Influence Culture on Perceptions, Behaviors, and Risk of Repeat Attacks in Patients with Heart Disease: A Literature Review Based on Transcultural Nursing
Dublin Core
Title
Influence Culture on Perceptions, Behaviors, and Risk of Repeat Attacks in Patients with Heart Disease: A Literature Review Based on Transcultural Nursing
Subject
coronary heart
disease, culture,
transcultural
nursing
disease, culture,
transcultural
nursing
Description
Introduction: Differences in values, norms, and customs across societies
shape how patients understand their illness, make decisions about seeking
care, and undergo treatment and recovery. Based on a transcultural
nursing approach, this study aims to synthesize findings from various
literatures that identify cultural influences on heart disease management
and their implications for preventing recurrent heart attacks.
Methods: This study was a narrative literature review with the PICO
framework, using PubMed, ScienceDirect, Google Scholar, and relevant
sources (2016–2025). Of the 1,539 articles identified, 15 met the criteria
and were analyzed narratively.
Results: The study identified six aspects of the role of culture in heart
disease: disease perception (local beliefs and spirituality), coping and
treatment seeking (family norms, traditional practices, access), ethnic and
gender inequalities, immigrant acculturation (Western lifestyle),
collectivism and family roles (compliance vs. delay of help), and local
environmental factors/traditions (e.g., solid fuels). Culture can be both a
risk and a protective factor through family support, spirituality, and
community.
Conclusion: Culture is important in preventing and managing heart disease,
particularly in reducing the risk of recurrent heart attacks. Transcultural
nursing sensitive to cultural diversity is needed to improve health literacy,
medication adherence, and reduce cardiovascular inequalities across
populations.
shape how patients understand their illness, make decisions about seeking
care, and undergo treatment and recovery. Based on a transcultural
nursing approach, this study aims to synthesize findings from various
literatures that identify cultural influences on heart disease management
and their implications for preventing recurrent heart attacks.
Methods: This study was a narrative literature review with the PICO
framework, using PubMed, ScienceDirect, Google Scholar, and relevant
sources (2016–2025). Of the 1,539 articles identified, 15 met the criteria
and were analyzed narratively.
Results: The study identified six aspects of the role of culture in heart
disease: disease perception (local beliefs and spirituality), coping and
treatment seeking (family norms, traditional practices, access), ethnic and
gender inequalities, immigrant acculturation (Western lifestyle),
collectivism and family roles (compliance vs. delay of help), and local
environmental factors/traditions (e.g., solid fuels). Culture can be both a
risk and a protective factor through family support, spirituality, and
community.
Conclusion: Culture is important in preventing and managing heart disease,
particularly in reducing the risk of recurrent heart attacks. Transcultural
nursing sensitive to cultural diversity is needed to improve health literacy,
medication adherence, and reduce cardiovascular inequalities across
populations.
Creator
Made Oktaviani Bulan Trisna1, I Gede Putu Darma Suyasa1*, Israfil1, & Putu Inge
Ruth Suantika1
Ruth Suantika1
Source
https://doi.org/10.37363/bnr.2025.64517
Date
27 October 2025
Contributor
peri irawan
Format
pdf
Language
english
Type
text
Files
Collection
Citation
Made Oktaviani Bulan Trisna1, I Gede Putu Darma Suyasa1*, Israfil1, & Putu Inge
Ruth Suantika1, “Influence Culture on Perceptions, Behaviors, and Risk of Repeat Attacks in Patients with Heart Disease: A Literature Review Based on Transcultural Nursing,” Repository Horizon University Indonesia, accessed April 11, 2026, https://repository.horizon.ac.id/items/show/11935.