Frenn M D, Borgeson D S, Lee H A, Simandl G
J Cardiovasc Nurs. 1989 Feb;3(2):43-55. doi: 10.1097/00005082-198902000-00006.
Major life-style changes are required after an acute coronary event, although the vast majority of patients are unsuccessful in maintaining these changes. This study examines factors clients view as enabling or disabling their life-style changes for health promotion. Ten patients in a cardiac rehabilitation program were interviewed using grounded theory methodology. Both health protection and health promotion stimulated life-style change, as did instructions from the physician and life enjoyment. Enabling and disabling factors affecting the process of repatterning were individually defined, but changes in beliefs, attitudes, and plans facilitated repatterning. Specific precipitants to change, forces influencing change, and methods of repatterning life style are discussed, as are nursing implications.
急性冠状动脉事件发生后需要对生活方式进行重大改变，尽管绝大多数患者未能成功维持这些改变。本研究探讨了患者认为有助于或阻碍其为促进健康而改变生活方式的因素。采用扎根理论方法对10名参加心脏康复项目的患者进行了访谈。健康保护和健康促进都促使了生活方式的改变，医生的指导和生活乐趣也起到了同样的作用。影响重新塑造生活方式过程的促进因素和阻碍因素分别进行了界定，但信念、态度和计划的改变有助于重新塑造生活方式。文中讨论了改变的具体诱因、影响改变的因素以及重新塑造生活方式的方法，还探讨了护理方面的影响。
