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Løvlien M, Mundal L, Hall-Lord ML. Health-related quality of life, sense of coherence and leisure-time physical activity in women after an acute myocardial infarction. J Clin Nurs 2016; 26:975-982. [PMID: 27239746 DOI: 10.1111/jocn.13411] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 05/22/2016] [Indexed: 12/26/2022]
Abstract
AIMS AND OBJECTIVES To examine the relationship between leisure-time physical activity, health-related quality of life and sense of coherence in women after an acute myocardial infarction, and further to investigate whether these aspects were associated with age. BACKGROUND Physical activity and health-related quality of life are vital aspects for patients after an acute myocardial infarction. DESIGN Cross-sectional. METHOD All eligible women diagnosed with acute myocardial infarction received a postal questionnaire two to three months after hospital discharge, and 142 women were included. To measure health-related quality of life and sense of coherence, The MacNew Heart disease questionnaire and the Sense of coherence-13 scale was used. RESULTS Respondents reporting at least one type of physical activity had significantly higher health-related quality of life as compared to respondents reporting no kind of physical activity. Respondents reporting physical activity for at least 30 minutes twice a week had significantly higher health-related quality of life scores than respondents being active less than twice a week. A weak association was found between physical activity level and sense of coherence. Reduction in physical activity after the acute myocardial infarction was associated with reduced health-related quality of life and sense of coherence. Sense of coherence was significantly associated with age, as respondents 75 years and older had significantly higher scores than respondents younger than 75 years. CONCLUSIONS Physical activity, even at a low level, is significantly associated with increased health-related quality of life and to some extent to sense of coherence. RELEVANCE TO CLINICAL PRACTICE Tailoring women after an acute myocardial infarction about lifestyle changes must include knowledge about the benefits of leisure-time physical activity, and that even a small amount of activity is associated with a better health-related quality of life. The utmost important assignment is to motivate the women for regular physical activity in their leisure-time. Older women need special attention.
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Affiliation(s)
- Mona Løvlien
- Norwegian University of Technology and Science, Gjøvik, Norway
| | - Liv Mundal
- Oslo University Hospital HF, Oslo, Norway
| | - Marie-Louise Hall-Lord
- Norwegian University of Technology and Science, Gjøvik, Norway.,Karlstad University, Karlstad, Sweden
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Predictors of health-promoting behaviors in Taiwanese patients with coronary artery disease. Appl Nurs Res 2016; 30:1-6. [DOI: 10.1016/j.apnr.2015.08.008] [Citation(s) in RCA: 23] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/31/2014] [Revised: 08/07/2015] [Accepted: 08/14/2015] [Indexed: 11/18/2022]
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Lanzoni GMDM, Higashi GDC, Koerich C, Erdmann AL, Baggio MA. Factors which influence the process of experiencing cardiac revascularization. TEXTO & CONTEXTO ENFERMAGEM 2015. [DOI: 10.1590/0104-07072015003760012] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022] Open
Abstract
This study aimed to understand the factors which influence the process of experiencing cardiac revascularization surgery for patients, family members and health professionals, in a hospital which is a center of excellence, located in the South region of Brazil. The methodological framework was Grounded Theory. Data collection was undertaken in October 2010 - May 2012 through semi-structured interviews with 33 participants (patients, family members, doctors, nurses, a physical education trainer and a nursing technician), distributed in four sample groups. The personal and institutional intervenient factors identified were: the wait for the surgery, fear of death, use of drains and the orotracheal tube in the post-operative period, pain management, access to the medication, religiosity, the presence of scars, and support from the family and the health professionals. Knowledge of these factors by nurses can guide and benefit the professionals' clinical practice and the care for the revascularized patient in the pre- and post-operative period.
