尽管有障碍仍不断前行：关于冠心病患者首次经皮冠状动脉介入治疗后健康生活方式调整的定性研究
Moving Forward Despite Obstacles: A Qualitative Study on Healthy Lifestyle Adjustments Among Patients with Coronary Heart Disease After Their First Percutaneous Coronary Intervention.
作者信息
Cheng Li, Wang Wen-Ru, Wikström Lotta, Mårtensson Jan
机构信息
School of Nursing, Hubei University of Medicine, Shiyan, People's Republic of China.
Department of Nursing, School of Health and Welfare, Jönköping University, Jönköping, Sweden.
出版信息
Int J Gen Med. 2025 Mar 15;18:1451-1461. doi: 10.2147/IJGM.S491082. eCollection 2025.
BACKGROUND
Lifestyle factors, including diet, physical activity, smoking cessation, and stress management, are crucial for reducing the risk of recurrent cardiac events and promoting overall cardiovascular health. Despite their clinical significance, the experiences of patients with coronary heart disease (CHD) in adjusting to and maintaining these lifestyle changes after their first percutaneous coronary intervention (PCI) remain relatively unexplored, especially in China. This study aims to address this gap by exploring the experiences of patients with CHD in central China as they make adjustments to healthy lifestyles following their first PCI.
METHODS
A qualitative descriptive study was designed. Eighteen participants from a regional teaching hospital in central China participated in the study conducted from 2022 to 2023. Data were collected through face-to-face interviews guided by semi-structured questions, resulting in five sub-themes and one main theme emerging from the thematic analysis.
RESULTS
Adjusting to a healthy lifestyle post-PCI was described as "moving forward despite obstacles", reflecting resilience and determination in overcoming challenges to improve health and well-being. The participants initially trusted their doctors' recommendations and became motivated by the positive effects of lifestyle changes and the desire to alleviate the burden of their loved ones. However, they also faced challenges related to Chinese traditional culture and other physical issues.
CONCLUSION
Adjustment to a healthy lifestyle is essential but challenging. Our findings highlight the influence of external and internal factors on behavioural changes and underscore the need for health professionals to understand and support patients' experiences to inspire and sustain their lifestyle adjustments.
TRIAL REGISTRATION
Not applicable.
背景
生活方式因素，包括饮食、体育活动、戒烟和压力管理，对于降低心脏事件复发风险和促进整体心血管健康至关重要。尽管这些因素具有临床意义，但冠心病（CHD）患者在首次经皮冠状动脉介入治疗（PCI）后适应并维持这些生活方式改变的经历仍相对缺乏探索，尤其是在中国。本研究旨在通过探索中国中部地区冠心病患者在首次PCI后调整至健康生活方式的经历来填补这一空白。
方法
设计了一项定性描述性研究。来自中国中部一家区域教学医院的18名参与者参与了2022年至2023年进行的研究。通过以半结构化问题为导向的面对面访谈收集数据，主题分析得出了五个子主题和一个主要主题。
结果
PCI后适应健康生活方式被描述为“虽有障碍仍向前迈进”，反映出在克服改善健康和幸福的挑战方面的恢复力和决心。参与者最初信任医生的建议，并因生活方式改变的积极影响以及减轻亲人负担的愿望而受到激励。然而，他们也面临与中国传统文化和其他身体问题相关的挑战。
结论
适应健康生活方式至关重要但具有挑战性。我们的研究结果强调了外部和内部因素对行为改变的影响，并强调健康专业人员需要理解和支持患者的经历，以激励和维持他们的生活方式调整。
试验注册
不适用。
Zotero 插件