The Experience of Physical Activity in Patients with Coronary Artery Disease

Autor: Chun-Yi Chu, 朱純儀
Rok vydání: 2016
Druh dokumentu: 學位論文 ; thesis
Popis: 104
The aim of this research was to understand the experience of physical activity in patients with coronary artery disease, including their physiological and psychological feelings, the impact of physical activity on patients’ physiological, psychological, and social aspects, and the facilitators and barriers of physical activity. Twenty participants with coronary artery disease participated in in-depth semi-structured interviews. Each interviews lasted 30-60 minutes. Content analysis was used to determine major themes. Ten major themes were identified in this study. Theme 1: “The light and shadow of coronary artery disease” indicated the variety of experience of physical activity in patients with coronary artery disease. Theme 2: “Life will find a way” indicated that through physical activity, patients would get to know their own physical capacity. Theme 3: “Dose sick heart mean sick body?” indicated the physiological feelings after physical activity. Patients identified that short of breath was the main negative feeling, while no physiological symptoms and feeling comfortable were positive feelings. Theme 4: “Dose sick heart mean sick at heart?” indicated the psychological feelings of patients after physical activity. Worrying about inducing more symptoms and therefore restricting their physical activity were the main negative feelings, while feeling fulfilled and satisfied, and regarding physical activity as a symbol of health were the positive feelings. Theme 5: “Live lively, live healthy” indicated the physiological impact of physical activity on patients with coronary artery disease. Patients identified that physical activity could relieve, or even prevent heart symptoms. Improving fatigue and physical capacity was also identified. Theme 6: “Live lively, live happy” indicated the psychological impact of physical activity on patients with coronary artery disease. Patients identified that physical activity could help them regulating mood, relieving stress, and increasing work efficiency. Theme 7: “The significant oneself and others” included having high self-efficacy and the support of key persons such as partner, family or doctor could be the facilitators of physical activity. Theme 8: “Standing on the mountainside” indicated that the expectation of promoting health, having experienced the benefit of physical activity, and daily chores could be the facilitators of physical activity. Theme 9: “All the world gets you moving” indicated that environmental factors including good weather, and easy access to facilities could be the facilitators of physical activity. Theme 10: “Under the mountain, why hesitate?” indicated the barriers of physical activity, included feeling physical restricted, worrying to induce more cardiac symptoms, laziness, lack of motivation, unaccompanied, no time, daily routines, bad weather, and poor environment. Health professionals can assist patients to overcome their barriers, or use the facilitators to design more effective intervention to encourage patients' physical activity.
Databáze: Networked Digital Library of Theses & Dissertations