Journal article
Preparing Chinese patients with comorbid heart disease and diabetes for home management: A mixed methods study
BMJ Open, Vol.9(9), e029816
2019
Abstract
Objective To explore how health education received by patients with acute coronary syndrome (ACS) and type 2 diabetes mellitus (T2DM) influences patients' self-efficacy and self-management and changes in behaviour at, and following, hospital discharge. Design This study used a convergent mixed methods design. Participants Twenty-one participants with completed surveys and interviews at discharge and home follow-up were included in the analysis. Setting At a coronary care unit of a major hospital in Shanghai, China. Results Most participants (n=17) did not perceive they had sufficient education or ability to manage both conditions. More concerning was that most participants (n=16) reported low self-efficacy in the management of ACS symptoms. Three major themes were identified: self-management of ACS and T2DM represents a complex interplay between individual self-efficacy, knowledge and skills, as individuals navigate shifting self-management priorities due to perceived condition severity; the social environment is integral to lifestyle and behaviour change and managing multiple health conditions requires body and mind systems' harmony. Conclusions The inpatient education received did not enhance participants' confidence to manage either condition on discharge. While an unhealthy lifestyle was embedded within social roles and norms, some social activities, such as square dancing, positively influenced health behaviour. Culturally appropriate education for Chinese people with diabetes and ACS should contain information on maintaining mind and body harmony. Family members should be involved in formal education.
Details
- Title
- Preparing Chinese patients with comorbid heart disease and diabetes for home management: A mixed methods study
- Authors
- X L Liu (Author) - Jinggangshan University, ChinaK Willis (Author) - La Trobe UniversityJo Wu (Author) - University of the Sunshine Coast - School of Nursing, Midwifery & ParamedicineP Fulbrook (Author) - Australian Catholic UniversityY Shi (Author) - Tenth People's Hospital of Tongji University, ChinaM Johnson (Author) - Australian Catholic University
- Publication details
- BMJ Open, Vol.9(9), e029816
- Publisher
- B M J Group
- Date published
- 2019
- DOI
- 10.1136/bmjopen-2019-029816
- ISSN
- 2044-6055; 2044-6055
- Copyright note
- Copyright © 2019 the Author. This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/.
- Organisation Unit
- School of Health - Nursing; University of the Sunshine Coast, Queensland; School of Nursing, Midwifery and Paramedicine - Legacy
- Language
- English
- Record Identifier
- 99451221202621
- Output Type
- Journal article
- Research Statement
- false
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