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Conducting Quality of Life Research in People With Coronary Artery Disease in Non–English-Speaking Countries. J Cardiovasc Nurs 2015; 30:74-84. [DOI: 10.1097/jcn.0000000000000116] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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Shin N, Kang Y. The Relationships among Health Locus of Control and Resilience, Social Support and Health Promoting Behavior in Patients with Newly Diagnosed Coronary Artery Diseases. ACTA ACUST UNITED AC 2015. [DOI: 10.7475/kjan.2015.27.3.294] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
Affiliation(s)
- Nayeon Shin
- Graduate School, Ewha Womans University, Seoul, Korea
| | - Younhee Kang
- Division of Nursing Science, Ewha Womans University, Seoul, Korea
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Ghasemi E, Mohammad Aliha J, Bastani F, Haghani H, Samiei N. Quality of life in women with coronary artery disease. IRANIAN RED CRESCENT MEDICAL JOURNAL 2014; 16:e10188. [PMID: 25237559 PMCID: PMC4166078 DOI: 10.5812/ircmj.10188] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 02/03/2013] [Revised: 03/04/2014] [Accepted: 04/12/2014] [Indexed: 11/16/2022]
Abstract
Background: Coronary artery disease (CAD) as a chronic disease can affect physical, mental, and social aspects of health as well as the perception of wellbeing. Advanced treatments of the disease emphasize on functionality and quality of life (QOL). Objectives: The present study aimed to investigate the QOL and its related factors among women with CAD. Patients and Methods: This was a descriptive cross-sectional study conducted on 200 women with CAD, referring to the Heart Clinic of Shahid Rajaei Cardiovascular Center in Tehran, Iran. The participants were selected by convenient sampling method. Data were collected using the Persian version of Ferrans and Powers QOL index (QLI) cardiac version and then analyzed using descriptive statistics and statistical tests (independent t-test, one-way ANOVA, and Scheffe’s test). Results: The mean score of overall QOL was 16.91 ± 3.54, ranging between 7.17-27.63. Regarding the instrument subscales, the mean scores were as follows: health and functioning: 15.48 ± 4.32, social and economic: 16.18 ± 3.65, psychological/spiritual: 18.04 ± 4.36, and familial: 20.12 ± 4.57. There was a significant relationship between QOL and marital status (P = 0.004), education (P = 0.007), income (P < 0.001) and disease duration (P = 0.047). However, there was no significant association between QOL and age, job and comorbidity. Conclusions: Based on the findings, participants had average levels of overall QOL. Some domains showed the need to improve QOL of women with CAD. Results of the present study revealed the necessity of designing and performing educational and supportive interventions to improve the QOL in women with CAD, especially among patients with low socio-economic status.
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Affiliation(s)
- Elham Ghasemi
- Nursing and Midwifery Care Research Center, Tehran University of Medical Sciences, Tehran, IR Iran
| | - Jaleh Mohammad Aliha
- Department of Critical Care Nursing, School of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, IR Iran
- Corresponding Author: Jaleh Mohammad Aliha, Department of Critical Care Nursing, School of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, IR Iran. Tel: +98-2188882885, Fax: +98-2188201978, E-mail:
| | - Farideh Bastani
- Department of Geriatric Nursing, School of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, IR Iran
| | - Hamid Haghani
- School of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran, IR Iran
| | - Niloufar Samiei
- Heart Valve Disease Research Center, Rajaei Cardiovascular Medical Research Center, Iran University of Medical Sciences, Tehran, IR Iran
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Lidell E, Höfer S, Saner H, Perk J, Hildingh C, Oldridge N. Health-related quality of life in European women following myocardial infarction: a cross-sectional study. Eur J Cardiovasc Nurs 2014; 14:326-33. [PMID: 24821717 DOI: 10.1177/1474515114535330] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/26/2013] [Accepted: 04/22/2014] [Indexed: 11/15/2022]
Abstract
BACKGROUND Coronary heart disease is a major contributor to women's health problems. DESIGN Self-perceived social support, well-being and health-related quality of life (HRQL) were documented in the cross-sectional HeartQoL survey of European women one and six months after a myocardial infarction. METHODS European women were recruited in 18 European countries and grouped into four geographical regions (Southern Europe, Northern Europe, Western Europe and Eastern Europe). Continuous socio-demographic variables and categorical variables were compared by age and region with ANOVA and χ(2), respectively; multiple regression models were used to identify predictors of social support, well-being and HRQL. RESULTS Women living in the Eastern European region rated social support, well-being and HRQL significantly lower than women in the other regions. Older women had lower physical HRQL scores than younger women. Eastern European women rated social support, well-being and HRQL significantly lower than women in the other regions. Prediction of the dependent variables (social support, well-being and HRQL) by socio-demographic factors varied by total group, in the older age group, and by region; body mass index and managerial responsibility were the most consistent significant predictors.
