Influence of chronic illness resources on self‐management and the mediating effect of patient activation among patients with coronary heart disease

Abstract

Coronary atherosclerotic heart disease, also referred to coronary heart disease (CHD), is a common type of cardiovascular disease and a major public concern in China (Bai and Wang, 2019). During the last decade, the death number of global cardiovascular disease has increased by 12.5%, and in 2017, cardiovascular disease accounts for one third of global human death (GBD, 2018). The trend of the prevalence of chronic diseases in China from 2018-2025 shows that the prevalence of CHD is still on the rise (from 1612.79/100,000-1895.91/100,000) (Cao et al., 2020). CHD is the most prevalent diseases and a main cause of hospitalization, mortality and healthcare expenditure (Zhang et al., 2019). Percutaneous coronary intervention (PCI) was a common treatment for CHD which were

Association between chronic illness resources and health behaviors in hypertensive stroke patients at 6 months after discharge: a cross-sectional study

“…However, the support provided to hypertensive stroke patients from surrounding chronic illness resources was poor at 6 months after discharge. Similar results have been found in studies of patients with diabetes and coronary heart disease (12,13). The provision of support by chronic illness resources in our study was better than that in a study conducted in the Xinjiang region of China ( 13).…”

“…) (17). The previous study found that correlation coefficient between chronic illness resources and self-management in patients with coronary heart disease was 0.411 (12). With a power of 0.80 and α error of 0.05, the minimum sample size for the study had to be 87.…”

“…It is worth noting that hypertensive stroke patients' health behaviors are suboptimal before stroke, improve significantly during the first 3 months of the stroke, but decrease 3 to 6 months after discharge (11). Fortunately, the provision of good support by chronic illness resources has been shown to predict patients' engagement in appropriate health behaviors in patients with diabetes and coronary heart disease (12,13).…”

“…Liu et al (15) found that the provision of support by chronic illness resources were unsatisfactory in patients with initial stroke. Meanwhile, Patients with diabetes and coronary heart disease were not adequately supported by chronic illness resources (12,13). Chronic illness resources consider support from other sources besides social support.…”

Ecological model of health behaviour of hypertensive stroke patients at the end of recovery period

“…Zhong et al (2016) found that the use of chronic illness resources of patients with diabetes was positively correlated with the self‐management including diet, exercise, medicine, glucose monitoring, foot care and dealing with hyperglycaemia and hypoglycaemia. Another study of middle‐aged and older patients with coronary heart disease revealed a positive correlation between chronic illness resource and self‐management behaviour (Zhang, Chen, et al, 2021). Chronic illness resources differ from traditional support and include resources from family and friends, the healthcare team, neighbourhood, media and policy and the workplace (Glasgow et al, 2000).…”