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家庭支持和祈祷是我们康复过程中非常宝贵的应对策略:心血管疾病患者的经历。

Family support and prayer are invaluable coping strategies for our recovery: Experiences of persons living with cardiovascular diseases.

作者信息

Tsedze Ivy Selorm, Edwin Frank, Owusu Bennett, Dumahasi Victor Kwasi, Botha Nkosi Nkosi, Ebu Enyan Nancy Innocentia

机构信息

Department of Adult Health, School of Nursing and Midwifery, University of Cape Coast, Cape Coast, Ghana.

Cardiothoracic Centre, Ho Teaching Hospital, Ho, Ghana.

出版信息

PLoS One. 2025 Jan 22;20(1):e0317314. doi: 10.1371/journal.pone.0317314. eCollection 2025.

Abstract

BACKGROUND

It is estimated that 61% of deaths caused by Cardiovascular Diseases (CVDs) globally are attributed to lifestyle-related risk factors including tobacco use, alcohol abuse, poor diet, and inadequate physical activity. Meanwhile, inadequate knowledge and misperceptions about CVDs are disproportionately increasing the prevalence of CVDs in Africa. Moreover, pre-diagnosis awareness/knowledge about CVDs among patients is essential in shaping the extent and scope of education to be provided by healthcare workers.

OBJECTIVE

Explore the experiences of patients living with CVDs (PLwCVDs) and accessing care at the Cardiothoracic Centre, Ho Teaching Hospital, regarding their knowledge of CVD-risk factors and coping strategies that work for them.

METHOD

We leveraged descriptive phenomenological design to explore the experiences of patients accessing care at the Cardiothoracic Centre at the Ho Teaching Hospital, Ghana. Using the purposive sampling technique, 17 PLwCVDs for 3yrs and above were recruited and included in the study. Thematic analysis was conducted using the qualitative computerised data software, NVivo version 14. Recruitment of participants and general conduct of the study commenced on November 1, 2023 and ended on April 30, 2024.

FINDINGS

We found that PLwCVDs and accessing care at the Cardiothoracic Centre at Ho Teaching Hospital have adequate pre-diagnosis awareness about CVD-risk factors and their knowledge of same was optimal. Moreover, past unhealthy lifestyles (such as poor dieting, abuse of alcohol, smoking, and inadequate physical activity) may have contributed to participants developing the CVDs. Furthermore, prayers and participation in church activities were the main coping strategies employed by the participants in dealing with CVDs.

CONCLUSION

The PLwCVDs and receiving treatment at the Cardiothoracic Centre at the Ho Teaching Hospital are knowledgeable in the CVD-risk factors and adopting positive coping strategies. The Cardiothoracic Centre and government must explore social media facilities to intensify public education and also correct misconceptions about CVDs.

摘要

背景

据估计,全球61%的心血管疾病(CVD)死亡归因于与生活方式相关的风险因素,包括吸烟、酗酒、不良饮食和体育活动不足。与此同时,对心血管疾病的认识不足和误解正在不成比例地增加非洲心血管疾病的患病率。此外,患者对心血管疾病的诊断前意识/知识对于确定医护人员提供教育的程度和范围至关重要。

目的

探讨在霍教学医院心胸中心接受治疗的心血管疾病患者(PLwCVDs)对心血管疾病风险因素的了解以及对他们有效的应对策略。

方法

我们采用描述性现象学设计来探索在加纳霍教学医院心胸中心接受治疗的患者的经历。使用目的抽样技术,招募了17名患病3年及以上的心血管疾病患者并纳入研究。使用定性计算机数据软件NVivo 14版进行主题分析。参与者的招募和研究的总体开展于2023年11月1日开始,2024年4月30日结束。

结果

我们发现,在霍教学医院心胸中心接受治疗的心血管疾病患者对心血管疾病风险因素有足够的诊断前意识,并且他们对这些因素的了解处于最佳状态。此外,过去不健康的生活方式(如不良饮食、酗酒、吸烟和体育活动不足)可能导致参与者患上心血管疾病。此外,祈祷和参加教会活动是参与者应对心血管疾病的主要策略。

结论

在霍教学医院心胸中心接受治疗的心血管疾病患者了解心血管疾病风险因素并采用积极的应对策略。心胸中心和政府必须探索社交媒体工具,以加强公众教育,并纠正对心血管疾病的误解。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3734/11753639/f35bacfc6dec/pone.0317314.g001.jpg

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