为什么缺血性心脏病患者改变他们的生活方式? 定性研究:在IHD后改变生活方式的动机
Naser Javadi1, Mansour Dianati2, Mohsen Taghadosi3
1Trauma Nursing Research Center, School of Nursing and Midwifery, Kashan University of Medical Sciences, Kashan, Iran.
BMC research notes
|April 17, 2025
概括
患有缺血性心脏病 (IHD) 的患者被"智慧生存"的愿望激励采取生活方式修改 (LSM). 关键的驱动因素包括家庭利益,死亡恐惧,全面的健康建议,以及认识到个人和社会利益.
科学领域:
- 心脏病学 心脏病学
- 公共卫生 公共卫生
- 行为科学 行为科学
背景情况:
- 缺血性心脏病 (IHD) 是全球主要的死亡原因,对伊朗等低收入和中等收入国家产生重大影响.
- 生活方式修改 (LSM),包括饮食,运动,戒烟和压力管理,对于IHD预防至关重要.
- 了解患者对LSM的动机对于有效的干预策略至关重要.
研究的目的:
- 在被诊断为缺血性心脏病 (IHD) 的患者中确定推动生活方式修改 (LSM) 的主要动机.
主要方法:
- 在伊朗心脏康复中心对15名IHD患者,一名家庭成员和4名医疗保健专业人员进行的半结构面试的定性内容分析.
- 使用格兰海姆和隆德曼方法进行有目的的抽样和数据分析.
- 采访于2023年10月至2024年9月之间进行,平均每位参与者每人69分钟.
主要成果:
- "寻求智慧生存"的核心主题出现了,它涵盖了与家庭福祉和对死亡的恐惧有关的动机.
- 分类包括个人和家庭的兴趣,对综合健康建议的反应,以及感知到的个人/社会优势,如成本和时间的节省.
- 这些发现突出了情绪,信息和实际因素的复杂相互作用,影响患者遵守LSM.
结论:
- 患有IHD的患者的驱动力是渴望更长,更健康的生活,受到内在和外在因素的影响.
- 医疗保健专业人员可以利用这些已识别的动机来加强患者教育和对生活方式修改的支持.
- 针对"智慧生存"动机的有针对性的干预措施可以改善IHD管理和患者的结果.
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