Qiu Ruolin, Schick-Makaroff Kara, Tang Leiwen, Wang Xiyi, Zhang Qi, Ye Zhihong
Faculty of Nursing, Zhejiang University School of Medicine, Hangzhou, Zhejiang, People's Republic of China.
Faculty of Nursing, University of Alberta, Edmonton, Alberta, Canada.
Patient Prefer Adherence. 2020 Feb 17;14:287-300. doi: 10.2147/PPA.S236348. eCollection 2020.
This study is aiming to investigate cardiovascular patients' attitudes towards self-management during hospitalization in China.
Twenty-nine individuals living with cardiovascular disease from one designated Cardiology Department in Hangzhou, China, were recruited through a purposive sampling procedure. A qualitative descriptive methodology was used. Semi-structured interviews were also used to gain attitudes toward self-management. The interviews were audio-recorded, transcribed and analyzed by thematic analysis to develop the results.
Four themes were identified from the qualitative data: (1): Responsibilities of self-management; (2): Reflections on self-management; (3): Acknowledgement of self-management support; (4): Challenges in implementing and adherence to self-management. Additionally, interview data were also given to illustrate these main themes emerging during the analysis. Patients gradually took their responsibilities to manage chronic symptoms. During their self-management process, they did reflections to help correct their regiments through supportive interactions. Health system responsiveness, health disparities, social capital, and cultural setting were the main external factors influencing better self-management implementation and adherence.
This study revealed the hospitalized cardiovascular patients' attitudes towards self-management in China. These findings emphasized the importance of patients' responsibility, reflections, and various social support receiving and pointed out specific external factors influencing the health outcomes and their quality of life. This study also proves the guide for the policymakers and health system better instructions to develop individually and culturally tailored advanced self-management interventions and programs.
本研究旨在调查中国心血管疾病患者在住院期间对自我管理的态度。
通过立意抽样程序，从中国杭州某指定心内科招募了29名心血管疾病患者。采用定性描述方法。还通过半结构化访谈来了解对自我管理的态度。访谈进行了录音、转录，并通过主题分析进行分析以得出结果。
从定性数据中确定了四个主题：（1）自我管理的责任；（2）对自我管理的反思；（3）对自我管理支持的认可；（4）自我管理实施与坚持中的挑战。此外，还给出了访谈数据以说明分析过程中出现的这些主要主题。患者逐渐承担起管理慢性症状的责任。在自我管理过程中，他们通过支持性互动进行反思，以帮助纠正自己的养生方法。卫生系统响应能力、健康差距、社会资本和文化背景是影响更好地实施和坚持自我管理的主要外部因素。
本研究揭示了中国住院心血管疾病患者对自我管理的态度。这些发现强调了患者责任、反思以及获得各种社会支持的重要性，并指出了影响健康结果及其生活质量的具体外部因素。本研究还为政策制定者和卫生系统提供了指导，以便更好地制定个性化和符合文化背景的先进自我管理干预措施和项目。