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Affiliation(s)
- Evy Lidell
- School of Social and Health Sciences, Halmstad University, Sweden
| | - Stefan Höfer
- Department of Medical Psychology, Innsbruck Medical University, Austria
| | - Hugo Saner
- Cardiovascular Prevention, Rehabilitation and Sports Medicine, University Hospitals Inselspital, Bern, Switzerland
| | - Joep Perk
- Institute of Health and Caring Sciences, Linnaeus University, Kalmar, Sweden
| | | | - Neil Oldridge
- College of Health Sciences, University of Wisconsin-Milwaukee, School of Medicine and Public Health, University of Wisconsin-Madison, and Aurora Cardiovascular Services, Aurora Medical Group, Milwaukee, Wisconsin, USA
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Wang W, Lau Y, Chow A, Thompson DR, He HG. Health-related quality of life and social support among Chinese patients with coronary heart disease in mainland China. Eur J Cardiovasc Nurs 2013; 13:48-54. [DOI: 10.1177/1474515113476995] [Citation(s) in RCA: 40] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Affiliation(s)
- Wenru Wang
- Alice Lee Centre for Nursing Studies, National University of Singapore, Singapore
| | - Ying Lau
- School of Health Sciences, Macao Polytechnic Institute, People’s Republic of China
| | - Aloysius Chow
- Alice Lee Centre for Nursing Studies, National University of Singapore, Singapore
| | - David R Thompson
- Cardiovascular Research Centre, Australian Catholic University, Australia
| | - Hong-Gu He
- Alice Lee Centre for Nursing Studies, National University of Singapore, Singapore
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Ozminkowski RJ, Bottone FG, Dodd N, Lamm M, Levy A, Valerio K, Barnowski C, O'Donovan T, Legros M, Hawkins K, Ekness JG, Migliori RJ, Yeh CS. Why do older adult women fall short of the recommended follow-up care for coronary artery disease? Womens Health Issues 2012; 22:e473-82. [PMID: 22818247 DOI: 10.1016/j.whi.2012.06.001] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/01/2011] [Revised: 06/11/2012] [Accepted: 06/13/2012] [Indexed: 11/28/2022]
Abstract
BACKGROUND Many women with coronary artery disease (CAD), commonly referred to as coronary heart disease, do not receive an annual office visit to manage their disease. We set out to determine what barriers factor into women not receiving an office visit to manage their disease. METHODS A purposive sample of 26 eligible women (≥65 years of age) diagnosed with CAD completed in-depth, qualitative interviews. Systematic analysis of the content of interviews was performed on transcripts from these interviews. Participants with an AARP Medicare Supplement Insurance Plan insured by UnitedHealthcare insurance company that did not receive an annual office visit were eligible. In addition, we surveyed 100 physicians to obtain their thoughts about why women may not schedule at least one annual visit to manage their CAD. RESULTS The most common barriers identified were skepticism of heart problems, having to take the initiative to schedule the appointment, and dealing with seemingly more pressing health problems. Many of these barriers identified were substantiated in a survey of physicians that treat women with CAD, but the relative rankings of the importance of these problems differed somewhat. CONCLUSIONS Many women were skeptical about their heart health and often lacked the initiative to schedule a follow-up appointment. Most agreed that they would make an appointment if contacted by their doctor's office. Many of these women were receptive to the idea of receiving educational information by mail. Active involvement by doctors' offices to schedule appointments may help improve care, as might mail-based reminders.
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Inglis SC, Lewsey JD, Lowe GDO, Jhund P, Gillies M, Stewart S, Capewell S, Macintyre K, McMurray JJV. Angina and intermittent claudication in 7403 participants of the 2003 Scottish Health Survey: impact on general and mental health, quality of life and five-year mortality. Int J Cardiol 2012; 167:2149-55. [PMID: 22704868 DOI: 10.1016/j.ijcard.2012.05.099] [Citation(s) in RCA: 18] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/01/2012] [Revised: 05/18/2012] [Accepted: 05/27/2012] [Indexed: 11/16/2022]
Abstract
BACKGROUND Angina and intermittent claudication impair function and mobility and reduce health-related quality of life. Both symptoms have similar etiology, yet the physical and psychological impacts of these symptoms are rarely studied in community-based cohorts or in individuals with isolated symptoms. METHODS The 2003 Scottish Health Survey was a cross-sectional survey which enrolled a random sample of individuals aged 16-95 years living in Scotland. The Rose Angina Questionnaire, the Edinburgh Claudication Questionnaire, the Short Form-12 (SF-12) and the General Health Questionnaire were completed. Self-assessed general health was reported. Survey results were linked to national death records and mortality at five years was calculated. Subjects with isolated angina or intermittent claudication and neither symptom were compared (22 participants with both symptoms were excluded); 7403 participants (aged ≥ 16 years) were included. RESULTS Participants with angina (n=205; 60 ± 15 years; 45% male) rated their general health worse and were more likely to have a potential mental-health problem than those with intermittent claudication (n=173; 61 ± 15 years; 41% male). Mean (standard deviation) physical and mental component scores on the SF-12 were higher for participants with intermittent claudication relative to those with angina (physical component score: 42.3 (10.6) vs. 35.0 (11.7), p<0.001; mental component score: 52.3 (8.5) vs. 46.5 (11.7), p=0.001). There was an observed absolute difference in five-year mortality of 4.8% (angina 12.3%, 95% CI 8.5-17.6; intermittent claudication 7.5%, 95% CI 4.4-12.6) although not statistically significant (p=0.16). CONCLUSIONS Both intermittent claudication and angina adversely impact general and mental health and survival, even in a relatively young, community-based cohort.
