Perceptions of cardiac self-care among Lebanese patients and their family caregivers
Nuhad Yazbik Dumit, PhD, MA, RN
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In Lebanon cardiovascular diseases are the leading causes of mortality and morbidity. Assisting people to live with cardiac illness is a problem needing attention. Literature demonstrated significant association between effective self-care practices and secondary prevention of cardiac disease. However, adopting interventions effective in the West may yield different outcomes if not culturally sensitive. The purpose of this study was to explore perceptions of cardiac self-care among Lebanese patients and their family caregivers. The specific aims were to describe the cultural context of self-care in Lebanon, and to explore roles of cardiac patients and caregivers to enhance self-care practices.
Using a qualitative descriptive design informed by ethnography, semi-structured interviews were conducted with a purposive sample of 15 Lebanese cardiac patients and 13 family caregivers recruited from a referral medical center in Lebanon. Data analysis identified one overarching and five themes describing self-care practices within the Lebanese cultural context.
Results. The overarching cultural theme was: Lebanese cardiac patients and family caregivers were unfamiliar with the term, concept, and meaning of self-care, although with the help of their families they took care of themselves and managed their illness. However, despite struggling with the term, Lebanese cardiac patients demonstrated self-care practices (Theme I) such as taking medications on time and eating properly. Patients identified barriers and facilitators to self-care, congruent with Lebanese culture (Theme II). Barriers included socio-economic and political situations in Lebanon, and family responsibilities. Support from children and spouses were facilitators. In Theme III, stress and lifestyle were perceived causes of cardiac disease and restricted patients' activities. Lebanese cardiac patients thanked God and accepted their fate (Theme IV). Finally, the participants considered their cardiac incident a life or death warning (Theme V). Participants' stories demonstrated culturally significant findings leading to implications for nursing practice with Lebanese cardiac patients and families and pointed to future research with this population.
One of the first investigations to explore cardiac self-care in Lebanon, the significance of this study was to clarify the concept of self-care as managing illness with the support of family, implying a need to provide culturally sensitive patient/family education and nursing interventions.
This dissertation has also been disseminated through the ProQuest Dissertations and Theses database. Dissertation/thesis number: 3325835; ProQuest document ID: 304338202. The author still retains copyright.
This item has not gone through this repository's peer-review process, but has been accepted by the indicated university or college in partial fulfillment of the requirements for the specified degree.
|Review Type||None: Degree-based Submission|
|Research Approach||Qualitative Research|
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