| Incentives for lifestyle changes in patients with coronary heart disease. | |
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MedLine Citation:
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PMID: 16033594 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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Anita Kärner; Pia Tingström; Madeleine Abrandt-Dahlgren; Björn Bergdahl |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Journal of advanced nursing Volume: 51 ISSN: 0309-2402 ISO Abbreviation: J Adv Nurs Publication Date: 2005 Aug |
Date Detail:
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Created Date: 2005-07-21 Completed Date: 2006-01-10 Revised Date: 2007-11-15 |
Medline Journal Info:
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Nlm Unique ID: 7609811 Medline TA: J Adv Nurs Country: England |
Other Details:
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Languages: eng Pagination: 261-75 Citation Subset: IM; N |
Affiliation:
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Department of Welfare and Care, Campus Norrköping, Faculty of Health Sciences, Linköping University, Norrköping, Sweden. anita.karner@lio.se |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Aged Attitude to Health Coronary Disease / psychology, rehabilitation* Decision Making Educational Status Exercise / psychology Female Follow-Up Studies Humans Interviews as Topic Life Style* Male Middle Aged Motivation* Patient Compliance / psychology Prognosis Social Support |
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