University of Twente Student Theses


Een kwalitatief onderzoek naar het bevorderen van Positieve Gezondheid bij hartpatiënten binnen het Thoraxcentrum in het MST

Bakir, Merve (2023) Een kwalitatief onderzoek naar het bevorderen van Positieve Gezondheid bij hartpatiënten binnen het Thoraxcentrum in het MST.

[img] PDF
Abstract:Background: Heart problems are common and have a negative impact on patients' quality of life. Currently, care for this target group is mainly aimed at treating the disease. However, this approach often takes a narrow view of the patient's complete well-being. A more holistic approach to care is needed. Positive Health (PH), which focuses on a person's ability to adapt and self-manage in the face of life's physical, emotional and social challenges, can make this happen. PG includes six dimensions and 32 aspects of health that are addressed, namely Body Functions, Mental Well-Being, Meaning, Quality of Life, Participation and Daily Functioning. Objective: This study focused on exploring PH in cardiac patients within the Thorax Center (TCT) of Medisch Spectrum Twente (MST). This study aimed to find out which aspects of positive health (PH) dimensions cardiac patients are satisfied with and which ones they are not satisfied with and to identify the important resources and support that patients need to promote their PH. Methods: Ten heart patients with different heart conditions were recruited within the TCT and interviewed. Before the interviews, a questionnaire based on the six dimensions of PH was administered to visualize a health area. The health area resulting from the questionnaire served as a tool to initiate interviews, allowing the patients to reflect on their health and gain insight into what is important to them regarding the six dimensions of PG. The interviews were transcribed and analyzed deductively and inductively. Results: The results showed that the majority of patients were satisfied with the "Participation" dimension and experienced good social contacts. In contrast, the patients expressed dissatisfaction with experiencing physical limitations and their impact on their daily lives, as well as with not knowing their limits, having limited knowledge about their own health and experiencing feelings of anxiety especially before and during sleep.Heart patients especially want resources and support for maintaining and improving physical mobility and reducing anxiety. Patients are eager to receive professional support, the company of others when exercising, and to learn self-management skills and coping mechanisms.Furthermore, it turned out that patients themselves already have resources to promote their PG, such as medication and having a hobby. Conclusion: From this study it can be concluded that heart patients in the TCT of the MST are most dissatisfied with physical limitations and functioning in daily life. Satisfaction is mainly experienced within the social dimension. The findings are consistent with previous studies highlighting the impact of physical limitations on heart patients' daily functioning. Specific needs and wishes relate to anxiety reduction, improvement of daily functioning, independence and more knowledge about health. It is important to pay attention to the physical well-being, information provision and empowerment of patients. Future research with a larger sample size is needed to evaluate the effectiveness of interventions and further substantiate recommendations. Future research can further focus on comparing these findings with other centers and developing targeted interventions for cardiac patients.
Item Type:Essay (Bachelor)
Faculty:TNW: Science and Technology
Programme:Health Sciences BSc (56553)
Link to this item:
Export this item as:BibTeX
HTML Citation
Reference Manager


Repository Staff Only: item control page