Coronary Health CarePub Date : 2001-11-01Epub Date: 2002-05-25DOI: 10.1054/chec.2001.0136
S.J. Wyer , L. Earll , S. Joseph , J. Harrison
{"title":"Deciding whether to attend a cardiac rehabilitation programme: an interpretative phenomenological analysis","authors":"S.J. Wyer , L. Earll , S. Joseph , J. Harrison","doi":"10.1054/chec.2001.0136","DOIUrl":"10.1054/chec.2001.0136","url":null,"abstract":"<div><p>Despite proven benefits of reducing mortality and morbidity (Dusseldorp et al. 1999; Linden et al. 1996), attendance at cardiac rehabilitation (CR) is low (King & Teo 1998). The aim of this research was to explore beliefs held on recovery and CR by attenders and non-attenders; and to examine the usefulness of the Self Regulatory Model and the Theory of Planned Behaviour when interpreting the results. Semi-structured interviews were carried out with a total of 21 people, 3 months after they had been admitted to a district hospital with myocardial infarction (MI). Nine people had attended a CR programme, six people had originally accepted an offer to attend, but then did not attend, and six people who declined the offer and did not attend. The transcripts were subjected to interpretative phenomenological analysis (IPA). Several key differentiating themes were identified: use of medical versus psychological model; illness perception; control; causal attribution; coping strategies; and attitude to CR. Attenders were more likely to see themselves in control of their recovery and to view the programme as a way of taking responsibility for improving their health and reducing their chances of recurrence. Attenders were also more likely to use information seeking ways of coping whilst non-attenders used avoidance/minimizing coping strategies. The technique of IPA proved useful in allowing an abstraction of the factors affecting the decision-making process.</p></div>","PeriodicalId":100334,"journal":{"name":"Coronary Health Care","volume":"5 4","pages":"Pages 178-188"},"PeriodicalIF":0.0,"publicationDate":"2001-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1054/chec.2001.0136","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87422110","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Coronary Health CarePub Date : 2001-08-01Epub Date: 2002-05-25DOI: 10.1054/chec.2001.0129
P.R. Belcher , A.J. Drake-Holland
{"title":"Serotonin reuptake inhibitors and cardiovascular disease","authors":"P.R. Belcher , A.J. Drake-Holland","doi":"10.1054/chec.2001.0129","DOIUrl":"10.1054/chec.2001.0129","url":null,"abstract":"<div><p>Selective serotonin re-uptake inhibiting drugs (SSRIs) are widely taken for endogenous depression. In addition to depleting the nerve terminals of serotonin they also lower blood platelet serotonin levels. Platelet aggregation is a major component of acute coronary syndromes and platelet-released serotonin causes constriction of diseased blood vessels. Hypertensive subjects possess abnormally responsive blood vessels, thus arecent study in <em>Coronary Health Care</em>, which demonstrated better hypertensive control in patientstaking SSRIs, prompted an examination of the effects of these drugs on the cardiovascular disease process. The effects of serotonin and serotonin depletion upon intracoronary thrombosis, diseased blood vessels, blood platelets and bleeding are discussed with recommendations for future research into the potential cardiovascular benefits of these agents.</p></div>","PeriodicalId":100334,"journal":{"name":"Coronary Health Care","volume":"5 3","pages":"Pages 141-147"},"PeriodicalIF":0.0,"publicationDate":"2001-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1054/chec.2001.0129","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86043803","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Coronary Health CarePub Date : 2001-08-01Epub Date: 2002-05-25DOI: 10.1054/chec.2001.0126
H. Stokes
{"title":"Cardiac care and rehabilitation: married, separated or just living together?","authors":"H. Stokes","doi":"10.1054/chec.2001.0126","DOIUrl":"10.1054/chec.2001.0126","url":null,"abstract":"","PeriodicalId":100334,"journal":{"name":"Coronary Health Care","volume":"5 3","pages":"Pages 118-120"},"PeriodicalIF":0.0,"publicationDate":"2001-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1054/chec.2001.0126","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74799781","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Coronary Health CarePub Date : 2001-08-01Epub Date: 2002-05-25DOI: 10.1054/chec.2001.0132
