• NEWS . 07 Oct 2019
  • Current health education does not help build confidence in Chinese patients to manage their own comorbidities

  • Chinese patients with acute coronary syndrome (ACS) and type 2 diabetes mellitus (T2DM) who received health education did not report enhanced confidence in managing either of their conditions on discharge.

    In a qualitative study conducted at a coronary care unit of a major hospital in Shanghai, China, researchers surveyed and interviewed 21 participants at discharge and home follow-up.

    In the survey, most participants (n=17; 81%) did not believe they had sufficient education or ability to manage both conditions. More concerning was that most participants (n=16; 76%) reported low self-efficacy in the management of ACS symptoms.

    Three major themes were identified from the survey: self-management of ACS and T2DM represents a complex interplay between individual self-efficacy, knowledge and skills, as individuals navigate shifting self-management priorities due to perceived condition severity; the social environment is integral to lifestyle and behaviour change; and managing multiple health conditions requires body and mind system harmony.

    Liu XL, et al. Preparing Chinese patients with comorbid heart disease and diabetes for home management: a mixed methods study. BMJ Open 2019;9:e029816.