Health Workers' Perceptions of the Risk of Heart Disease: A Content Analysis Study

Document Type: Original Article

Authors

1 Associate Professor, Department medical surgical Nursing, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran

2 Assistant Professor, Department of Critical Care Nursing and Management, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran

3 Professor, Behavioral Sciences Research Center, Lifestyle Institute, School of Nursing, Baqiyatallah University of Medical Sciences (BMSU), Tehran, Iran

4 PhD Student, Department of Internal Surgery, Student Research Committee, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran

Abstract

Introduction: People's perception of the risk of heart disease is effective in their response to disease, potential risks, decision making, and reduction of heart disease and is an important predictor of adopting healthy lifestyle behaviors. Accordingly, this study aimed to analyze health workers’ perception of the risk of heart disease.
Methods: The present study was conducted using a conventional content analysis method. The participants were selected using purposive sampling with maximum variation. To this end, 18 health workers were selected from the medical staff of Tehran University of Medical Sciences. The data collection process continued until the data saturation point, and the collected data were analyzed simultaneously with the sampling procedure.
Results: Three main categories including an "incentive to search for more information", "guidelines for health promotion", and "a warning to avoid risks" were identified from the data, and were divided into nine subcategories that were conceptually named based on their nature. The majority of participants believed that not perceiving the disease risk factors is due to lack of knowledge because of limited access to new sources of information.
Conclusion: Individuals’ perception of the risk of heart disease promotes the adoption of appropriate strategies to prevent the disease. In contrast, inadequate perception may prevent adults from considering the need for early preventive behaviors or seeking early life-saving interventions in the presence of coronary heart disease symptoms.

