• Ruolin Qiu, Kara Schick-Makaroff, Leiwen Tang, Xiyi Wang, Qi Zhang, and Zhihong Ye.
• Faculty of Nursing, Zhejiang University School of Medicine, Hangzhou, Zhejiang, People's Republic of China.
• Patient Prefer Adher. 2020 Jan 1; 14: 287-300.

PurposeThis study is aiming to investigate cardiovascular patients' attitudes towards self-management during hospitalization in China.Patients And MethodsTwenty-nine individuals living with cardiovascular disease from one designated Cardiology Department in Hangzhou, China, were recruited through a purposive sampling procedure. A qualitative descriptive methodology was used. Semi-structured interviews were also used to gain attitudes toward self-management. The interviews were audio-recorded, transcribed and analyzed by thematic analysis to develop the results.ResultsFour themes were identified from the qualitative data: (1): Responsibilities of self-management; (2): Reflections on self-management; (3): Acknowledgement of self-management support; (4): Challenges in implementing and adherence to self-management. Additionally, interview data were also given to illustrate these main themes emerging during the analysis. Patients gradually took their responsibilities to manage chronic symptoms. During their self-management process, they did reflections to help correct their regiments through supportive interactions. Health system responsiveness, health disparities, social capital, and cultural setting were the main external factors influencing better self-management implementation and adherence.ConclusionThis study revealed the hospitalized cardiovascular patients' attitudes towards self-management in China. These findings emphasized the importance of patients' responsibility, reflections, and various social support receiving and pointed out specific external factors influencing the health outcomes and their quality of life. This study also proves the guide for the policymakers and health system better instructions to develop individually and culturally tailored advanced self-management interventions and programs.© 2020 Qiu et al.

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