scholarly journals Life Events and Adaptive Coping Approaches to Self-Management From the Perspectives of Hospitalized Cardiovascular Patients: A Qualitative Study

2021 ◽  
Vol 12 ◽  
Author(s):  
Ruolin Qiu ◽  
Leiwen Tang ◽  
Xiyi Wang ◽  
Zhihong Ye
Keyword(s):  
Qualitative Study ◽  
Life Events ◽  
Sampling Procedure ◽  
Stressful Events ◽  
University Hospital ◽  
Self Management ◽  
Psychological Resilience ◽  
Adaptive Coping ◽  
Structured Interviews ◽  
Cardiovascular Patients

Objectives: This study aimed to explore the association between hospitalized cardiovascular patients' life events and adaptive coping approaches to self-management.Methods: The study was a qualitative study that was conducted in a cardiology department of one affiliated university hospital in Hangzhou, China. Twenty-eight participants with cardiovascular diseases were recruited through a purposive sampling procedure. Semi-structured interviews were used to gain insights into adaptive coping approaches to self-management when living with different life events. Interviews were audio-recorded and transcribed, and the data were analyzed by thematic analysis.Results: Life events reported by hospitalized cardiovascular participants could be summarized in four categories: daily routines, life changes, life-threatening experiences, and emotional sufferings. The adaptive coping approaches were also summarized in four themes: decision-making, avoidance, consistent responses, and episodic responses.Conclusion: This study described essential insights into the mutual influences between various life events and adaptive coping approaches to self-management by a group of hospitalized cardiovascular patients. Participants coped with their problems flexibly by processing comprehensive information from various and unpredictable life events regarding the situations and contexts. While inequity was cumulated, psychological resilience was a vital mediator between stressful events and their responses. The study illuminated the importance of understanding context, situations, and experiences on how cardiovascular patients adapted to their self-management regimens.

scholarly journals ‘I was in control of it from the start’: A qualitative study of men’s experiences of positive adjustment following a heart attack

2016 ◽  
Vol 22 (10) ◽  
pp. 1345-1354
Author(s):  
Fran Smith ◽  
Elizabeth Banwell ◽  
Roby Rakhit
Keyword(s):  
Qualitative Study ◽  
Cardiac Rehabilitation ◽  
Coping Strategies ◽  
Heart Attack ◽  
Adaptive Coping ◽  
Structured Interviews ◽  
Cardiac Rehabilitation Programme ◽  
Positive Adjustment ◽  
Interpersonal Factors ◽  
Controllable Factors

A qualitative design was used to explore the experience of positive adjustment following a heart attack. Ten men attending a cardiac rehabilitation programme completed in-depth semi-structured interviews. An overarching theme: ‘I was in control of it from the start’ emerged with six subthemes, relating to intrapersonal and interpersonal factors and processes. The subthemes reflected the importance of identifying controllable versus non-controllable factors and employing adaptive coping strategies.

scholarly journals Prostate Cancer Survivors’ and Caregivers’ Experiences Using Behavior Change Techniques during a Web-Based Self-Management and Physical Activity Program: A Qualitative Study

2020 ◽  
Vol 9 (10) ◽  
pp. 3244
Author(s):  
Laura Hallward ◽  
Keryn Chemtob ◽  
Sylvie D. Lambert ◽  
Lindsay R. Duncan
Keyword(s):  
Physical Activity ◽  
Prostate Cancer ◽  
Qualitative Study ◽  
Behavior Change ◽  
Management Program ◽  
Self Management ◽  
Positive Outcomes ◽  
Structured Interviews ◽  
Behavior Change Techniques ◽  
Web Based

Both men with prostate cancer and their caregivers report experiencing a number of challenges and health consequences, and require programs to help support the cancer patient–caregiver dyad. A tailored, web-based, psychosocial and physical activity self-management program (TEMPO), which implements behavior change techniques to help facilitate behavior change for the dyads was created and its acceptability was tested in a qualitative study. The purpose of this secondary analysis was to explore the dyads’ experiences using behavior change techniques to change behavior and address current needs and challenges while enrolled in TEMPO. Multiple semi-structured interviews were conducted with 19 prostate cancer-caregiver dyads over the course of the program, resulting in 46 transcripts that were analyzed using an inductive thematic analysis. Results revealed four main themes: (1) learning new behavior change techniques, (2) engaging with behavior change techniques learned in the past, (3) resisting full engagement with behavior change techniques, and (4) experiencing positive outcomes from using behavior change techniques. The dyads’ discussions of encountering behavior change techniques provided unique insight into the process of learning and implementing behavior change techniques through a web-based self-management program, and the positive outcomes that resulted from behavior changes.

scholarly journals ROLE OF COPING STYLES AND NEGATIVE LIFE EVENTS ON HIGHER PERCEIVED MENTAL FATIGABILITY IN OLDER ADULTS

