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Patients' experiences of coping with multiple chronic conditions: A qualitative descriptive study

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  • Cheng Cheng
  • Jie Bai
  • Cong‐Yan Yang
  • Ming Li
  • Kerry Inder
  • Sally Wai‐Chi Chan

Abstract

Objective To explore the experiences of how Chinese adults cope with multiple chronic conditions in everyday life. Background Having multiple chronic conditions is stressful, requiring people to make physical and mental adaptations. There is little evidence exploring how people cope with multiple chronic conditions, especially in an Asian context. Design A qualitative descriptive design was employed. The Consolidated criteria for reporting qualitative research (COREQ) was used to report this study. Methods This study was conducted in a tertiary referral and teaching hospital in Bengbu, Anhui, China, between August and October 2018. A purposive sample of 14 people with multiple chronic conditions, aged between 32 and 75 years, completed a demographic questionnaire and semi‐structured face‐to‐face interviews. The interviews were digitally recorded and transcribed verbatim. Qualitative content analysis guided data analysis. Results Four distinctive themes comprising subthemes were developed from participants' narratives pertaining to coping with multiple chronic conditions: (a) appraising multiple chronic conditions, (b) addressing multiple chronic conditions management, (c) maintaining psychological well‐being and (d) fulfilling a social role. Illustrative quotations were cited to support each theme. Conclusions This study underscores that people cope with multiple chronic conditions in everyday life by using a compendium of coping strategies. As one of the influencing factors, culture dominates the ways of coping at different levels among people with multiple chronic conditions. These findings expand the current literature on coping based on an Asian perspective and inform further cross‐culture research on this topic. Relevance to clinical practice Healthcare professionals should understand peoples' experiences of coping with multiple chronic conditions to provide more holistic and dynamic health care to address their actual needs. Healthcare professionals should be acquainted with how culture impacts individuals' coping and develops culture‐tailored supportive programmes such as family‐based interventions, to promote the health of people with multiple chronic conditions.

Suggested Citation

  • Cheng Cheng & Jie Bai & Cong‐Yan Yang & Ming Li & Kerry Inder & Sally Wai‐Chi Chan, 2019. "Patients' experiences of coping with multiple chronic conditions: A qualitative descriptive study," Journal of Clinical Nursing, John Wiley & Sons, vol. 28(23-24), pages 4400-4411, December.
    • Handle: RePEc:wly:jocnur:v:28:y:2019:i:23-24:p:4400-4411
    DOI: 10.1111/jocn.15022
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    1. Palmer, Katie & Marengoni, Alessandra & Forjaz, Maria João & Jureviciene, Elena & Laatikainen, Tiina & Mammarella, Federica & Muth, Christiane & Navickas, Rokas & Prados-Torres, Alexandra & Rijken, Mi, 2018. "Multimorbidity care model: Recommendations from the consensus meeting of the Joint Action on Chronic Diseases and Promoting Healthy Ageing across the Life Cycle (JA-CHRODIS)," Health Policy, Elsevier, vol. 122(1), pages 4-11.
    2. Chris J Gibbons & Cassandra Kenning & Peter A Coventry & Penny Bee & Christine Bundy & Louise Fisher & Peter Bower, 2013. "Development of a Multimorbidity Illness Perceptions Scale (MULTIPleS)," PLOS ONE, Public Library of Science, vol. 8(12), pages 1-12, December.
    3. Michael Rosbach & John Sahl Andersen, 2017. "Patient-experienced burden of treatment in patients with multimorbidity – A systematic review of qualitative data," PLOS ONE, Public Library of Science, vol. 12(6), pages 1-18, June.
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    2. Maria Hjorth & Anncarin Svanberg & Daniel Sjöberg & Fredrik Rorsman & Elenor Kaminsky, 2020. "Liver cirrhosis turns life into an unpredictable roller coaster: A qualitative interview study," Journal of Clinical Nursing, John Wiley & Sons, vol. 29(23-24), pages 4532-4543, December.

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