What is it about?

In order to support and promote self-care behavior among cardiac patients, we need to understand how they perceive their illness and what are their beliefs and attitudes about cardiac self-care, which is a relatively new concept among nurses in the non-western countries. Sometimes patient’s give meaning to concepts that are culturally grounded which may affect interventions aiming at promoting self-care and secondary prevention. Thus, understanding patients perceptions of their illness and their self-care will help tailor intervention to their understanding considering cultural influences of perceptions.

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Why is it important?

Healthcare providers plan and offer health promotion and secondary prevention interventions such as self-care management without considering patients perceptions, beliefs and cultural values. this may affect the success and effectiveness of the interventions. An example is when we consider self-care as an individual personal responsibility and we base patient teaching on this assumption. in some cultures, self-care management is a collective responsibility where the family plays a significant role in supporting patients achieve care outcomes. Accordingly, there is a need to understand the cultural perceptions and values of patients to integrate them in any intervention needed to improve their health.

Perspectives

While writing this article, I personally gained insight into the importance and value of the socio-cultural aspect of patient care that if missed will affect the outcomes of any effort we make in supporting the health of patients and their families. It helped me prove the worth of part of holistic care that is missed at times by healthcare providers, namely socio-cultural and spiritual. Another important aspect that this article demonstrated is the danger of translating some concepts that are well studies in the west but need investigation before using them in different cultures like the term of "self-care".

Dr. Nuhad Y Dumit
American University of Beirut

Read the Original

This page is a summary of: The Cultural Meaning of Cardiac Illness and Self-Care Among Lebanese Patients With Coronary Artery Disease, Journal of Transcultural Nursing, February 2015, SAGE Publications,
DOI: 10.1177/1043659615573080.
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