Preparing Chinese patients with comorbid heart disease and diabetes for home management: a mixed method study
Journal article
Liu, Xian-Liang, Willis, Karen, Wu, Chiung-Jung, Fulbrook, Paul, Shi, Yan and Johnson, Maree. (2019). Preparing Chinese patients with comorbid heart disease and diabetes for home management: a mixed method study. BMJ Open. 9, p. e029816. https://doi.org/10.1136/bmjopen-2019-029816
Authors | Liu, Xian-Liang, Willis, Karen, Wu, Chiung-Jung, Fulbrook, Paul, Shi, Yan and Johnson, Maree |
---|---|
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. |
Year | 2019 |
Journal | BMJ Open |
Journal citation | 9, p. e029816 |
Publisher | BMJ |
ISSN | 2044-6055 |
Digital Object Identifier (DOI) | https://doi.org/10.1136/bmjopen-2019-029816 |
Scopus EID | 2-s2.0-85072283332 |
Open access | Published as ‘gold’ (paid) open access |
Research or scholarly | Research |
Page range | 1-13 |
Funder | Australian Catholic University (ACU) |
Publisher's version | License File Access Level Open |
Output status | Published |
Publication dates | |
17 Sep 2019 | |
Publication process dates | |
Accepted | 19 Aug 2019 |
Deposited | 03 Jun 2021 |
https://acuresearchbank.acu.edu.au/item/8w280/preparing-chinese-patients-with-comorbid-heart-disease-and-diabetes-for-home-management-a-mixed-method-study
Download files
Publisher's version
OA_Liu_2019_Preparing_Chinese_patients_with_comorbid_heart.pdf | |
License: CC BY-NC 4.0 | |
File access level: Open |
151
total views43
total downloads1
views this month1
downloads this month