J. McCallum , G. Lindsay
{"title":"Is there a need for cardiac rehabilitation for patients admitted to hospital with angina pectoris?","authors":"J. McCallum , G. Lindsay","doi":"10.1054/chec.2001.0132","DOIUrl":"10.1054/chec.2001.0132","url":null,"abstract":"<div><p>Coronary heart disease (CHD) risk factors are important to modify due to their association with CHD. Cardiac rehabilitation providing secondary prevention aims to reduce these CHD risk factors. This study was undertaken to explore the need for change in the management of secondary prevention in the patient admitted to hospital with angina pectoris and the patient's learning needs of the modifiable CHD risk factors. A small scale descriptive survey design was utilized using triangulation methodology with a convenience sample of 40 patients admitted with angina pectoris to a 12 bedded Coronary Care Unit (CCU) in Crosshouse Hospital, Kilmarnock. Ethical approval was granted from Ayrshire and Arran research ethics committee. A questionnaire was utilized for collecting quantitative data on the patient's modifiable CHD risk factors and a semi-structured interview schedule for collecting qualitative data on the patient's learning needs of their modifiable CHD risk factors.<em>Results</em> : Many patients with angina pectoris still have modifiable risk factors not yet modified just prior to discharge (<em>n</em> = 37; 92.5%). Many patients wish further information on how to modify these risk factors.<em>Conclusion</em> : There is potential to improve the modification of the CHD risk factors that patients with angina pectoris have when admitted to hospital. The patients themselves wish further information on how to modify these risk factors and cardiac rehabilitation can offer this.</p></div>","PeriodicalId":100334,"journal":{"name":"Coronary Health Care","volume":"5 3","pages":"Pages 126-132"},"PeriodicalIF":0.0,"publicationDate":"2001-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1054/chec.2001.0132","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80249296","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Coronary Health CarePub Date : 2001-08-01Epub Date: 2002-05-25DOI: 10.1054/chec.2001.0130
B. Linden (Cardiac Nurse)
{"title":"Summaries of research projects and reviews on a range of issues relating to coronary heart disease","authors":"B. Linden (Cardiac Nurse)","doi":"10.1054/chec.2001.0130","DOIUrl":"10.1054/chec.2001.0130","url":null,"abstract":"","PeriodicalId":100334,"journal":{"name":"Coronary Health Care","volume":"5 3","pages":"Pages 148-153"},"PeriodicalIF":0.0,"publicationDate":"2001-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1054/chec.2001.0130","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81235612","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Coronary Health CarePub Date : 2001-08-01Epub Date: 2002-05-25DOI: 10.1054/chec.2001.0138
J. Scott
{"title":"Palliative care approaches for heart failure patients: an unmet need?","authors":"J. Scott","doi":"10.1054/chec.2001.0138","DOIUrl":"10.1054/chec.2001.0138","url":null,"abstract":"","PeriodicalId":100334,"journal":{"name":"Coronary Health Care","volume":"5 3","pages":"Pages 115-117"},"PeriodicalIF":0.0,"publicationDate":"2001-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1054/chec.2001.0138","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80835928","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Coronary Health CarePub Date : 2001-08-01Epub Date: 2002-05-25DOI: 10.1054/chec.2001.0133
Belinda Linden
{"title":"British Association for Nursing in Cardiac Care report on Annual National Conference Wednesday 23 May 2001 in Manchester, UK","authors":"Belinda Linden","doi":"10.1054/chec.2001.0133","DOIUrl":"10.1054/chec.2001.0133","url":null,"abstract":"","PeriodicalId":100334,"journal":{"name":"Coronary Health Care","volume":"5 3","pages":"Page 160"},"PeriodicalIF":0.0,"publicationDate":"2001-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1054/chec.2001.0133","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"102508179","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}