Ye, Zhihong
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8360152/
https://www.ncbi.nlm.nih.gov/pubmed/33864295
http://dx.doi.org/10.1002/hpm.3172
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author Qiu, Ruolin
Schick‐Makaroff, Kara
Tang, Leiwen
Wang, Xiyi
Zhang, Qi
Ye, Zhihong
author_facet Qiu, Ruolin
Schick‐Makaroff, Kara
Tang, Leiwen
Wang, Xiyi
Zhang, Qi
Ye, Zhihong
author_sort Qiu, Ruolin
collection PubMed
description OBJECTIVES: Patients living with cardiovascular diseases use different strategies to solve various problems. This study aimed to identify the category, type and specific self‐management strategies reported by hospitalized patients with cardiovascular diseases. METHODS: This is a qualitative descriptive study. Twenty‐eight individuals with cardiovascular diseases from a Cardiology Department affiliated with a school in China were recruited by purposive sampling. Face‐to‐face semi‐structured interviews were used. The interviews were audio‐recorded, transcribed, translated and analysed by using content analysis. RESULTS: Five self‐management strategy categories (medical and alternative therapy uptake, risk assessment and avoidance, resource seeking and utilization, maintaining normality, and optional management), and seventeen self‐management strategy types, encompassing one hundred and ten specific strategies were identified. The most commonly used self‐management strategy types were lifestyle adjustment (eleven strategies), self‐maintenance (nine strategies) and problem‐solving (nine strategies). Additionally, the most described explicit self‐management strategies were receiving family/colleague support, maintaining daily routines, monitoring symptoms and managing side effects, discussing with professionals, using medicines, and improving awareness. CONCLUSION: This study identified diverse strategies reported by some Chinese cardiovascular patients. It may inform the design and development of personalized self‐management interventions for health practitioners and policymakers, helping cardiovascular patients in Chinese communities worldwide receive culture‐tailored services.
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spelling pubmed-83601522021-08-17 ‘There is always a way to living with illness’—Self‐management strategies reported by Chinese hospitalized patients with cardiovascular disease: A descriptive qualitative study Qiu, Ruolin Schick‐Makaroff, Kara Tang, Leiwen Wang, Xiyi Zhang, Qi Ye, Zhihong Int J Health Plann Manage Research Articles OBJECTIVES: Patients living with cardiovascular diseases use different strategies to solve various problems. This study aimed to identify the category, type and specific self‐management strategies reported by hospitalized patients with cardiovascular diseases. METHODS: This is a qualitative descriptive study. Twenty‐eight individuals with cardiovascular diseases from a Cardiology Department affiliated with a school in China were recruited by purposive sampling. Face‐to‐face semi‐structured interviews were used. The interviews were audio‐recorded, transcribed, translated and analysed by using content analysis. RESULTS: Five self‐management strategy categories (medical and alternative therapy uptake, risk assessment and avoidance, resource seeking and utilization, maintaining normality, and optional management), and seventeen self‐management strategy types, encompassing one hundred and ten specific strategies were identified. The most commonly used self‐management strategy types were lifestyle adjustment (eleven strategies), self‐maintenance (nine strategies) and problem‐solving (nine strategies). Additionally, the most described explicit self‐management strategies were receiving family/colleague support, maintaining daily routines, monitoring symptoms and managing side effects, discussing with professionals, using medicines, and improving awareness. CONCLUSION: This study identified diverse strategies reported by some Chinese cardiovascular patients. It may inform the design and development of personalized self‐management interventions for health practitioners and policymakers, helping cardiovascular patients in Chinese communities worldwide receive culture‐tailored services. John Wiley and Sons Inc. 2021-04-16 2021-07 /pmc/articles/PMC8360152/ /pubmed/33864295 http://dx.doi.org/10.1002/hpm.3172 Text en © 2021 The Authors. The International Journal of Health Planning and Management published by John Wiley & Sons Ltd. https://creativecommons.org/licenses/by-nc/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes.
spellingShingle Research Articles
Qiu, Ruolin
Schick‐Makaroff, Kara
Tang, Leiwen
Wang, Xiyi
Zhang, Qi
Ye, Zhihong
‘There is always a way to living with illness’—Self‐management strategies reported by Chinese hospitalized patients with cardiovascular disease: A descriptive qualitative study
title ‘There is always a way to living with illness’—Self‐management strategies reported by Chinese hospitalized patients with cardiovascular disease: A descriptive qualitative study
title_full ‘There is always a way to living with illness’—Self‐management strategies reported by Chinese hospitalized patients with cardiovascular disease: A descriptive qualitative study
title_fullStr ‘There is always a way to living with illness’—Self‐management strategies reported by Chinese hospitalized patients with cardiovascular disease: A descriptive qualitative study
title_full_unstemmed ‘There is always a way to living with illness’—Self‐management strategies reported by Chinese hospitalized patients with cardiovascular disease: A descriptive qualitative study
title_short ‘There is always a way to living with illness’—Self‐management strategies reported by Chinese hospitalized patients with cardiovascular disease: A descriptive qualitative study
title_sort ‘there is always a way to living with illness’—self‐management strategies reported by chinese hospitalized patients with cardiovascular disease: a descriptive qualitative study
topic Research Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8360152/
https://www.ncbi.nlm.nih.gov/pubmed/33864295
http://dx.doi.org/10.1002/hpm.3172
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