Barriers and Facilitators Related to Heart-healthy Lifestyle Among Persons with Acute Coronary Syndrome
Keywords:
Acute Coronary Syndrome, Bangladesh, Barriers, Facilitators, Heart-healthy Lifestyle, Smoking, Physical Exercise, Dietary Lifestyle, Qualitative Descriptive StudyAbstract
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.
References
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19. Bambs C, Sgombich M, Leiva L, Baraona F, Margozzini P, Pizarro C, Rojas A. Facilitators and barriers to the adoption of healthy lifestyles after first myocardial infarction in Chile: A qualitative study. Rev. chil. cardiol. 2015; 34(3):163-74.
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26. Ferreira ÂS, Campos AC, Santos IP, Beserra MR, Silva EN, Fonseca VA. Smoking among inpatients at a university hospital. J BrasPneumol. 2011; 37(4):488-94.
27. Galdas PM, Oliffe JL, Kang HB, Kelly MT. Punjabi Sikh patients’ perceived barriers to engaging in physical exercise following myocardial infarction. Public Health Nurs. 2012; 29(6):534-41.
28. Darr A, Astin F, Atkin K. Causal attributions, lifestyle change, and coronary heart disease: illness beliefs of patients of South Asian and European origin living in the United Kingdom. Heart Lung. 2008; 37(2):91-104.
29. Netto G, McCloughan L, Bhatnagar A. Effective heart disease prevention: lessons from a qualitative study of user perspectives in Bangladeshi, Indian and Pakistani communities. Public Health. 2007; 121(3):177-86.
30. Salminen-Tuomaala MH, Åstedt-Kurki P, Rekiaro M, Paavilainen E. Coping with the effects of myocardial infarction from the viewpoint of patients’ spouses. J Fam Nurs. 2013; 19(2):198-229.
31. Barolia RI, Clark AM, Higginbottom GM. Protocol for a qualitative study on promoting dietary change and positive food choices for poor people with low income who experience cardiovascular disease in Pakistan. BMJ Open. 2013; 3(12).
32. Astin, F., Horrocks, J. and Closs, S.J., Managing lifestyle change to reduce coronary risk: a synthesis of qualitative research on peoples’ experiences. BMC Cardiovascular Disorders, 2014;14(1)96.
33. Rogerson MC, Murphy BM, Bird S, Morris T. “I don’t have the heart”: a qualitative study of barriers to and facilitators of physical activity for people with coronary heart disease and depressive symptoms. International Journal of Behavioral Nutrition and Physical Activity. 2012; 9(1):140.
34. Boyde M, Grenfell K, Brown R et al. What have our patients learnt after being hospitalised for an acute myocardial infarction? AustCrit Care. 2015; 28(3):134-9.
35. Tawalbeh LI, Tubaishat A, Batiha AM, Al-Azzam M, AlBashtawy M. The relationship between social support and adherence to healthy lifestyle among patients with coronary artery disease in the North of Jordan. ClinNurs Res. 2015; 24(2):121-38.
2. Chowdhury R., Alam DS, Di Angelantonio E et al. Bangladesh Risk of Acute Vascular Events (BRAVE). 2014 https://www.icddrb.org/media-centre/media releases/doc_download/7982-brave-study-press-brief
3. Chow CK, Jolly S, Rao-Melacini P, Fox KA, Anand SS, Yusuf S. Association of diet, exercise, and smoking modification with risk of early cardiovascular events after acute coronary syndromes. Circulation. 2010; 121(6): 750-8.
4. Steg, P. H., James, S. K., Atar, D., Badano, L. P., Lundqvist, C. B., Borger, M. A., ... & Gershlick, A. H. (2012). ESC Guidelines for the management of acute myocardial infarction in patients presenting with ST-segment elevation. The Task Force on the management of ST-segment elevation acute myocardial infarction of the European Society of Cardiology (ESC). European Heart Journal, 33(20), 2569-2619.
5. Pender NJ, Murdaugh CL, Parsons MA. Health Promotion in Nursing Practice Stamford, Connecticut: Appleton & Lange.2015.
6. Spring B. Ockene JK. Gidding SS., Mozaffarian D. Moore S. Rosal MC. Lloyd-Jones D. Better population health through behavior change in adults. A call to action. Circulation, 2013; 01.
7. Smith A, Fortune Z, Phillips R, Walters P, Lee GA, Mann A, Tylee A, Barley EA. UPBEAT study patients’ perceptions of the effect of coronary heart disease on their lives: A cross-sectional sub-study. Int J Nurs Stud. 2014; 51(11):1500-6.
8. Huffman, J. C., DuBois, C. M., Mastromauro, C. A., Moore, S. V., Suarez, L., & Park, E. R. (2016). Positive psychological states and health behaviors in acute coronary syndrome patients: A qualitative study. Journal of Health Psychology, 21(6), 1026-1036.
9. Yehle KS, Chen AM, Plake KS, Yi JS, Mobley AR. A qualitative analysis of coronary heart disease patient views of dietary adherence and web-based and mobile-based nutrition tools. J CardiopulmRehabil Prev. 2012; 32(4):203.
10. Ngiap-Chuan T, Wei S, Seng-Lian C. Lifestyle modifications of patients with coronary heart disease on follow up in public primary care center in Singapore: assessment of perception and behavior. The Singapore Family Physician. 2011; 173(1):67-72.
11. Bhattacharyya M. Stevenson F. Walters K. Exploration of the psychological impact and adaptation to cardiac events in South Asians in the UK: a qualitative study. BMJ Open, 2016;6(7).