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Affiliation(s)
- Sally C Inglis
- BHF Glasgow Cardiovascular Research Centre, University of Glasgow, Glasgow, United Kingdom.
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Kimble LP, Dunbar SB, Weintraub WS, McGuire DB, Manzo SF, Strickland OL. Symptom clusters and health-related quality of life in people with chronic stable angina. J Adv Nurs 2011; 67:1000-11. [PMID: 21352270 PMCID: PMC3075982 DOI: 10.1111/j.1365-2648.2010.05564.x] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/02/2023]
Abstract
AIM This paper reports findings of a study to examine the independent contribution of chest pain, fatigue and dyspnoea to health-related quality of life in people with chronic stable angina. BACKGROUND People with chronic stable angina experience poorer quality of life in multiple areas including physical and emotional health. Emerging evidence suggests the presence of concomitant symptoms yet there are no systematic studies examining the impact of symptom clusters on quality of life in people with chronic angina. METHOD Outpatients (n = 134), recruited over a 16-month period in 2000 and 2001, with confirmed coronary heart disease and chronic angina completed reliable and valid questionnaires measuring chest pain frequency, fatigue, dyspnoea and quality of life. The data have contemporary relevance because despite changes in treatment of coronary heart disease, chronic angina remains prevalent worldwide. Hierarchical multiple linear regression was used to examine the symptom cluster of chest pain frequency, fatigue and dyspnoea in predicting quality of life. RESULTS The sample was predominantly white (74·6%), men (59·7%) with a mean age of 63·4 (sd 12·12) years. Controlling for age, gender, social status and co-morbidities, the symptom cluster of chest pain frequency, dyspnoea and fatigue accounted for a statistically significant increase in unadjusted R² (F of Δ, P < 0·05) for the models predicting physical limitation (R² Δ 24·1%), disease perception (R² Δ 24·6%), Short Form-36 Physical Component Score (R² Δ 24·3%) and Mental Component Score (R² Δ 07·0%). CONCLUSION Symptom assessment and management of people with chronic stable angina should involve multiple symptoms. Greater fatigue predicted poorer quality of life in multiple areas. As a possible indicator of depression, it warrants further assessment and follow-up.
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Affiliation(s)
- Laura P Kimble
- Georgia Baptist College of Nursing, Mercer University, Atlanta, Georgia, USA.
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Gardner AW, Montgomery PS, Ritti-Dias RM, Thadani U. Exercise performance, physical activity, and health-related quality of life in participants with stable angina. Angiology 2011; 62:461-6. [PMID: 21421630 DOI: 10.1177/0003319711399897] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
We compared exercise performance, daily physical activity, and health-related quality of life in 115 participants with stable angina and 441 controls without coronary artery disease or stable angina. Participants with stable angina had shorter 6-min walk distance (P = .003), and lower total leisure-time physical activity (P = .003) than the controls. Group differences in these measures remained (P < .05) after adjusting for age, race, current smoking, diabetes, hypertension, and obesity. Participants with stable angina also had lower health-related quality of life for physical function (P < .001), general health (P = .002), and vitality (P < .001), but group differences did not remain (P > .05) after adjustment for comorbid conditions. Participants with stable angina have impaired exercise performance and reduced daily physical activity. Thus, they are prime candidates for exercise interventions designed to improve daily physical activity and exercise performance.
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Affiliation(s)
- Andrew W Gardner
- CMRI Metabolic Research Program, Oklahoma University Health Sciences Center, 1122 N.E. 13th Street, Oklahoma City, OK 73117, USA.
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Ski CF, Thompson DR. Quality of Life in Cardiovascular Disease: What is it and Why and How Should We Measure It? Eur J Cardiovasc Nurs 2010; 9:201-2. [DOI: 10.1016/j.ejcnurse.2010.08.002] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/07/2010] [Accepted: 08/10/2010] [Indexed: 11/26/2022]
Affiliation(s)
- Chantal F. Ski
- Cardiovascular Research Centre, Australian Catholic University, Level 4/486 Albert Street, Melbourne, Vic 3002, Australia
| | - David R. Thompson
- Cardiovascular Research Centre, Australian Catholic University, Level 4/486 Albert Street, Melbourne, Vic 3002, Australia
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Moons P, Jaarsma T, Norekvål TM. Requirements for quality-of-life reports. Eur J Cardiovasc Nurs 2010; 9:141-3. [PMID: 20598945 DOI: 10.1016/j.ejcnurse.2010.05.008] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/20/2010] [Accepted: 05/26/2010] [Indexed: 10/19/2022]
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