Document Detail

Incentives for lifestyle changes in patients with coronary heart disease.
MedLine Citation:
PMID:  16033594     Owner:  NLM     Status:  MEDLINE    
AIM: This paper reports a study exploring how patients in the rehabilitation phase of coronary heart disease experience facilitating and constraining factors related to lifestyle changes of importance for wellbeing and prognosis. BACKGROUND: Lifestyle change is important but complex during rehabilitation after a myocardial infarction or angina pectoris. The intentions to perform behaviours and to experience control over facilitators and constraints are important determinants of behaviour. METHODS: A total of 113 consecutive patients below 70 years of age (84 men and 29 women) were interviewed within 6 weeks of a cardiac event and again after 1 year. Interview transcriptions and notes taken by hand were qualitatively analysed using the phenomenographic framework. The distribution of statements among the categories identified was quantitatively analysed. The data were collected in 1998-2000. FINDINGS: Four main categories portrayed patients' experiences of facilitating or constraining incentives for lifestyle changes. 'Somatic incentives' featured bodily signals indicating improvements/illness. 'Social/practical incentives' involved shared concerns, changed conditions including support/demand from social network, and work/social security issues. Practical incentives concerned external environmental factors in the patients' concrete context. 'Cognitive incentives' were characterized by active decisions and appropriated knowledge, passive compliance with limited insights, and routines/habits. 'Affective incentives' comprised fear of and reluctance in the face of lifestyle changes/disease, lessened self-esteem, and inability to resist temptations. Cognitive incentives mostly facilitated physical exercise and drug treatment. Social/practical incentives facilitated physical exercise and diet change. Physical exercise and diet changes were mainly constrained by somatic, social, and affective incentives. CONCLUSION: The results illustrate important incentives that should be considered in contacts with patients and their families to improve the prospects of positively affecting co-operation with suggested treatment and lifestyle changes.
Anita Kärner; Pia Tingström; Madeleine Abrandt-Dahlgren; Björn Bergdahl
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of advanced nursing     Volume:  51     ISSN:  0309-2402     ISO Abbreviation:  J Adv Nurs     Publication Date:  2005 Aug 
Date Detail:
Created Date:  2005-07-21     Completed Date:  2006-01-10     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  7609811     Medline TA:  J Adv Nurs     Country:  England    
Other Details:
Languages:  eng     Pagination:  261-75     Citation Subset:  IM; N    
Department of Welfare and Care, Campus Norrköping, Faculty of Health Sciences, Linköping University, Norrköping, Sweden.
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MeSH Terms
Attitude to Health
Coronary Disease / psychology,  rehabilitation*
Decision Making
Educational Status
Exercise / psychology
Follow-Up Studies
Interviews as Topic
Life Style*
Middle Aged
Patient Compliance / psychology
Social Support

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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