12. Matthias, A. T., Lokunarangoda, N. C., & Ekanayaka, R. (2014). Knowledge assessment regarding secondary prevention of coronary heart disease--a multi centre survey. BMC Medical Education, 14, 113.
13. Asgar, M. A., Chinnawong, T., Kritpracha, C., (2010). Stress and Coping of Patients with Myocardial Infarction in Bangladesh (Unpublished master’s thesis). Prince of Songkla University.
14. Aggarwal B, Liao M, Allegrante JP, Mosca L. Low social support level is associated with non-adherence to diet at 1 year in the Family Intervention Trial for Heart Health (FIT Heart). J. Nutr. Educ. Behav. 2010; 42(6):380-8.
15. Cole JA, Smith SM, Hart N, Cupples ME. Do practitioners and friends support patients with coronary heart disease in lifestyle change? A qualitative study. BMC Family Practice. 2013; 14(1):126.
16. Barkat A, Chowdhury AU., Nargis N, Rahman M, Khan MS, Kumar A. The Economics of Tobacco and Tobacco Taxation in Bangladesh. Paris: International Union Against Tuberculosis and Lung Disease. 2012
17. Donnelly, T. T., Al Suwaidi, J., Al Bulushi, A., Al Enazi, N., Yassin, K., Rehman, A. M., … Idris, Z. (2011). The influence of cultural and social factors on healthy lifestyle of Arabic women. Avicenna, (2011), 3.
18. Salisbury AC., Chan PS. Gosch KL. Buchanan DM. Spertus JA. Patterns and predictors of fast food consumption after acute myocardial infarction. The American Journal of Cardiology, 2011; 107(8), 1105–1110.
19. Bambs C, Sgombich M, Leiva L, Baraona F, Margozzini P, Pizarro C, Rojas A. Facilitators and barriers to the adoption of healthy lifestyles after first myocardial infarction in Chile: A qualitative study. Rev. chil. cardiol. 2015; 34(3):163-74.
20. Zhu L. Ho SC. Sit JWH. The experiences of Chinese patients with coronary heart disease. Journal of Clinical Nursing, 2012; 21(3–4), 476–484.
21. Abu-Baker NN, Haddad L, Mayyas O. Smoking behavior among coronary heart disease patients in Jordan: a model from a developing country.Int. J. Environ. Res. Public Health. 2010; 7(3):751-64.
22. Sultana R. Petpichetchian W. Kritpracha C. Patients’ discharge information needs regarding myocardial infarction in Bangladesh. Songklanagarind Journal of Nursing, 2015; 35(3), 1-14.
23. Lambert VA, Lambert CE, Editorial: Qualitative descriptive research: An acceptable design. Pacific Rim International Journal of Nursing Research. 2012 16(4): 255-256
24. Miles MB, Huberman AM. An Expanded Sourcebook of Qualitative Data Analysis. Sage. 1994.
25. Guba EG, LincoIn YS. Fourth Generation Evaluation. Newbury Park, CA: Sage Publishing; 1989.
26. Ferreira ÂS, Campos AC, Santos IP, Beserra MR, Silva EN, Fonseca VA. Smoking among inpatients at a university hospital. J BrasPneumol. 2011; 37(4):488-94.
27. Galdas PM, Oliffe JL, Kang HB, Kelly MT. Punjabi Sikh patients’ perceived barriers to engaging in physical exercise following myocardial infarction. Public Health Nurs. 2012; 29(6):534-41.
28. Darr A, Astin F, Atkin K. Causal attributions, lifestyle change, and coronary heart disease: illness beliefs of patients of South Asian and European origin living in the United Kingdom. Heart Lung. 2008; 37(2):91-104.
29. Netto G, McCloughan L, Bhatnagar A. Effective heart disease prevention: lessons from a qualitative study of user perspectives in Bangladeshi, Indian and Pakistani communities. Public Health. 2007; 121(3):177-86.
30. Salminen-Tuomaala MH, Åstedt-Kurki P, Rekiaro M, Paavilainen E. Coping with the effects of myocardial infarction from the viewpoint of patients’ spouses. J Fam Nurs. 2013; 19(2):198-229.
31. Barolia RI, Clark AM, Higginbottom GM. Protocol for a qualitative study on promoting dietary change and positive food choices for poor people with low income who experience cardiovascular disease in Pakistan. BMJ Open. 2013; 3(12).
32. Astin, F., Horrocks, J. and Closs, S.J., Managing lifestyle change to reduce coronary risk: a synthesis of qualitative research on peoples’ experiences. BMC Cardiovascular Disorders, 2014;14(1)96.
33. Rogerson MC, Murphy BM, Bird S, Morris T. “I don’t have the heart”: a qualitative study of barriers to and facilitators of physical activity for people with coronary heart disease and depressive symptoms. International Journal of Behavioral Nutrition and Physical Activity. 2012; 9(1):140.
34. Boyde M, Grenfell K, Brown R et al. What have our patients learnt after being hospitalised for an acute myocardial infarction? AustCrit Care. 2015; 28(3):134-9.
35. Tawalbeh LI, Tubaishat A, Batiha AM, Al-Azzam M, AlBashtawy M. The relationship between social support and adherence to healthy lifestyle among patients with coronary artery disease in the North of Jordan. ClinNurs Res. 2015; 24(2):121-38.
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Published
2018-06-07
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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 2024 Nov. 14];22(3):249-63. Available from: https://he02.tci-thaijo.org/index.php/PRIJNR/article/view/105665
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