IDEAS home Printed from https://ideas.repec.org/a/wly/jocnur/v28y2019i23-24p4400-4411.html
   My bibliography  Save this article

Patients' experiences of coping with multiple chronic conditions: A qualitative descriptive study

Author

Listed:
  • Cheng Cheng
  • Jie Bai
  • Cong‐Yan Yang
  • Ming Li
  • Kerry Inder
  • Sally Wai‐Chi Chan

Abstract

Objective To explore the experiences of how Chinese adults cope with multiple chronic conditions in everyday life. Background Having multiple chronic conditions is stressful, requiring people to make physical and mental adaptations. There is little evidence exploring how people cope with multiple chronic conditions, especially in an Asian context. Design A qualitative descriptive design was employed. The Consolidated criteria for reporting qualitative research (COREQ) was used to report this study. Methods This study was conducted in a tertiary referral and teaching hospital in Bengbu, Anhui, China, between August and October 2018. A purposive sample of 14 people with multiple chronic conditions, aged between 32 and 75 years, completed a demographic questionnaire and semi‐structured face‐to‐face interviews. The interviews were digitally recorded and transcribed verbatim. Qualitative content analysis guided data analysis. Results Four distinctive themes comprising subthemes were developed from participants' narratives pertaining to coping with multiple chronic conditions: (a) appraising multiple chronic conditions, (b) addressing multiple chronic conditions management, (c) maintaining psychological well‐being and (d) fulfilling a social role. Illustrative quotations were cited to support each theme. Conclusions This study underscores that people cope with multiple chronic conditions in everyday life by using a compendium of coping strategies. As one of the influencing factors, culture dominates the ways of coping at different levels among people with multiple chronic conditions. These findings expand the current literature on coping based on an Asian perspective and inform further cross‐culture research on this topic. Relevance to clinical practice Healthcare professionals should understand peoples' experiences of coping with multiple chronic conditions to provide more holistic and dynamic health care to address their actual needs. Healthcare professionals should be acquainted with how culture impacts individuals' coping and develops culture‐tailored supportive programmes such as family‐based interventions, to promote the health of people with multiple chronic conditions.

Suggested Citation

  • Cheng Cheng & Jie Bai & Cong‐Yan Yang & Ming Li & Kerry Inder & Sally Wai‐Chi Chan, 2019. "Patients' experiences of coping with multiple chronic conditions: A qualitative descriptive study," Journal of Clinical Nursing, John Wiley & Sons, vol. 28(23-24), pages 4400-4411, December.
    • Handle: RePEc:wly:jocnur:v:28:y:2019:i:23-24:p:4400-4411
    DOI: 10.1111/jocn.15022
    as

    Download full text from publisher

    File URL: https://doi.org/10.1111/jocn.15022
    Download Restriction: no
    File URL: https://libkey.io/10.1111/jocn.15022?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    References listed on IDEAS

