Conceptions on treatment and lifestyle in patients with coronary heart disease -: a phenomenographic analysis

被引：20

作者：

Kärner, A ^{[1
]}

Göransson, A ^{[1
]}

Bergdahl, B ^{[1
]}

机构：

[1] Linkoping Univ, Fac Hlth Sci, Div Cardiol, Dept Med & Care, SE-58185 Linkoping, Sweden

来源：

PATIENT EDUCATION AND COUNSELING | 2002年 / 47卷 / 02期

关键词：

coronary disease; drug therapy; lifestyle; patient education; patients and knowledge;

D O I：

10.1016/S0738-3991(01)00185-9

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

Twenty-three patients with an acute event of coronary heart disease (CHD) received routine care including information about medication and lifestyle changes. They were interviewed after I year about their conceptions concerning drug treatment and lifestyle changes. The interviews were taped, transcribed and analysed using the phenomenographic approach, Conceptions were hierarchically categorised with regard to level of understanding. The results showed that the patients' understanding of the effects and health benefits of their treatment was superficial as judged on an informed layman level. The knowledge was fragmentary and mechanistic. Several misconceptions were revealed. Few answers related to prognostic benefits. However, a conception about effects of stopping drug intake was risk of relapse. Some patients considered fate and heredity as the main causes of CHD. Thus, our patients had not achieved an adequate understanding of CHD treatment. The level of knowledge was lower than anticipated. (C) 2002 Elsevier Science Ireland Ltd. All rights reserved.

引用

页码：137 / 143

页数：7

共 39 条

[31]

ROSENBERG SG, 1971, HSMHA HEALTH REP, V86, P793, DOI 10.2307/4594300

[32]

Sans S, 1997, EUR HEART J, V18, P1231

[33]

SMITH SC, 1995, CIRCULATION, V92, P2

[34] THE DIFFRACTION OF WATER-WAVES BY A CIRCULAR-CYLINDER IN A CHANNEL [J].

THOMAS, GP .

OCEAN ENGINEERING, 1991, 18 (1-2) :17-44

[35]

Thomas R J, 1996, J Cardiopulm Rehabil, V16, P402, DOI 10.1097/00008483-199611000-00010

[36]

Viller F, 1999, J RHEUMATOL, V26, P2114

[37] Changing Primary Care Doctors' Conceptions - A Qualitative Approach to Evaluating an Intervention [J].

Wahlstrom, Rolf ;

Dahlgren, Lars Owe ;

Tomson, Goran ;

Diwan, Vinod K. ;

Beermann, Bjorn .

ADVANCES IN HEALTH SCIENCES EDUCATION, 1997, 2 (03) :221-236

[38]

WENGER NK, 1995, CARDIAC REHABILITATI, P199

[39]

1997, EUR HEART J, V18, P1569, DOI 10.1093/oxfordjournals.eurheartj.a015136

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