Moving Forward Despite Obstacles: A Qualitative Study on Healthy Lifestyle Adjustments Among Patients with Coronary Heart Disease After Their First Percutaneous Coronary Intervention.

IF 2 4区 医学 Q2 MEDICINE, GENERAL & INTERNAL International Journal of General Medicine Pub Date : 2025-03-15 eCollection Date: 2025-01-01 DOI:10.2147/IJGM.S491082
Li Cheng, Wen-Ru Wang, Lotta Wikström, Jan Mårtensson
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Abstract

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.

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勇往直前:首次经皮冠状动脉介入治疗后冠心病患者健康生活方式调整的定性研究
背景:生活方式因素,包括饮食、身体活动、戒烟和压力管理,对于降低心脏事件复发的风险和促进整体心血管健康至关重要。尽管具有临床意义,但冠心病(CHD)患者在首次经皮冠状动脉介入治疗(PCI)后适应和维持这些生活方式改变的经验仍相对未被探索,特别是在中国。本研究旨在通过探索中国中部冠心病患者在首次PCI后调整健康生活方式的经历来解决这一差距。方法:设计定性描述性研究。来自中国中部地区一家地区性教学医院的18名参与者参加了2022年至2023年的研究。数据通过面对面访谈的方式收集,以半结构化问题为指导,从主题分析中得出五个副主题和一个主题。结果:pci后适应健康的生活方式被描述为“勇往直前”,反映了克服挑战以改善健康和福祉的韧性和决心。参与者最初相信医生的建议,并被生活方式改变的积极影响和减轻亲人负担的愿望所激励。然而,他们也面临着与中国传统文化和其他物理问题有关的挑战。结论:适应健康的生活方式是必要的,但也具有挑战性。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,并强调卫生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。
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来源期刊
International Journal of General Medicine
International Journal of General Medicine Medicine-General Medicine
自引率
0.00%
发文量
1113
审稿时长
16 weeks
期刊介绍: The International Journal of General Medicine is an international, peer-reviewed, open access journal that focuses on general and internal medicine, pathogenesis, epidemiology, diagnosis, monitoring and treatment protocols. The journal is characterized by the rapid reporting of reviews, original research and clinical studies across all disease areas. A key focus of the journal is the elucidation of disease processes and management protocols resulting in improved outcomes for the patient. Patient perspectives such as satisfaction, quality of life, health literacy and communication and their role in developing new healthcare programs and optimizing clinical outcomes are major areas of interest for the journal. As of 1st April 2019, the International Journal of General Medicine will no longer consider meta-analyses for publication.
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