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Chinese Hospitalized Cardiovascular Patients’ Attitudes Towards Self-Management: A Qualitative Study

Authors Qiu R, Schick-Makaroff K, Tang L, Wang X, Zhang Q, Ye Z

Received 30 October 2019

Accepted for publication 1 February 2020

Published 17 February 2020 Volume 2020:14 Pages 287—300

DOI https://doi.org/10.2147/PPA.S236348

Checked for plagiarism Yes

Review by Single-blind

Peer reviewer comments 2

Editor who approved publication: Dr Naifeng Liu


Ruolin Qiu, 1 Kara Schick-Makaroff, 2 Leiwen Tang, 3 Xiyi Wang, 1 Qi Zhang, 1 Zhihong Ye 1

1Faculty of Nursing, Zhejiang University School of Medicine, Hangzhou, Zhejiang, People’s Republic of China; 2Faculty of Nursing, University of Alberta, Edmonton, Alberta, Canada; 3Zhejiang University School of Medicine, Affiliated Sir Run Run Shaw Hospital, Hangzhou, Zhejiang, People’s Republic of China

Correspondence: Zhihong Ye
Faculty of Nursing, Zhejiang University School of Medicine, #704, Administrative Building, 3 East Qingchun Road, Hangzhou, Zhejiang 310016, People’s Republic of China
Tel +86 136 0661 2119
Email yezh@zju.edu.cn

Purpose: This study is aiming to investigate cardiovascular patients’ attitudes towards self-management during hospitalization in China.
Patients and Methods: Twenty-nine individuals living with cardiovascular disease from one designated Cardiology Department in Hangzhou, China, were recruited through a purposive sampling procedure. A qualitative descriptive methodology was used. Semi-structured interviews were also used to gain attitudes toward self-management. The interviews were audio-recorded, transcribed and analyzed by thematic analysis to develop the results.
Results: Four themes were identified from the qualitative data: (1): Responsibilities of self-management; (2): Reflections on self-management; (3): Acknowledgement of self-management support; (4): Challenges in implementing and adherence to self-management. Additionally, interview data were also given to illustrate these main themes emerging during the analysis. Patients gradually took their responsibilities to manage chronic symptoms. During their self-management process, they did reflections to help correct their regiments through supportive interactions. Health system responsiveness, health disparities, social capital, and cultural setting were the main external factors influencing better self-management implementation and adherence.
Conclusion: This study revealed the hospitalized cardiovascular patients’ attitudes towards self-management in China. These findings emphasized the importance of patients’ responsibility, reflections, and various social support receiving and pointed out specific external factors influencing the health outcomes and their quality of life. This study also proves the guide for the policymakers and health system better instructions to develop individually and culturally tailored advanced self-management interventions and programs.

Keywords: attitude, hospitalization, cardiovascular disease, self-management, qualitative research

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