Barriers and Facilitators Related to Heart-healthy Lifestyle Among Persons with Acute Coronary Syndrome

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Warunee Fongkaew
Foyejur Rahman
Nitaya Pinyokham
Chiraporn Tachaudomdach


             Leading a healthy lifestyle is one of the important ways of dealing with acute coronary syndrome. However, lifestyle information has been insufficiently documented in the literature in a context of Bangladesh. Thus, this study aimed to explore barriers and facilitators of heart-healthy lifestyle among persons with acute coronary syndrome in Bangladesh. This study used a qualitative descriptive method. Qualitative data were gathered via four focus group discussions that included 22 male participants with acute coronary syndrome, 18 of whom undertook in-depth interviews as did 11 family members. Content analysis process was used to analyze the data.
               Findings indicated that smoking cessation barriers were incapable of dealing with nicotine withdrawal symptoms; confronting stress and tension; and beliefs that smoking helps work productively. Physical activity barriers were constraints imposed by physical conditions; exercise not being a habit, lack of time, and lack of knowledge. Dietary barriers included facing hunger from lesser food amounts; conflict over food preferences; insufficient knowledge; insufficient support; and low income. Facilitators to modify heart-healthy lifestyle were commitment to follow advice; perceived benefits; perceived awareness; support; income adequacy; and basic education. The results provide understanding of the factors related to modify heart-healthy lifestyles among persons with acute coronary syndrome in Bangladesh. This evidence contributes to the development of useful interventional strategies in order to lifestyle modification which contribute to prevent complications of the disease and prolonging life.

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Fongkaew W, Rahman F, Pinyokham N, Tachaudomdach C. Barriers and Facilitators Related to Heart-healthy Lifestyle Among Persons with Acute Coronary Syndrome. PRIJNR [Internet]. 2018 Jun. 7 [cited 2022 Sep. 28];22(3):249-63. Available from:
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