Original Article
Meta-synthesis of qualitative research on self-management experience in patients with coronary heart disease
Zhang Qian, Wang Zian, Wu Jiayun, Zheng Beibei, Wang Chaoqun, Lu Jun
Published 2022-03-26
Cite as Chin J Mod Nurs, 2022, 28(9): 1149-1157. DOI: 10.3760/cma.j.cn115682-20210910-04112
Abstract
ObjectiveTo summarize the self-management experience of patients with coronary heart disease, so as to provide a basis for medical and nursing staff to build and improve the self-management system of coronary heart disease.
MethodsQualitative studies on the self-management experience of patients with coronary heart disease were retrieved by computer in PubMed, Embase, Web of Science, CINAHL, Cochrane Library, Joanna Briggs Institute (JBI) , China National Knowledge Infrastructure, WanFang Data, VIP, China Biomedical Literature Database from database establishment to June 30, 2021. The articles were evaluated using the Quality Evaluation Standard for Qualitative Research (2016) of Australia JBI Evidence-based Health Care Center, and the results were summarized using the Meta-synthesis.
ResultsA total of20 articles were included, and 59 research results were extracted. A total of 12 new categories were formed by induction and combination, which were integrated into 3 integrated results, namely the driving factors of self-management, the blocking factors of self-management, the trajectory and path of self-management.
ConclusionsSelf-management of patients with coronary heart disease is a tortuous process influenced by multiple factors. Collaboration and support from families, healthcare systems, society, and governments are needed to promote patients' adherence to long-term self-management and improve their prognosis and quality of life.
Key words:
Coronary disease; Self-management; Experience; Qualitative research; Meta-synthesis
Contributor Information
Zhang Qian
School of Nursing, Zhejiang Chinese Medical University, Hangzhou 310053, China
Wang Zian
School of Nursing, Zhejiang Chinese Medical University, Hangzhou 310053, China
Wu Jiayun
School of Nursing, Zhejiang Chinese Medical University, Hangzhou 310053, China
Zheng Beibei
Department of Cardiology, Affiliated Hangzhou First People's Hospital, Zhejiang University School of Medicine, Hangzhou 310003, China
Wang Chaoqun
Department of Cardiology, Affiliated Hangzhou First People's Hospital, Zhejiang University School of Medicine, Hangzhou 310003, China
Lu Jun
Nursing Department, Affiliated Hangzhou First People's Hospital, Zhejiang University School of Medicine, Hangzhou 310003, China
