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Coping With Chronic Cardiovascular Disease in Iran: A Qualitative Study Publisher Pubmed



Kalantarzadeh M1 ; Alavi M2 ; Yousefi H3 ; Maghsoudi J4 ; Hungerford C5 ; Cleary M6
Authors
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Authors Affiliations
  1. 1. School of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran
  2. 2. Department of Mental Health Nursing, School of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran
  3. 3. Nursing and Midwifery Care Research Center, Department of Adult Nursing, School of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran
  4. 4. Nursing and Midwifery Care Research Center, Mental Health Nursing Department, School of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran
  5. 5. School of Health, Federation University, Melbourne, VIC, Australia
  6. 6. School of Nursing, Midwifery and Social Sciences, Central Queensland University, Sydney, NSW, Australia

Source: Nursing and Health Sciences Published:2021


Abstract

The effects of chronic cardiovascular disease can challenge the achievement of treatment goals and recovery outcomes. This study explores the ways in which patients cope with the effects of chronic cardiovascular disease, from the perspectives of patients, family caregivers, and health professionals. The qualitative study was conducted from May 2019 to September 2020 in Isfahan, Iran. Thirteen people with chronic cardiovascular disease, 6 family caregivers, and 16 healthcare professionals participated in semi-structured individual interviews. Transcripts were analysed thematically. Findings suggest that people with chronic cardiovascular disease use a range of coping strategies, both positive and negative, to adjust to their conditions. The positive strategies include managing their health-related symptoms, drawing on religious or spiritual beliefs, and accessing social and relational supports. Negative strategies can include over-reliance on family members for support, leading to reduced activity and loss of independence. Understanding the nature of the strategies used by patients provides an important means by which health service providers can support patients to further develop positive coping strategies. This, in turn, will enable patients to achieve higher levels of wellbeing. © 2021 John Wiley & Sons Australia, Ltd.
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