Volume 11, Issue 1 (2023)
Health Educ Health Promot 2023, 11(1): 79-87 |
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Yasrebirad M, Mohammadkhan Kermanshahi S, Mohammadi E. A Grounded Theory of the Process of Improving the Quality of Life in Patients with Heart Disease. Health Educ Health Promot 2023; 11 (1) :79-87
URL: http://hehp.modares.ac.ir/article-5-62856-en.html
URL: http://hehp.modares.ac.ir/article-5-62856-en.html
1- Nursing Department, Faculty of Medical Sciences, Tarbiat Modares University, Tehran, Iran
2- Nursing Department, Faculty of Medical Sciences, Tarbiat Modares University, Tehran, Iran, Tarbiat Modares University, Jalal e Al e Ahmad street Street, Tehran, Iran. Postal Code: 14115-111 (kerman_s@modares.ac.ir)
2- Nursing Department, Faculty of Medical Sciences, Tarbiat Modares University, Tehran, Iran, Tarbiat Modares University, Jalal e Al e Ahmad street Street, Tehran, Iran. Postal Code: 14115-111 (kerman_s@modares.ac.ir)
Abstract: (1132 Views)
Aims: Heart diseases lead to a change in the patient's lifestyle, which affects satisfaction and quality of life. This study aimed to explain the process of improving the quality of life of heart patients in Iran.
Participants & Methods: This qualitative study was a grounded theory study in hospitals in Karaj, Iran. Thirty-two patients with heart disease were interviewed. A purposeful sampling method was used in this study. To collect data, unstructured interviews were conducted, and data were analyzed based on Corbin and Strauss analysis method with five steps.
Findings: Through data analysis, four main concepts were obtained that reflect the experiences of the participants, including “inability to control daily life”, “striving for self-management”, “perceived support from spouse and children”, and “abandonment of the patient and family in the care knowledge gap”.
Conclusion: Heart patients and their families suffer from financial, physical, psychological, and educational crises that have a very unpleasant effect on them, and these crises can increase the physical and psychological pressures on patients many times over. Of course, sometimes physical disabilities are added to them with old age and complicate the problems. There is an urgent need to educate heart patients from the time they are admitted to the hospital until they are involved with the disease.
Participants & Methods: This qualitative study was a grounded theory study in hospitals in Karaj, Iran. Thirty-two patients with heart disease were interviewed. A purposeful sampling method was used in this study. To collect data, unstructured interviews were conducted, and data were analyzed based on Corbin and Strauss analysis method with five steps.
Findings: Through data analysis, four main concepts were obtained that reflect the experiences of the participants, including “inability to control daily life”, “striving for self-management”, “perceived support from spouse and children”, and “abandonment of the patient and family in the care knowledge gap”.
Conclusion: Heart patients and their families suffer from financial, physical, psychological, and educational crises that have a very unpleasant effect on them, and these crises can increase the physical and psychological pressures on patients many times over. Of course, sometimes physical disabilities are added to them with old age and complicate the problems. There is an urgent need to educate heart patients from the time they are admitted to the hospital until they are involved with the disease.