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S233-S233
Author(s):  
Theresa Gmelin ◽  
Stacy L Andersen ◽  
Robert M Boudreau ◽  
Kaare Christensen ◽  
Mary K Wojczynski ◽  
...  
Keyword(s):  
Older Adults ◽  
Life Events ◽  
Perceived Stress ◽  
Family Study ◽  
Coping Styles ◽  
Stressful Events ◽  
Adaptive Coping ◽  
Attentional Resources ◽  
And Coping

Abstract Older adults are vulnerable to negative recent life events (RLE) which deplete attentional resources and leads to cognitive exhaustion. Adaptive coping styles reduce perceived stress severity but their role on cognitive tiredness is unknown. We examined RLE and coping styles on perceived mental fatigability (Pittsburgh Fatigability Scale (PFS), 0-50pts, higher=greater fatigability) in the Long Life Family Study (N=1464, age=74.7±12.6, female=57.7%, 43.9% ≥1 major RLE past 6 months, 27.8% higher mental fatigability≥13). All analyses adjusted for family structure, field center, age, and sex. PFS mental scores correlated with all NEO-FFI (60-item, 5-domain) personality traits representing maladaptive (neuroticism r=0.25 p<.0001) and adaptive (conscientiousness r=-0.18, extraversion r=-0.24, p<.00001) coping. Having ≥1RLE was associated with higher mental fatigability (OR=1.4, 95% CI:1.2,1.8, p=.0004); adjustment for neuroticism (OR=1.3, 95% CI:0.9,1.7, p=.06) attenuated the association. Education on adaptive coping may be a modifiable skill that allows older adults to maintain lower perceived mental fatigability despite stressful events.

scholarly journals Pain self-management experiences in haemophilia patients: a qualitative study

2018 ◽  
Vol 5 (1) ◽  
pp. 76-82 ◽  
Author(s):  
Masoume Rambod ◽  
Farkondeh Sharif ◽  
Zahra Molazem ◽  
Kate Khair
Keyword(s):  
Pain Relief ◽  
Qualitative Study ◽  
Lived Experience ◽  
Sense Of Self ◽  
Healthcare Providers ◽  
Phenomenological Approach ◽  
Complementary Therapy ◽  
Self Management ◽  
Self Awareness ◽  
Structured Interviews

Abstract Background: Pain management can prevent long-term burdens in haemophilia patients and improve their quality of life. The present study aimed to describe and interpret pain experiences in haemophilia patients, focusing on pain self-management in their lives. Methods: This was a qualitative study undertaken using a hermeneutic phenomenological approach. The study involved 14 haemophilia patients referred to a haemophilia clinic affiliated to Shiraz University of Medical Sciences in Iran. Data were collected using semi-structured interviews and field notes. Thematic analysis with van Manen’s methodological framework was applied. Data analysis was performed using MAX. QDA qualitative software (2010). Results: Four themes emerged: a sense of self-awareness and recognition of pain and the factors that affect it, the ability to control and self-manage pain, gradually achieving self-efficacy in pain control, and using cognitive and spiritual strategies for pain relief. Conclusions: The study highlighted the essence of the lived experience of pain self-management and generated its linguistic description. By providing complementary therapy interventions, healthcare providers and family members could increase patients’ self-awareness, recognition, ability to self-manage and control pain effectively, and competence in developing cognitive and spiritual strategies for pain relief.

scholarly journals Using wearables and self-management apps in patients with COPD: a qualitative study

2019 ◽  
Vol 5 (3) ◽  
pp. 00036-2019 ◽  
Author(s):  
Robert C. Wu ◽  
Shiphra Ginsburg ◽  
Tatiana Son ◽  
Andrea S. Gershon
Keyword(s):  
Qualitative Study ◽  
Thematic Analysis ◽  
Mobile Application ◽  
Continuous Monitoring ◽  
Healthcare Providers ◽  
Self Management ◽  
Chronic Obstructive ◽  
Structured Interviews ◽  
Daily Lives ◽  
Obstructive Pulmonary Disease

BackgroundTechnology such as wearable technology and self-management applications could improve the care of patients with chronic obstructive pulmonary disease (COPD) by real-time continuous monitoring, early detection of COPD and improved self-management. However, patients have not been willing to use technology when it is too difficult to use, interferes with their daily lives or threatens their identity, independence and self-care.MethodsWe conducted a qualitative study to determine what patients with COPD would like to see in a wearable device and a mobile application to help manage their condition. Semi-structured interviews were conducted, recorded and transcribed. Thematic analysis was used to identify themes and concepts.ResultsWe interviewed 14 people with COPD with an average age of 69 years. Participants perceived that the technology could improve their ability to manage their condition both in daily life and during exacerbations by connecting how they feel and by knowing their oxygen saturation, heart rate and activity. The technology may help them address feelings of fear and panic associated with exacerbations and may provide reassurance and connectedness. Some people with COPD wanted their healthcare providers to have access to their data, while others were concerned about inundating them with too much information. Of note, people wanted to maintain control of the information; to make connections with the data, but also in order to be alerted when a possible exacerbation occurs.ConclusionPatients perceived significant potential for wearables and apps to help manage their condition.

