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Health beliefs about lifestyle habits differ between patients and spouses 1 year after a cardiac event - a qualitative analysis based on the Health Belief Model.
- Source :
- Scandinavian Journal of Caring Sciences; Jun2017, Vol. 31 Issue 2, p332-341, 10p
- Publication Year :
- 2017
-
Abstract
- Background Spousal concordance on risk factors and lifestyle habits exists and can partly be explained by patients' and spouses' health beliefs and underuse of cardiac rehabilitation. However, there have been very few qualitative comparisons of health beliefs between patients and spouses after a cardiac event. Aim To examine and qualitatively compare the health beliefs of patients with coronary heart disease and their spouses about lifestyle habits, 1 year after the cardiac event. Design Explorative and descriptive. Method Semi-structured focus group interviews were conducted with patients (n = 14) 1 year after a cardiac event, as well as individual interviews with spouses (n = 8). The transcriptions underwent a deductive qualitative content analysis, within the framework of the Health Belief Model. Findings Patients' and spouses' health beliefs about lifestyle habits qualitatively differed in most predetermined main analytical categories of the Health Belief Model. The patients relied more on their own capacity and the healthcare system than on collaboration with their spouses who instead emphasised the importance of mutual activities to establish lifestyle habits. The spouses therefore experienced problems with different family preferences compared to the patients' wishes. Moreover, only patients believed supervised exercise was beneficial for risk reduction of coronary heart disease and they related barriers for medication to a self-healing body and a meaningless life without relatives and old habits. Patients and spouses agreed that despite the severity of illness, life was captured and that normalisation to a life as usual was possible. Conclusion The patients' and spouses' qualitatively different health beliefs regarding health-related behaviours imply a new approach. Nurses and associated professionals need to follow-up patients' and spouses' in primary health care to support them in a tailored way, for example in problem-based sessions. Recognition and understanding of their different views and otherness could lead to compromises and goals to work with. [ABSTRACT FROM AUTHOR]
- Subjects :
- BEHAVIOR modification
CARDIOVASCULAR system
CARDIOVASCULAR diseases risk factors
CONTENT analysis
CORONARY disease
DISEASE susceptibility
EXERCISE therapy
FOCUS groups
HEALTH attitudes
HEALTH behavior
CARDIAC patients
INTERPROFESSIONAL relations
INTERVIEWING
LONGITUDINAL method
RESEARCH methodology
MEDICAL care
PATIENT compliance
PRIMARY health care
QUESTIONNAIRES
RESEARCH
RESEARCH funding
HEALTH self-care
SELF-efficacy
SPOUSES
DISEASE relapse
QUALITATIVE research
JUDGMENT sampling
EDUCATIONAL attainment
RANDOMIZED controlled trials
SEVERITY of illness index
HEALTH Belief Model
ATTITUDES toward illness
Subjects
Details
- Language :
- English
- ISSN :
- 02839318
- Volume :
- 31
- Issue :
- 2
- Database :
- Complementary Index
- Journal :
- Scandinavian Journal of Caring Sciences
- Publication Type :
- Academic Journal
- Accession number :
- 123838182
- Full Text :
- https://doi.org/10.1111/scs.12351