Patients' conceptions of coronary heart disease -- a phenomenographic analysis.
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| Title: | Patients' conceptions of coronary heart disease -- a phenomenographic analysis. |
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| Authors: | Kärner A (AUTHOR), Göransson A (AUTHOR), Bergdahl B (AUTHOR) |
| Source: | Scandinavian Journal of Caring Sciences. Mar2003, Vol. 17 Issue 1, p43-50. 8p. |
| Abstract: | Readjustment after an event of coronary heart disease (CHD) is defined to comprise cognitive, instrumental and affective components. The cognitive dimension refers to understanding of the disease. Twenty-three patients (<60 years) with CHD were interviewed about the nature of their disease and encouraged to use their own words. The study was conducted 1 year after the event of myocardial infarction (MI) and some patients had also been revascularized. The interviews were transcribed in extenso and analysed according to the phenomenographic approach. The main finding was the great variation of conceptions revealed. Six different conceptions were found concerning CHD. Some patients comprehended MI by involving (A) blood and vessels, (B) either blood or vessel or referred to (C) risk factors/symptoms. Angina pectoris was expressed as (A) insufficient heart capacity, (B) atherosclerosis/contracted vessel or as (C) symptoms. Several patients found it difficult to expand their answers and some expressed misconceptions about the course of events. Patients' pre-existing knowledge and their way of reasoning about central phenomena related to their disease should be taken into consideration in patient education and is also applicable in individual encounters with patients. [ABSTRACT FROM AUTHOR] |
| Copyright of Scandinavian Journal of Caring Sciences is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) | |
| Database: | Psychology and Behavioral Sciences Collection |
| FullText | Links: – Type: pdflink Text: Availability: 0 |
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| Header | DbId: pbh DbLabel: Psychology and Behavioral Sciences Collection An: 106733246 AccessLevel: 6 PubType: Academic Journal PubTypeId: academicJournal PreciseRelevancyScore: 0 |
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| Items | – Name: Title Label: Title Group: Ti Data: Patients' conceptions of coronary heart disease -- a phenomenographic analysis. – Name: Author Label: Authors Group: Au Data: <searchLink fieldCode="AR" term="%22Kärner+A%22">Kärner A</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Göransson+A%22">Göransson A</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Bergdahl+B%22">Bergdahl B</searchLink> (AUTHOR) – Name: TitleSource Label: Source Group: Src Data: <searchLink fieldCode="JN" term="%22Scandinavian+Journal+of+Caring+Sciences%22">Scandinavian Journal of Caring Sciences</searchLink>. Mar2003, Vol. 17 Issue 1, p43-50. 8p. – Name: Abstract Label: Abstract Group: Ab Data: Readjustment after an event of coronary heart disease (CHD) is defined to comprise cognitive, instrumental and affective components. The cognitive dimension refers to understanding of the disease. Twenty-three patients (<60 years) with CHD were interviewed about the nature of their disease and encouraged to use their own words. The study was conducted 1 year after the event of myocardial infarction (MI) and some patients had also been revascularized. The interviews were transcribed in extenso and analysed according to the phenomenographic approach. The main finding was the great variation of conceptions revealed. Six different conceptions were found concerning CHD. Some patients comprehended MI by involving (A) blood and vessels, (B) either blood or vessel or referred to (C) risk factors/symptoms. Angina pectoris was expressed as (A) insufficient heart capacity, (B) atherosclerosis/contracted vessel or as (C) symptoms. Several patients found it difficult to expand their answers and some expressed misconceptions about the course of events. Patients' pre-existing knowledge and their way of reasoning about central phenomena related to their disease should be taken into consideration in patient education and is also applicable in individual encounters with patients. [ABSTRACT FROM AUTHOR] – Name: AbstractSuppliedCopyright Label: Group: Ab Data: <i>Copyright of Scandinavian Journal of Caring Sciences is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.) |
| PLink | https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=pbh&AN=106733246 |
| RecordInfo | BibRecord: BibEntity: Identifiers: – Type: doi Value: 10.1046/j.1471-6712.2003.00113.x Languages: – Code: eng Text: English PhysicalDescription: Pagination: PageCount: 8 StartPage: 43 Titles: – TitleFull: Patients' conceptions of coronary heart disease -- a phenomenographic analysis. Type: main BibRelationships: HasContributorRelationships: – PersonEntity: Name: NameFull: Kärner A – PersonEntity: Name: NameFull: Göransson A – PersonEntity: Name: NameFull: Bergdahl B IsPartOfRelationships: – BibEntity: Dates: – D: 01 M: 03 Text: Mar2003 Type: published Y: 2003 Identifiers: – Type: issn-print Value: 02839318 Numbering: – Type: volume Value: 17 – Type: issue Value: 1 Titles: – TitleFull: Scandinavian Journal of Caring Sciences Type: main |
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