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‘There is always a way to living with illness’—Self‐management strategies reported by Chinese hospitalized patients with cardiovascular disease: A descriptive qualitative study

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Listed:
  • Ruolin Qiu
  • Kara Schick‐Makaroff
  • Leiwen Tang
  • Xiyi Wang
  • Qi Zhang
  • Zhihong Ye

Abstract

Objectives Patients living with cardiovascular diseases use different strategies to solve various problems. This study aimed to identify the category, type and specific self‐management strategies reported by hospitalized patients with cardiovascular diseases. Methods This is a qualitative descriptive study. Twenty‐eight individuals with cardiovascular diseases from a Cardiology Department affiliated with a school in China were recruited by purposive sampling. Face‐to‐face semi‐structured interviews were used. The interviews were audio‐recorded, transcribed, translated and analysed by using content analysis. Results Five self‐management strategy categories (medical and alternative therapy uptake, risk assessment and avoidance, resource seeking and utilization, maintaining normality, and optional management), and seventeen self‐management strategy types, encompassing one hundred and ten specific strategies were identified. The most commonly used self‐management strategy types were lifestyle adjustment (eleven strategies), self‐maintenance (nine strategies) and problem‐solving (nine strategies). Additionally, the most described explicit self‐management strategies were receiving family/colleague support, maintaining daily routines, monitoring symptoms and managing side effects, discussing with professionals, using medicines, and improving awareness. Conclusion This study identified diverse strategies reported by some Chinese cardiovascular patients. It may inform the design and development of personalized self‐management interventions for health practitioners and policymakers, helping cardiovascular patients in Chinese communities worldwide receive culture‐tailored services.

Suggested Citation

  • Ruolin Qiu & Kara Schick‐Makaroff & Leiwen Tang & Xiyi Wang & Qi Zhang & Zhihong Ye, 2021. "‘There is always a way to living with illness’—Self‐management strategies reported by Chinese hospitalized patients with cardiovascular disease: A descriptive qualitative study," International Journal of Health Planning and Management, Wiley Blackwell, vol. 36(4), pages 1260-1275, July.
  • Handle: RePEc:bla:ijhplm:v:36:y:2021:i:4:p:1260-1275
    DOI: 10.1002/hpm.3172
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    References listed on IDEAS

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    1. Jiaoling Huang & Tao Zhang & Luan Wang & Dongfeng Guo & Shanshan Liu & Wei Lu & Hong Liang & Yimin Zhang & Chengjun Liu, 2019. "The effect of family doctor–contracted services on noncommunicable disease self‐management in Shanghai, China," International Journal of Health Planning and Management, Wiley Blackwell, vol. 34(3), pages 935-946, July.
    2. Yanbing Zeng & Zhipeng Yuan & Lele Chen & Jielong Wu & Fan Chen & Ya Fang, 2019. "Primary care reforms in managing chronic diseases in Xiamen, China: A tentative assessment," International Journal of Health Planning and Management, Wiley Blackwell, vol. 34(4), pages 1609-1620, October.
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