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1、ISSUESANDINNOVATIONSINNURSINGPRACTICEIncentivesforlifestylechangesinpatientswithcoronaryheartdiseaseAnitaKa¨rnerRNPhDLecturer,DepartmentofWelfareandCare,CampusNorrko¨ping,FacultyofHealthSciences,Linko¨pingUniversity,Norrko¨ping,SwedenPiaTingstro¨mRNPhDProjectManager,D
2、epartmentofMedicineandCare,DivisionofCardiology,FacultyofHealthSciences,Linko¨pingUniversity,Linko¨ping,SwedenMadeleineAbrandt-DahlgrenRPTPhDAssistantProfessor,DepartmentofBehaviouralSciences,Linko¨pingUniversity,Linko¨ping,SwedenBjo¨rnBergdahlMDPhDProfessor,Departmen
3、tofMedicineandCare,DivisionofCardiology,FacultyofHealthSciences,Linko¨pingUniversity,Linko¨ping,SwedenAcceptedforpublication8March2005Correspondence:KAKARNERA.,TINGSTROMP.,ABRANDT-DAHLGRENM.&BERGDAHLB.¨RNERA.,TINGSTRO¨MP.,ABRANDT-DAHLGRENM.&BERGDAHLB.AnitaKa¨rner,(200
4、5)JournalofAdvancedNursing51(3),261275DepartmentofMedicineandCare,IncentivesforlifestylechangesinpatientswithcoronaryheartdiseaseDivisionofCardiology,Aim.ThispaperreportsastudyexploringhowpatientsintherehabilitationphaseFacultyofHealthSciences,ofcoronaryheartdiseaseex
5、periencefacilitatingandconstrainingfactorsrelatedtoLinko¨pingUniversity,lifestylechangesofimportanceforwellbeingandprognosis.Linko¨ping,Sweden.Background.LifestylechangeisimportantbutcomplexduringrehabilitationafterE-mail:anita.karner@lio.seamyocardialinfarctionorangi
6、napectoris.Theintentionstoperformbehavioursandtoexperiencecontroloverfacilitatorsandconstraintsareimportantdetermi-nantsofbehaviour.Methods.Atotalof113consecutivepatientsbelow70yearsofage(84menand29women)wereinterviewedwithin6weeksofacardiaceventandagainafter1year.Int
7、erviewtranscriptionsandnotestakenbyhandwerequalitativelyanalysedusingthephenomenographicframework.Thedistributionofstatementsamongthecat-egoriesidentifiedwasquantitativelyanalysed.Thedatawerecollectedin19982000.Findings.Fourmaincategoriesportrayedpatientsexperiencesoff
8、acilitatingorconstrainingincentivesforlifestylechanges.Somaticincentivesfeaturedbodilysignalsindicatingimprovements/illness.
