To change or not to change - That is the question: A qualitative study of lifestyle changes following acute myocardial infarction
To change or not to change - That is the question: A qualitative study of lifestyle changes following acute myocardial infarction
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DOI：
10.1177/1742395317694700
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发表时间：
2018-03-01
期刊：
影响因子：
1.3
通讯作者：
Bieber, Christiane
中科院分区：
文献类型：
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作者：
Nicolai, Jennifer;Mueller, Nicole;Bieber, Christiane
目的本研究的目的是通过了解幸存者对日常生活中行为改变的主观需求、态度和经历，探讨与急性心肌梗死（AMI）后生活方式改变相关的关键因素，以改善未来促进生活方式改变的干预措施。方法对21名最近经历过AMI的人进行半结构化访谈。访谈都有录音和逐字记录。数据进行了分析，使用定性内容analysis.Results的数据分析显示，AMI后的生活方式的变化是由个人（生理和心理）和社会因素，可以分为促进者和障碍的组合的影响。访谈表明，需要更多的个性化信息的原因和疾病的危险因素，生活方式的改变的好处和重要性，包括其他重要的生活方式的建议和教育和个性化的support.Discussion生活方式的改变是一个持续的过程，是不是在心脏事件后的几个月内完成。在制定干预措施以促进AMI后生活方式改变时，考虑已确定的主题可能会提高此类干预措施的有效性和可持续性。
Objective The purpose of this study was to investigate key factors related to lifestyle changes following acute myocardial infarction (AMI) by eliciting survivors' subjective needs for, attitudes towards and experiences with behaviour changes in their everyday life to improve future interventions promoting lifestyle changes.Methods Semi-structured interviews were conducted with 21 individuals who had recently experienced an AMI. The interviews were audio-recorded and transcribed verbatim. The data were analysed using qualitative content analysis.Results The data analysis revealed that lifestyle changes following AMI are influenced by a combination of individual (physical and psychological) and social factors that can be grouped into facilitators and barriers. The interviews indicated the need for more personalised information regarding the causes and risk factors of illness, the benefits of lifestyle changes and the importance of including significant others in lifestyle advice and education and of individualising support.Discussion Lifestyle change is a continuous process that is not completed within a few months after a cardiac event. Considering the identified themes when developing interventions to promote lifestyle changes following AMI may enhance the effectiveness and sustainability of such interventions.