scholarly journals Chinese Hospitalized Cardiovascular Patients’ Attitudes Towards Self-Management: A Qualitative Study

2020 ◽  
Vol Volume 14 ◽  
pp. 287-300 ◽  
Author(s):  
Ruolin Qiu ◽  
Kara Schick-Makaroff ◽  
Leiwen Tang ◽  
Xiyi Wang ◽  
Qi Zhang ◽  
...  
Keyword(s):  
Qualitative Study ◽  
Self Management ◽  
Cardiovascular Patients

Haemophiliac adolescents’ perspectives of resilience: A qualitative study based on the resilience in illness model

2019 ◽  
Vol 25 (2) ◽  
pp. 346-358
Author(s):  
Ali Mohammad Parviniannasab ◽  
Mahnaz Rakhshan ◽  
Marzieh Momennasab ◽  
Mitra Soltanian ◽  
Masoume Rambod ◽  
...  
Keyword(s):  
Social Support ◽  
Content Analysis ◽  
Qualitative Study ◽  
Self Management ◽  
Constructive Approach ◽  
Structured Interviews ◽  
Purposive Sampling ◽  
Illness Model

A qualitative study was conducted to investigate the concept of resilience among Iranian haemophilic adolescents based on the Haase’s Resilience in Illness Model (RIM). Purposive sampling was used to recruit 15 participants comprising haemophilic adolescents and their parents in the study. The data were collected through in-depth semi-structured interviews and analysed using direct content analysis. The themes and categories were defensive coping (emotive coping, evasive coping), courageous coping (optimism, constructive approach, seeking support), derived meaning (spiritual strategy, hope) and social support (support from family, friends and treatment teams). Social support, adopting a spiritual strategy and self-management behaviours played an important role among the adolescents in improving their level of resilience and skills to cope with haemophilia.

scholarly journals Report on Self-Management of Mental Wellbeing Using Bonsai as an Ecotherapeutic Art Tool

2020 ◽  
Author(s):  
Caroll Hermann
Keyword(s):  
Mental Health ◽  
Life Events ◽  
Stressful Life Events ◽  
Well Being ◽  
Mental Wellbeing ◽  
Self Management ◽  
Structured Interviews ◽  
Self Help ◽  
Emotional Value ◽  
Mental Well Being

Objective: The study investigated the benefit of practicing the art of bonsai and the well-being of practitioners. The art promotes relaxation, focus and art therapy that can have personal and emotional value in a self-help setting. When the bonsai tree is used as a healing object, it may improve the ability of the bonsai practitioner to adapt to adverse and stressful life events, such as the present global COVID-19 pandemic. Method: International bonsai artists (n = 255) participated in a study that examined the effect their bonsai had on their mental well-being. Semi-structured interviews were conducted with bonsai artists answering the question: “How has bonsai helped you?”. Results: Most participants acknowledged that being able to take care of their bonsais affected their mood in a positive manner. Discussion: Although the participants did not report overall improved mental health, participants expressed an improvement in their mood when being able to work on a bonsai tree. Conclusion: These findings are significant in that it can be useful in as a preventative and restorative manner in the mental well-being of people who practice the art.

scholarly journals O manejo da dor em crianças percebido pela equipe de enfermagem [Pain management in children as perceived by the nursing team] [El manejo del dolor en niños, percibido por el equipo de enfermería]

2017 ◽  
Vol 25 ◽  
pp. e15379
Author(s):  
Larissa De Oliveira Ulisses ◽  
Lorena Fernanda Nascimento Santos ◽  
Cristina Nunes Vitor Araújo ◽  
Elenilda Farias de Oliveira ◽  
Climene Laura de Camargo
Keyword(s):  
Content Analysis ◽  
Pain Management ◽  
Qualitative Study ◽  
Ethics Committee ◽  
University Hospital ◽  
Assessment Instruments ◽  
Structured Interviews ◽  
Pharmacological Interventions ◽  
Scientific Training ◽  
Nursing Team

