Tailored personas for self-management in home-based cardiac rehabilitation for patients with coronary heart disease: A qualitative study

IF 7.5 1区医学 Q1 NURSING

International Journal of Nursing Studies Pub Date : 2025-01-19 DOI:10.1016/j.ijnurstu.2025.105000

Zhen Yang , Linyu Xu , Yu Gao , Chunqi Zhang , Aiping Wang

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引用次数: 0

Abstract

Background

Self-management is a key factor determining recovery outcomes in home-based cardiac rehabilitation. However, the impact of individual differences on self-management in patients with coronary heart disease is particularly significant, and standardised approaches often fail to fully meet the needs of this heterogeneous group.

Objective

This study aimed to explore the heterogeneity of self-management among patients with coronary heart disease undergoing home-based cardiac rehabilitation and construct patient personas to address the unique challenges and needs of diverse patient groups.

Methods

A qualitative descriptive study was conducted at a cardiac rehabilitation centre in mainland China from April to July 2024. Purposive sampling was used to select patients with coronary heart disease. Semi-structured interviews were conducted to capture their self-management experiences during home-based cardiac rehabilitation. Content analysis was used to extract factual labels and construct dimensional models. Patient personas were developed by categorising patients based on these dimensions, and their self-management personas were visualised using labelled personas.

Results

A total of 28 eligible patients with coronary heart disease participated in the study. Three key dimensions were identified to construct the personas: descriptions, characteristics, and needs. Five distinct personas were developed based on individual attributes, highlighting the varying self-management behaviours and needs of patients with coronary heart disease. The personas were categorised as follows: patients who actively seek cooperation in health management, patients with limited knowledge and poor management behaviour, patients with management deficiencies under high work demands, patients with prominent symptoms but strong awareness, and patients with impaired motivation for self-management.

Conclusion

Precise interventions based on patient personas are essential for enhancing self-management behaviours during home-based cardiac rehabilitation among patients with coronary heart disease. This study developed five patient personas for self-management in home-based cardiac rehabilitation, providing a basis for precise interventions to address the heterogeneous needs of this patient group.

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针对冠心病患者家庭心脏康复自我管理的量身定制角色：一项定性研究

背景：自我管理是决定家庭心脏康复康复效果的关键因素。然而，个体差异对冠心病患者自我管理的影响尤为显著，标准化的方法往往不能完全满足这一异质群体的需求。目的：本研究旨在探讨接受家庭心脏康复治疗的冠心病患者自我管理的异质性，并构建患者角色以应对不同患者群体的独特挑战和需求。方法：于2024年4月至7月在中国大陆某心脏康复中心进行定性描述性研究。采用有目的的抽样方法选择冠心病患者。进行了半结构化访谈，以了解他们在家庭心脏康复期间的自我管理经验。内容分析用于提取事实标签和构建维度模型。患者角色是通过基于这些维度对患者进行分类而开发的，他们的自我管理角色是通过标记的角色来可视化的。结果：共有28例符合条件的冠心病患者参与了本研究。确定了构建人物角色的三个关键维度：描述、特征和需求。基于个人属性开发了五种不同的人物角色，突出了冠心病患者不同的自我管理行为和需求。角色分为积极寻求健康管理合作的患者、知识有限、管理行为不佳的患者、工作要求高的管理缺陷患者、症状突出但意识较强的患者、自我管理动机受损的患者。结论：基于患者角色的精确干预对于增强冠心病患者家庭心脏康复过程中的自我管理行为至关重要。本研究为家庭心脏康复的自我管理制定了五种患者角色，为解决这一患者群体的不同需求提供了精确干预的基础。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

International Journal of Nursing Studies 医学-护理

CiteScore

15.00

自引率

2.50%

发文量

181

审稿时长

21 days

期刊介绍： The International Journal of Nursing Studies (IJNS) is a highly respected journal that has been publishing original peer-reviewed articles since 1963. It provides a forum for original research and scholarship about health care delivery, organisation, management, workforce, policy, and research methods relevant to nursing, midwifery, and other health related professions. The journal aims to support evidence informed policy and practice by publishing research, systematic and other scholarly reviews, critical discussion, and commentary of the highest standard. The IJNS is indexed in major databases including PubMed, Medline, Thomson Reuters - Science Citation Index, Scopus, Thomson Reuters - Social Science Citation Index, CINAHL, and the BNI (British Nursing Index).