    as
    1. Palmer, Katie & Marengoni, Alessandra & Forjaz, Maria João & Jureviciene, Elena & Laatikainen, Tiina & Mammarella, Federica & Muth, Christiane & Navickas, Rokas & Prados-Torres, Alexandra & Rijken, Mi, 2018. "Multimorbidity care model: Recommendations from the consensus meeting of the Joint Action on Chronic Diseases and Promoting Healthy Ageing across the Life Cycle (JA-CHRODIS)," Health Policy, Elsevier, vol. 122(1), pages 4-11.
    2. Chris J Gibbons & Cassandra Kenning & Peter A Coventry & Penny Bee & Christine Bundy & Louise Fisher & Peter Bower, 2013. "Development of a Multimorbidity Illness Perceptions Scale (MULTIPleS)," PLOS ONE, Public Library of Science, vol. 8(12), pages 1-12, December.
    3. Michael Rosbach & John Sahl Andersen, 2017. "Patient-experienced burden of treatment in patients with multimorbidity – A systematic review of qualitative data," PLOS ONE, Public Library of Science, vol. 12(6), pages 1-18, June.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Maria Hjorth & Anncarin Svanberg & Daniel Sjöberg & Fredrik Rorsman & Elenor Kaminsky, 2020. "Liver cirrhosis turns life into an unpredictable roller coaster: A qualitative interview study," Journal of Clinical Nursing, John Wiley & Sons, vol. 29(23-24), pages 4532-4543, December.
    2. Ana Isabel González-González & Robin Brünn & Julia Nothacker & Christine Schwarz & Edris Nury & Truc Sophia Dinh & Maria-Sophie Brueckle & Mirjam Dieckelmann & Beate Sigrid Müller & Marjan van den Akk, 2021. "Everyday Lives of Middle-Aged Persons with Multimorbidity: A Mixed Methods Systematic Review," IJERPH, MDPI, vol. 19(1), pages 1-24, December.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Antonio Sarría-Santamera & Lorena Pinilla-Navas & Patricia González-Soriano & Iñaki Imaz-Iglesia & Teresa Moreno-Casbas & Teresa Corral, 2020. "Lessons from the Implementation of Pilot Practices to Tackle the Burden of Noncommunicable Diseases in Europe," IJERPH, MDPI, vol. 17(13), pages 1-6, June.
    2. Katie Palmer & Angelo Carfì & Carmen Angioletti & Antonella Di Paola & Rokas Navickas & Laimis Dambrauskas & Elena Jureviciene & Maria João Forjaz & Carmen Rodriguez-Blazquez & Alexandra Prados-Torres, 2019. "A Methodological Approach for Implementing an Integrated Multimorbidity Care Model: Results from the Pre-Implementation Stage of Joint Action CHRODIS-PLUS," IJERPH, MDPI, vol. 16(24), pages 1-18, December.
    3. Carmen Rodriguez-Blazquez & Maria João Forjaz & Antonio Gimeno-Miguel & Kevin Bliek-Bueno & Beatriz Poblador-Plou & Sara Pilar Luengo-Broto & Inmaculada Guerrero-Fernández de Alba & Ana Maria Carriazo, 2020. "Assessing the Pilot Implementation of the Integrated Multimorbidity Care Model in Five European Settings: Results from the Joint Action CHRODIS-PLUS," IJERPH, MDPI, vol. 17(15), pages 1-14, July.
    4. Mohammad Akhtar Hussain & Judith M Katzenellenbogen & Frank M Sanfilippo & Kevin Murray & Sandra C Thompson, 2018. "Complexity in disease management: A linked data analysis of multimorbidity in Aboriginal and non-Aboriginal patients hospitalised with atherothrombotic disease in Western Australia," PLOS ONE, Public Library of Science, vol. 13(8), pages 1-18, August.
    5. Maria João Forjaz & Carmen Rodriguez-Blazquez & Inmaculada Guerrero-Fernández de Alba & Antonio Gimeno-Miguel & Kevin Bliek-Bueno & Alexandra Prados-Torres & on behalf of the CHRODIS Expert Group on M, 2019. "Application of the JA-CHRODIS Integrated Multimorbidity Care Model (IMCM) to a Case Study of Diabetes and Mental Health," IJERPH, MDPI, vol. 16(24), pages 1-13, December.
    6. Ignatios Ioakeim-Skoufa & Mercedes Clerencia-Sierra & Aida Moreno-Juste & Carmen Elías de Molins Peña & Beatriz Poblador-Plou & Mercedes Aza-Pascual-Salcedo & Francisca González-Rubio & Alexandra Prad, 2022. "Multimorbidity Clusters in the Oldest Old: Results from the EpiChron Cohort," IJERPH, MDPI, vol. 19(16), pages 1-15, August.
    7. Lawless, Michael T. & Tieu, Matthew & Feo, Rebecca & Kitson, Alison L., 2021. "Theories of self-care and self-management of long-term conditions by community-dwelling older adults: A systematic review and meta-ethnography," Social Science & Medicine, Elsevier, vol. 287(C).