Objetivo: descrever o manejo da dor em crianças pela equipe de enfermagem. Metodologia: estudo qualitativo, realizado em unidade pediátrica de hospital universitário na cidade de Salvador, Bahia, em 2012. Participaram do estudo três enfermeiras, duas técnicas e duas auxiliares de enfermagem. Foram realizadas entrevistas semiestruturadas, analisadas por meio da técnica de análise de conteúdo, emergindo três categorias: Identificação da dor na criança internada; Instrumentos de avaliação da dor; Prevenção e Tratamento da dor, após aprovação do estudo pelo Comitê de Ética em Pesquisa da instituição, sob o parecer de número 79/11. Resultados: foram evidenciadas intervenções prioritariamente farmacológicas em detrimento das não-farmacológicas, intervenções insuficientes e pouco resolutivas, não utilização dos instrumentos adequados, além da não participação dos pais nesse cenário. Conclusão: percebe-se a necessidade de aprofundamento científico entre a equipe para o manejo da dor, além da reprodução do modelo biomédico no que concerne ao tratamento medicamentoso.ABSTRACTObjective: to describe pain management in children by the nursing team. Methodology: this qualitative study in a pediatric unit of a university hospital in Salvador, Bahia, was conducted in 2012, after approval by the research ethics committee (Opinion No. 79/11). Three nurses, two technicians and two nursing auxiliaries participated in the study. Semi-structured interviews were carried out and analyzed using content analysis, from which three categories emerged: identifying pain in the hospitalized child; pain assessment instruments; preventing and treating pain. Results: findings included pharmacological interventions prioritized over non-pharmacological interventions; insufficient and ineffective interventions; failure to use appropriate instruments; and parental non-participation in this scenario. Conclusion: the team needed more in-depth scientific training in pain management, beyond reproduction of the biomedical drug treatment model.RESUMEN: Objetivo: describir cómo el equipo de enfermería maneja el dolor en niños. Metodología: estudio cualitativo, realizado en unidad pediátrica de hospital universitario en la ciudad de Salvador, Bahía, en 2012. Participaron del estudio tres enfermeras, dos técnicas y dos auxiliares de la enfermería. Se realizaron entrevistas semiestructuradas, analizadas por medio de la técnica de análisis de contenido. Surgieron tres categorías: identificación del dolor en el niño internado; instrumentos de evaluación del dolor; prevención y tratamiento del dolor, tras la aprobación del estudio por el Comité de Ética en Investigación de la institución, bajo el parecer de número 79/11. Resultados: se evidenciaron intervenciones prioritariamente farmacológicas en detrimento de las no farmacológicas, intervenciones insuficientes y poco resolutivas, no utilización de los instrumentos adecuados, además de la no participación de los padres en ese escenario. Conclusión: se percibe la necesidad de profundización científica entre el equipo para el manejo del dolor, además de la reproducción del modelo biomédico en lo respecta al tratamiento medicamentoso. DOI: http://dx.doi.org/10.12957/reuerj.2017.15379

scholarly journals Gynaecologists’ views on the management of Vaginal Vault Prolapse: A qualitative study

2022 ◽  
Vol 38 (3) ◽  
Author(s):  
Omaema Al-Baghdadi ◽  
Christian Barnick ◽  
Garima Srivastava ◽  
Hassan Elbiss
Keyword(s):  
Qualitative Study ◽  
Large Scale ◽  
Vaginal Surgery ◽  
Vaginal Vault Prolapse ◽  
Qualitative Description ◽  
University Hospital ◽  
Vaginal Vault ◽  
Structured Interviews ◽  
Vault Prolapse ◽  
Creative Commons

Objective: This study examined gynaecologists’ experience and views on the management of vaginal vault prolapse (VVP) using laproscopic sarcocolpopexy (LSCP) versus open sarcocolpopexy (OSCP). Methods: In a qualitative study conducted at the University of Surrey and Homerton University Hospital, UK, from 2016 to 2017, semi-structured interviews were conducted with 15 consultants experienced in minimal access surgery or urogynecology. Interviews were recorded and transcripts were analyzed using the qualitative description (QD) approach. Results: Eight broad themes emerged: VVP management, LSCP for management of VVP, OSCP and vaginal surgery with or without mesh use in VVP management, laparoscopic training and support as well as surgeons’ attitude towards LSCP. All participants acknowledged the importance of LSCP in the management of post-hysterectomy VVP as benefits outweighed risks in their view. OSCP was considered suitable in very specific circumstances. Vaginal surgery could be an excellent alternative to OSCP bearing in mind long-term efficacy and sexual activity in young women. Most participants agreed with national recommendations to avoid use of mesh in vaginal surgery for VVP and expressed the view that it should be done in specialised centres by trained surgeons who do such operations. Conclusions: This study showed that the acceptability of LSCP was dependent on participants’ experience and consideration of the balance between patient’s goals and potential risks. It provides useful guidance for future large-scale projects. doi: https://doi.org/10.12669/pjms.38.3.5215 How to cite this:Al-Baghdadi O, Barnick C, Srivastava G, Elbiss HM. Gynaecologists’ views on the management of Vaginal Vault Prolapse: A qualitative study. Pak J Med Sci. 2022;38(3):---------. doi: https://doi.org/10.12669/pjms.38.3.5215 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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