Article Type: Original Research |
Subject:
Quality of Life
Received: 2022/07/12 | Accepted: 2023/02/13 | Published: 2023/02/19
Received: 2022/07/12 | Accepted: 2023/02/13 | Published: 2023/02/19
References
1. Emery CF, Frid DJ, Engebretson TO, Alonzo AA, Fish A, Ferketich AK, et al. Gender differences in quality of life among cardiac patients. Psychosom Med. 2004;66(2):190-7. [Link] [DOI:10.1097/01.psy.0000116775.98593.f4]
2. Al-Makki A, Dipette DJ, Whelton PK, Murad MH, Mustafa RA, Acharya S, et al. Hypertension pharmacological treatment in adults: a World Health Organization guideline executive summary. Hypertension. 2022;79(1):293-301. [Link] [DOI:10.1161/HYPERTENSIONAHA.121.18192]
3. Şahan E, Eroğlu MZ, Karataş MB, Mutluer B, Uğurpala,e C, Berkold TD. Death anxiety in patients with myocardial infarction or cancer. Egypt Heart J. 2018;70(3):143-7. [Link] [DOI:10.1016/j.ehj.2018.04.003]
4. Lakdizaji S, Hassankhni H, Mohajjel Agdam A, Khajegodary M, Salehi R. Effect of educational program on quality of life of patients with heart failure: a randomized clinical trial. J Caring Sci. 2013;2(1):11-8. [Link]
5. Dehghanzadeh S, Dehghan Nayeri N, Varaei S. "Doubtful accepting": A grounded theory study of living with cardiac resynchronization therapy. Nurs Health Sci. 2018;20(4):516-22. [Link] [DOI:10.1111/nhs.12547]
6. Alharbi M, Alharbi F, AlTuwayjiri A, Alharbi Y, Alhofair Y, Alanazi A, et al. Assessment of health-related quality of life in patients with heart failure: a cross-sectional study in Saudi Arabia. Health Qual Life Outcomes. 2022;20(1):128. [Link] [DOI:10.1186/s12955-022-02040-7]
7. Schjoedi I, Sommer I, Bjerrum MB. Experiences and management of fatigue in everyday life among adult patients living with heart failure: a systematic review of qualitative evidence. JBI Database System Rev Implement Rep. 2016;14(3):68-115. [Link] [DOI:10.11124/JBISRIR-2016-2441]
8. Takabayashi K, Kitaguchi S, Iwatsu K, Morikami Y, Ichinohe T, Yamamoto T, et al. A decline in activities of daily living due to acute heart failure is an independent risk factor of hospitalization for heart failure and mortality. J Cardiol. 2019;73(6):522-9. [Link] [DOI:10.1016/j.jjcc.2018.12.014]
9. Tarekegn GE, Gezie LD, Birhan TY, Ewnetu F. Health-related quality of life among heart failure patients attending an outpatient clinic in the University of Gondar Comprehensive Specialized Hospital Northwest, Ethiopia, 2020: using structural equation modeling approach. Patient Relat Outcome Meas. 2021;12: 279-90. [Link] [DOI:10.2147/PROM.S322421]
10. Hekari D, Mohammadzadeh R. The assessment of adaptation rate of coronary artery disease female patients according to quadruple aspects of physiologic, self-perception, role playing and independence/dependence in Tabriz, 1386-87. Med Sci J. 2008;18 (3):187-93. [Persian] [Link]
11. Bahador R, Nouhi E, Jahani Y. Quality of life and its related factors in patients with CHF, referring to Jiroft Imam Khomeini Hospital. Iran J Nurs. 2017;30(105):23-33. [Persian] [Link] [DOI:10.29252/ijn.30.105.23]
12. Sun L-Y, Lee E-W, Zahra A, Park J-H. Risk factors of cardiovascular disease and their related socio-economical, environmental and health behavioral factors: Focused on low-middle income countries- a narrative review article. Iran J Public Health. 2015;44(4):435-44. [Link]
13. Komalasari R, Nurjanah, Yoche MM. Quality of life of people with cardiovascular disease: A descriptive study. Asian Pac IsI Nurse J. 2019;4(2):92-6. [Link] [DOI:10.31372/20190402.1045]
14. Moshki M, Khajavi A, Minaee S, Vakilian F, Hashemizadeh H. Perceived benefits of the disease: A qualitative study of patients' experiences of heart failure. Nurs Health Sci. 2020;22(2):464-71. [Link] [DOI:10.1111/nhs.12682]