    8. Penny Bee & Chris Gibbons & Patrick Callaghan & Claire Fraser & Karina Lovell, 2016. "Evaluating and Quantifying User and Carer Involvement in Mental Health Care Planning (EQUIP): Co-Development of a New Patient-Reported Outcome Measure," PLOS ONE, Public Library of Science, vol. 11(3), pages 1-14, March.
    9. Leijten, Fenna R.M. & Struckmann, Verena & van Ginneken, Ewout & Czypionka, Thomas & Kraus, Markus & Reiss, Miriam & Tsiachristas, Apostolos & Boland, Melinde & de Bont, Antoinette & Bal, Roland & Bus, 2018. "The SELFIE framework for integrated care for multi-morbidity: Development and description," Health Policy, Elsevier, vol. 122(1), pages 12-22.
    10. Shikha Gupta & Mary Ann McColl & Sara J.T. Guilcher & Karen Smith, 2019. "Managing Medication Cost Burden: A Qualitative Study Exploring Experiences of People with Disabilities in Canada," IJERPH, MDPI, vol. 16(17), pages 1-17, August.
    11. Jonás Carmona-Pírez & Beatriz Poblador-Plou & Antonio Poncel-Falcó & Jessica Rochat & Celia Alvarez-Romero & Alicia Martínez-García & Carmen Angioletti & Marta Almada & Mert Gencturk & A. Anil Sinaci , 2022. "Applying the FAIR4Health Solution to Identify Multimorbidity Patterns and Their Association with Mortality through a Frequent Pattern Growth Association Algorithm," IJERPH, MDPI, vol. 19(4), pages 1-10, February.
    12. Caballer-Tarazona, Vicent & Guadalajara-Olmeda, Natividad & Vivas-Consuelo, David, 2019. "Predicting healthcare expenditure by multimorbidity groups," Health Policy, Elsevier, vol. 123(4), pages 427-434.
    13. Litchfield, Ian & Kingston, Beth & Narga, Dee & Turner, Alice, 2022. "The move towards integrated care: Lessons learnt from managing patients with multiple morbidities in the UK," Health Policy, Elsevier, vol. 126(8), pages 777-785.
    14. Lena H. A. Raaijmakers & Tjard R. Schermer & Mandy Wijnen & Hester E. van Bommel & Leslie Michielsen & Floris Boone & Jan H. Vercoulen & Erik W. M. A. Bischoff, 2023. "Development of a Person-Centred Integrated Care Approach for Chronic Disease Management in Dutch Primary Care: A Mixed-Method Study," IJERPH, MDPI, vol. 20(5), pages 1-27, February.
    15. Ignatios Ioakeim-Skoufa & Beatriz Poblador-Plou & Jonás Carmona-Pírez & Jesús Díez-Manglano & Rokas Navickas & Luis Andrés Gimeno-Feliu & Francisca González-Rubio & Elena Jureviciene & Laimis Dambraus, 2020. "Multimorbidity Patterns in the General Population: Results from the EpiChron Cohort Study," IJERPH, MDPI, vol. 17(12), pages 1-15, June.
    16. Colombani, Françoise & Encrenaz, Gaëlle & Sibé, Matthieu & Quintard, Bruno & Ravaud, Alain & Saillour-Glénisson, Florence, 2022. "Development of an evidence-based reference framework for care coordination with a focus on the micro level of integrated care: A mixed method design study combining scoping review of reviews and nomin," Health Policy, Elsevier, vol. 126(3), pages 245-261.
    17. Javier González-Bueno & Daniel Sevilla-Sánchez & Emma Puigoriol-Juvanteny & Núria Molist-Brunet & Carles Codina-Jané & Joan Espaulella-Panicot, 2021. "Factors Associated with Medication Non-Adherence among Patients with Multimorbidity and Polypharmacy Admitted to an Intermediate Care Center," IJERPH, MDPI, vol. 18(18), pages 1-14, September.
    18. Léontine Goldzahl & Jonathan Stokes & Matt Sutton, 2022. "The effects of multi‐disciplinary integrated care on healthcare utilization: Evidence from a natural experiment in the UK," Health Economics, John Wiley & Sons, Ltd., vol. 31(10), pages 2142-2169, October.
    19. Aurore Lesage & Brice Leclère & Leïla Moret & Clément Le Glatin, 2021. "Decreasing patient-reported burden of treatment: A systematic review of quantitative interventional studies," PLOS ONE, Public Library of Science, vol. 16(1), pages 1-15, January.

    More about this item

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:wly:jocnur:v:28:y:2019:i:23-24:p:4400-4411. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Wiley Content Delivery (email available below). General contact details of provider: https://doi.org/10.1111/(ISSN)1365-2702 .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.