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

Summary: Research reveals diverse coping strategies in chronic heart disease patients. How can we promote positive ones? #HeartDisease #CopingStrategies

Kalantarzadeh M¹ ; Alavi M² ; Yousefi H³ ; Maghsoudi J⁴ ; Hungerford C⁵ ; Cleary M⁶
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.