Perceptions About Coronary Artery Disease: Second-Order Constructs
| Second-Order Construct | Explanatory Notes | Articles |
|---|---|---|
| Promote persistence | ||
| Adapting to the sick role | Learning to overcome anxieties and worries about medications by internalizing life changes after a cardiac event | 8, 11a |
| Understanding myocardial infarction as indicating future vulnerability | Perceived vulnerability to future myocardial infarction motivated preventive action | 2 |
| Ambivalence toward persistence | ||
| Uncertainty about disease and prognosis | Confusion about the damage caused by cardiac event and the success of the cardiac intervention | 10, 15 |
| Deter persistence | ||
| Fatalistic approach to disease | An overwhelming perceived threat of illness driven by personal experiences, family history, and anecdotal accounts | 2, 4, 5, 11a, 11b |
| Absence of symptoms challenging perceived need for treatment | Lack of symptoms suggesting that one is cured, with no noticeable change if medications are missed | 4, 6, 11a, 11b, 14 |
| Level of appreciation about the link between risk factor and disease | Lacking awareness about the causes of coronary artery disease | 6, 11c, 13 |
| Understanding acute myocardial infarction as an acute event | Little feeling of future vulnerability of acute myocardial infarction, encouraged by misinterpretation of patient information literature quoting expected time to recovery | 2 |