Hanan Al-Faraj, Cleopatra Kum, Lynn Warner, Rebecca C Lee, Richard Becker, Tamilyn Bakas
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引用次数: 0
Abstract
Background: Engaging in healthy lifestyle behaviors following myocardial infarction can improve clinical health outcomes and lower cardiovascular risk factors among patients. However, adhering to a healthy lifestyle after having a myocardial infarction can be challenging, especially for those experiencing poor mental health.
Objective: Based on a conceptual model derived from Lazarus and Folkman's Theory of Stress and Coping and the Health Belief Model, this integrative review focuses on mental health factors associated with adherence to healthy lifestyle behaviors post-myocardial infarction.
Methods: Whittemore and Knafl's integrative review method was used to search and select relevant literature from the EMBASE, PubMed, CINAHL, Scopus, and PsycINFO databases between 2013 and 2023.
Results: A total of 35 articles were included in the review. Based on the Johns Hopkins Nursing Evidence-Based Practice Model criteria, 34 studies were of good quality (B). Mental health factors related to healthy lifestyle behaviors after myocardial infarction included the following: (1) personality factors and coping (eg, neuroticism, agreeableness, and optimism); (2) psychological symptoms (i.e., depression, anxiety, and fear); (3) appraisal (ie, illness perception); (4) health beliefs (ie, susceptibility, severity, benefits, barriers, cues to action, and self-efficacy); and (5) motivation. Social support and demographic characteristics were also related to adherence to healthy lifestyle behaviors.
Conclusions: This review highlights the role of mental health factors in adhering to healthy lifestyle behaviors among persons with myocardial infarction. Comprehensive theoretically based approaches are needed to develop future interventions for promoting healthy lifestyle behaviors in individuals post-myocardial infarction.
背景：心肌梗死后健康的生活方式可以改善患者的临床健康状况，降低心血管危险因素。然而，在心肌梗死后坚持健康的生活方式可能是具有挑战性的，尤其是对那些心理健康状况不佳的人来说。目的：基于Lazarus和Folkman的压力与应对理论和健康信念模型的概念模型，综合回顾心肌梗死后与健康生活方式行为坚持相关的心理健康因素。方法：采用Whittemore and Knafl的综合评价方法，从EMBASE、PubMed、CINAHL、Scopus和PsycINFO数据库中检索并选择2013 - 2023年的相关文献。结果：共纳入35篇文献。根据约翰霍普金斯护理循证实践模型标准，34项研究质量良好(B)。与心肌梗死后健康生活方式行为相关的心理健康因素包括：(1)人格因素和应对（如神经质、宜人性、乐观）；(2)心理症状（如抑郁、焦虑、恐惧）；(3)评价（即疾病感知）；(4)健康信念（即易感性、严重性、益处、障碍、行动线索和自我效能感）；(5)动机。社会支持和人口特征也与坚持健康的生活方式行为有关。结论：本综述强调了心理健康因素在心肌梗死患者坚持健康生活方式行为中的作用。需要综合的基于理论的方法来制定未来的干预措施，以促进心肌梗死后个体的健康生活方式行为。
期刊介绍：
Western Journal of Nursing Research (WJNR) is a widely read and respected peer-reviewed journal published twelve times a year providing an innovative forum for nurse researchers, students, and clinical practitioners to participate in ongoing scholarly dialogue. WJNR publishes research reports, systematic reviews, methodology papers, and invited special papers. This journal is a member of the Committee on Publication Ethics (COPE).
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