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From insecurity to perceived control over the heart failure disease–A qualitative analysis
Linköping University, Department of Medical and Health Sciences, Division of Nursing Science. Linköping University, Faculty of Medicine and Health Sciences. Region Östergötland, Heart and Medicine Center, Department of Thoracic and Vascular Surgery.
Linköping University, Department of Medical and Health Sciences, Division of Nursing Science. Linköping University, Faculty of Medicine and Health Sciences. Centre for Clinical Research Sörmland, Uppsala University, Sweden.ORCID iD: 0000-0002-1482-767X
Linköping University, Department of Medical and Health Sciences, Division of Nursing Science. Linköping University, Faculty of Medicine and Health Sciences.
2019 (English)In: Nursing & Care Open Access Journal, E-ISSN 2572-8474, Vol. 6, no 3, p. 101-105Article in journal (Refereed) Published
Abstract [en]

Aims and objectives: The objective in our study was to explore chronic heart failure patients’ perceived control over their heart disease.

Background: Higher levels of perceived control over one’s chronic heart disease are associated with lower levels of psychological distress and a higher quality of life.

Design: The study has an explorative and descriptive design using a directed manifest qualitative content analysis according to Marring.

Methods: The analysis was based on nine interviews with four men and five women aged between 62-85 years, diagnosed with chronic heart failure. The study followed consolidated criteria for reporting qualitative research (COREQ).

Results: Five categories emerged in the analysis, mirroring a step-by-step process. The first step, insecurity, was followed by evaluation, management and adjustment. The patients finally reached a higher level of perceived control over their lives in relation to their heart disease.

Conclusions: Most of the patients stated that they could assess and manage symptoms and had adapted to their condition, which increased their level of perceived control.

Relevance to clinical practice: These findings suggest that managing symptoms is important for strengthen the patients with chronic heart failure. The findings can help health care professionals in communication with the patient planning for self-care actions.

Place, publisher, year, edition, pages
MedCrave , 2019. Vol. 6, no 3, p. 101-105
Keywords [en]
Control attitude scale, heart disease, heart failure, perceived control, self-care
National Category
Cardiac and Cardiovascular Systems Nursing
Identifiers
URN: urn:nbn:se:liu:diva-160805OAI: oai:DiVA.org:liu-160805DiVA, id: diva2:1359351
Note

DOI does not work: https://doi.org/10.15406/ncoaj.2019.06.00191

Available from: 2019-10-09 Created: 2019-10-09 Last updated: 2019-10-09Bibliographically approved

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