15. Soleimani MA, Zarabadi-Pour S, Motalebi SA, Allen KA. Predictors of quality of life in patients with heart disease. J Relig Health. 2020;59(4):2135-48. [Link] [DOI:10.1007/s10943-019-00968-7]
16. Nejat S. Quality of life and its measurement. Iran J Epidemiol. 2008;4(2):57-62. [Persian] [Link]
17. Bahall M, Legall G, Khan K. Quality of life among patients with cardiac disease: the impact of comorbid depression. Health Qual Life Outcomes. 2020;18(1):189. [Link] [DOI:10.1186/s12955-020-01433-w]
18. Vlachakis C, Dragoumani K, Raftopoulou S, Mantaiou M, Papageorgiou L, Tsaniras SC, et al. In Vivo. 2018;32(4):859-70. [Link] [DOI:10.21873/invivo.11320]
19. Ferdiana A, Post MWM, King N, Bültmann U, van der Klink JJL. Meaning and components of quality of life among individuals with spinal cord injury in Yogyakarta Province, Indonesia. Disabil Rehabil. 2018;40(10):1183-91. [Link] [DOI:10.1080/09638288.2017.1294204]
20. Nwosu WO, Rajani R, McDonaugh T, Driscoll E, Hughes LD. Patients' and carers' perspective of the impact of heart failure on quality of life: a qualitative study. Psychol Health Med. 2022;27(6):1381-96. [Link] [DOI:10.1080/13548506.2021.1922719]
21. Abbasi K, Mohammadi E, Sadeghian H, Gholami Fesharaki M. Quality of life in patients with heart failure. Iran J Nurs Res. 2016;11(2):10-23. [Persian] [Link]
22. The Health Foundation. Quality improvement made simple. London: The Health Foundation; 2021. [Link]
23. Alligood MR, Tomy AM, editors. Nursing theorists and their work. 7th Edition. Maryland Heights, MO: Mosby Elsevier, 2010. [Link]
24. Noble H, Mitchell G. What is grounded theory? Evid Based Nurs. 2016;19(2):34-5. [Link] [DOI:10.1136/eb-2016-102306]
25. Haj Bagheri A, Parvizi S, Salsali M. Qualitative Reseach methods. Tehran: Boshra; 2013. [Persian] [Link]
26. Haj Bagheri A. Grounded theory: Research method. Tehran: Boshra; 2006. [Persian] [Link]
27. Juliet C, Anselm S. Basics of qualitative researches; Techniques and procedures for developing grounded theory. 4th Edition. Thousand Oaks, California: SAGE; 2015. [Link]
28. Elo S, Kääriäinen M, Kanste O, Pölkki T, Utriainen K, Kyngäs H. Qualitative content analysis: A focus on trustworthiness. SAGE J. 2014. [Link] [DOI:10.1177/2158244014522633]
29. Delve Ho L, Limpaecher A. The practical guide to grounded theory, practice guide to grounded theory research. 2021. [Link]
30. Tie YC, Birks M, Francis K. Grounded theory research: A design framework for novice researchers. SAGE Open Med. 2019;7:2050312118822927. [Link] [DOI:10.1177/2050312118822927]
31. Malin O, Ung EJ, Falk K. Continuity means "preserving a consistent whole"-A grounded theory study. Int J Qual Stud Health Wellbeing. 2015;10:29872. [Link] [DOI:10.3402/qhw.v10.29872]
32. Fry M, McLachlan S, Purdy S, Sanders T, Kadam UT, Chew-Graham CA. The implications of living with heart failure; the impact on everyday life, family support, co-morbidities and access to healthcare: a secondary qualitative analysis. BMC Fam Pract. 2016;17:139. [Link] [DOI:10.1186/s12875-016-0537-5]
33. Dhaliwal KK, King-Shier K, Manns BJ, Hemmelgarn BR, Stone JA, Campbell DJ. Exploring the impact of financial barriers on secondary prevention of heart disease. BMC Cardiovasc Disord. 2017;17(1):61. [Link] [DOI:10.1186/s12872-017-0495-4]
34. Malhotra C, Wong GCS, Tan BC, Ng CSH, Lee NC, Lau CSL, et al. Living with heart failure: Perspectives of patients from Singapore. Proceed Singapore Health Care. 2016;25(2):92-7. [Link] [DOI:10.1177/2010105815624121]
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