Keywords


1. Ndindjock R, Gedeon J, Mendis S, Paccaud F, Bovet P. Potential impact of single-risk-factor versus total risk management for the prevention of cardiovascular events in Seychelles. Bull World Health Organ 2011; 89(4):286-95. doi: 10.2471/BLT.10.082370.
2. Masoumi MA, Saedi M, Piri F, Abdoli G. Epidemiological evaluation of Coronary Artery Disease (CAD) in patients referred to cardiovascular centers of Kermanshah (2001-2002). Journal of the Medical Science University of Kermanshah 2005; 8(2):37-46. [In Persian]
3. Khaledifar A, Bahonar A, Asadilari M, Boshtam M, Gharipour M, Taghdisi M. Risk factors of cardiovascular diseases in a working population in Isfahan province. ARYA Atherosclerosis Journal 2012; 7(Special Issue 2012):S82-7.
4. Rezvani A, Ghotbi M, Pouraram H, Etemad K, Mahdavi A, Shams M, et al. Ways to prevent and control cardiovascular disease (for Government Employees). Tehran: Mehravesh; 2013. [In Persian]
5. Imanipour M, Besampour S, Haghani H. Relationship of preventive behaviors of heart diseases and knowledge rate of risk factors. Hayat 2008; 14(2):41-9. [In Persian]
6. Capewell S, Allender S, Critchley J, Lloyd-Williams F, O'Flaherty M, Rayner M, et al. Modelling the UK burden of cardiovascular disease to 2020. London: Cardio & Vascular Coalition and the British Heart Foundation; 2009.
7. Winham DM, Jones KM. Knowledge of young African American adults about heart disease: a cross-sectional survey. BMC Public Health 2011; 11:248. doi: 10.1186/1471-2458-11-248.
8. Khosravi S, Jahani F, Gazerani N, Eshrati B, Moghimi M. Determining knowledge and attitude of students in Arak University of medical sciences about Ecstasy based on Health Belief Model in 2006. Journal of Arak University Medical Sciences 2007; 10(2):15-21.
9. Glanz K, Rimer B, Viswanath K. Health behavior: Theory, research, and practice (Jossey-bass public health). 4th ed. San Francisco: Jossey-Bass; 2008.
10. Ammouri A, Neuberger G, Mrayyan M, Hamaideh S. Perception of risk of coronary heart disease among Jordanians. J Clin Nurs 2011; 20(1-2):197-203. doi: 10.1111/j.1365-2702.2010.03192.x.
11. Graneheim U, Lundman B. Qualitative content analysis in nursing research: concepts, procedures, and measures to achieve trustworthiness. Nurse Education Today 2004; 24(2):105-12. doi: 10.1016/j.nedt.2003.10.001.
12. Hsieh HF, Shannon SH. Three approaches to qualitative content analysis. Qual Health Res 2005; 15(9):1277-88. doi: 10.1177/1049732305276687.
13. Polit D, Beck C. Essentials of Nursing Research: Appraising Evidence for Nursing Practice. 9th ed. USA: LWW; 2010.
14. Rezabeigi-Davarani E, Iranpour A, Khanjani N, Mohseni M, Nazari-Robati F. Cardiovascular diseases risk factors and the relationship between knowledge level and preventive behaviors among women in Kerman. Journal of Health Based Research 2016; 2(2):119-32. [In Persian]
15. Hayes SN. Preventing cardiovascular disease in women. Am Fam Physician 2006; 74(8):1331-1340.
16. Moshki M, Mojadam M, Dusti-Irani A. Associated factors for preventive behaviors of cardiovascular diseases in employees of khuzestan province health center utilizing the health belief model. Journal of Health 2015; 6(4):367-77. [In Persian]
17. Mehri A, Moghadam N. utilizing the health belief model to predict preventive behaviors for heart diseases in the students of Islamic Azad University of Sabzevar (2010). Toloo-E-Behdasht 2010; 9(2-3):21-33. [In Persian]
18. Ramezani Tehrani F, Farahmand M, Amiri P, Paikari N, Azizi F. Women’s perception regarding to healthy nutrition inhibitors: a qualitative research in Tehran lipid and glucose study (TLGS). Iranian Journal of Endocrinology and Metabolism 2011; 13(1):48-57. [In Persian]
19. Sajjadi F, Mohammadifard N, Maghroun M, Alikhasi H, Nouri Ememzadei F, Iraji F, et al. Occupation effect on the behavioral approach of females in relation to cardiovascular disease: Isfahan healthy heart program. Journal Research Behave Sciences 2014; 12(3):416-24.
20. Ahmadi A, Mobasheri M, Soori H. Prevalence of major coronary heart disease risk factors in Iran. International Journal of Epidemiologic Research 2014; 1(1):3-8.
21. Robert F, Zoeller J. Physical activity and fitness in African Americans: Implications for cardiovascular health. American Journal of Lifestyle Medicine 2009; 3(3):188-94. doi:10.1177/1559827609331915.
22. Mosca L, Ferris A, Fabunmi R, Robertson RM, American Heart Association. Tracking women's awareness of heart disease: an American Heart Association national study. Circulation 2004; 109(5):573-9. doi: 10.1161/01.CIR.0000115222. 69428.C9.
23. Jeon YH, Kraus SG, Jowsey T, Glasgow NJ. The experience of living with chronic heart failure: a narrative review of qualitative studies. BMC Health Serv Res 2010; 10:77. doi: 10.1186/1472-6963-10-77.
24. Manafo E, Wong S. Exploring older adults' health information-seeking behaviors. J Nutr Educ Behav 2012; 44(1):85-9. doi: 10.1016/j.jneb.2011.05.018.
25. Caiata-Zufferey M, Abraham A, Sommerhalder K, Schulz P. Online health information seeking in the context of the medical consultation in Switzerland. Qual Health Res 2010; 20(8):1050-61. doi: 10.1177/1049732310368404.
 
26. Harding R, Selman L, Beynon T, Hodson F, Coady E, Read C, et al. Meeting the communication and information needs of chronic heart failure patients. J Pain Symptom Manage 2008; 36(2):149-56. doi: 10.1016/ j.jpainsymman.2007.09.012.
27. Galarce EM, Ramanadhan S, Weeks J, Schneider E, Gray SW, Viswanath K. Class, race, ethnicity and information needs in post-treatment cancer patients. Patient Educ Couns 2011; 85(3):432-9. doi: 10.1016/j.pec.2011.01.030.
28. Hazavehei SM, Shahabadi S, Hashemi SZ. The role of health education in reducing cardiovascular diseases risk factors: a systematic review. Journal of Knowledge & Health 2014; 9(1):30-42. [In Persian]
29. Moran B, Walsh T. Cardiovascular disease in women: How nurses can promote awareness and prevention. Nurs Womens Health 2013; 17(1):63-8. doi: 10.1111/1751-486X.12008.
30. Homko CJ, Santamore WP, Zamora L, ShirkG, Gaughan J, Cross R, et al. Cardiovascular disease knowledge and risk perception among underserved individuals at increased risk of cardiovascular disease. J Cardiovasc Nurs 2008; 23(4):332-7. doi: 10.1097/01.JCN. 0000317432.44586.aa.
31. Gordon J. Beyond knowledge: guidelines for effective health promotion messages. Journal of Extension 2002; 40(6):1-6.