Coronary Health Care最新文献_第4页

Summaries of research projects and research reviews on a range of issues relating to coronary heart disease 与冠心病有关的一系列问题的研究项目和研究综述摘要

Coronary Health Care Pub Date : 2001-05-01 DOI: 10.1054/chec.2000.0119

Belinda Linden

引用次数: 0

Correlates of patients’ satisfaction with care following myocardial infarction 心肌梗死后患者护理满意度的相关分析

Coronary Health Care Pub Date : 2001-05-01 DOI: 10.1054/chec.2001.0122

N.A. Bakalis , C. Bundy

{"title":"Correlates of patients’ satisfaction with care following myocardial infarction","authors":"N.A. Bakalis , C. Bundy","doi":"10.1054/chec.2001.0122","DOIUrl":"10.1054/chec.2001.0122","url":null,"abstract":"<div><p><em>Objectives</em>: To evaluate to what extent age, previous hospital experience, psychological distress and expectation is associated with patients’ judgements of satisfaction with their care. <em>Design and Method</em>: Demographic factors and mood were evaluated in a cross-sectional study of the relationship between Myocardial Infarction (MI) and patient satisfaction in 36 patients immediately after discharge following a MI. A modified patient satisfaction questionnaire (PSQ) (Rubin et al. 1990) and the Hospital Anxiety and Depression Scale (HADS) (Zigmond and Snaith, 1983) was used. The study was conducted between June–September 1997. <em>Results</em>: We showed that age, initial expectations, anxiety and depression was significantly related to the total score of satisfaction with hospital care. Participants identified family involvement in care as well as the skill and competence of health care providers as key factors related to improving their condition and satisfaction.<em>Conclusions</em> : Psychosocial factors are associated with the degree of satisfaction with care. More research is needed in this area to explore the precise nature of the relationship between satisfaction and psychosocial aspects of health.</p></div>","PeriodicalId":100334,"journal":{"name":"Coronary Health Care","volume":"5 2","pages":"Pages 67-72"},"PeriodicalIF":0.0,"publicationDate":"2001-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1054/chec.2001.0122","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84413397","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}

引用次数: 2

The experiences of ICD patients and their partners with regards to adjusting to an imposed driving ban: A qualitative study ICD患者及其伴侣在适应强制驾驶禁令方面的经验:一项定性研究

Coronary Health Care Pub Date : 2001-05-01 DOI: 10.1054/chec.2001.0124

J. James , J.W. Albarran , J. Tagney

{"title":"The experiences of ICD patients and their partners with regards to adjusting to an imposed driving ban: A qualitative study","authors":"J. James , J.W. Albarran , J. Tagney","doi":"10.1054/chec.2001.0124","DOIUrl":"10.1054/chec.2001.0124","url":null,"abstract":"<div><p>This paper describes the impact of an imposed medico-legal driving ban on a group of internal cardioverter defibrillator (ICD) recipients and their partners, an area where there is little good quality research. A qualitative framework was adopted and involved using semi-structured interviews to elicit the experiences of seven patients and their partners about coping once discharged home. From the analysis of the fourteen interview transcriptions, five themes emerged which the patients and partners ascribed to the imposed driving ban. These included: feelings of resentment and anger; increased dependence on others; lacking confidence in driving; and imposed family sanctions when driving. However, relationship conflicts over driving was a key consistent theme and this was attributed to changes in driving role between patient and partner. The data would suggest that patients and partners might not fully appreciate the immediate consequences of the driving ban on their lifestyle and find the period of waiting before the ICD recipient is authorised to drive again difficult. Additionally, the experiences of the participants suggest that being banned from driving may be interwoven with aspects relating to altered self-image, loss of independence and social isolation. The importance of clinical staff providing co-ordinated support and adequately preparing patients and their partners for discharge is discussed in detail. Ethical considerations and implications for the future are also addressed.</p></div>","PeriodicalId":100334,"journal":{"name":"Coronary Health Care","volume":"5 2","pages":"Pages 80-88"},"PeriodicalIF":0.0,"publicationDate":"2001-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1054/chec.2001.0124","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74755026","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}

引用次数: 26

Cardiac rehabilitation efforts for patients with ischaemic heart disease – a 5-year comparative review in five counties in western Sweden 缺血性心脏病患者心脏康复的努力——瑞典西部5个县的5年比较回顾

Coronary Health Care Pub Date : 2001-02-01 DOI: 10.1054/chec.2000.0106

I. Wieslander , B. Fridlund

{"title":"Cardiac rehabilitation efforts for patients with ischaemic heart disease – a 5-year comparative review in five counties in western Sweden","authors":"I. Wieslander , B. Fridlund","doi":"10.1054/chec.2000.0106","DOIUrl":"10.1054/chec.2000.0106","url":null,"abstract":"<div><p>Today’s cardiac rehabilitation programmes are multiphase and interdisciplinary. The aim of the study was to compare different cardiac rehabilitation approaches available to patients with ischaemic heart disease and their next-of-kin during a 5-year period in five counties in western Sweden. Questionnaires were answered on two occasions, in 1993 and 1998, dealing with the cardiac rehabilitation organization, the target groups invited, rehabilitation efforts, and the health-care professionals involved in the cardiac rehabilitation. The results show that patients with myocardial infarction and their next-of-kin were offered a well-functioning cardiac rehabilitation, both in 1993 and in 1998, at the university, county and district county hospitals. For patients who had undergone bypass surgery and their next-of-kin, cardiac rehabilitation was only available to a lesser extent. Patients with angina pectoris and their next-of-kin had the least possibility of receiving cardiac rehabilitation during the 5-year period. No cardiac rehabilitation programmes were specially designed for women, and an age limit existed in some cases. The most developed cardiac rehabilitation effort was the stress management education. The health-care professionals most frequently included in the cardiac rehabilitation teams at the university and district county hospitals were dieticians, cardiologists, physiotherapists and nurses, both in 1993 and in 1998. The corresponding health-care professionals at the county hospitals were cardiologists, social workers, clergymen, physiotherapists and nurses. A research implication can be to identify who the next-of-kin are, what their experiences are of participating in a cardiac rehabilitation programme and how important they are to these patients.</p></div>","PeriodicalId":100334,"journal":{"name":"Coronary Health Care","volume":"5 1","pages":"Pages 16-24"},"PeriodicalIF":0.0,"publicationDate":"2001-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1054/chec.2000.0106","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74773580","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}

引用次数: 11

A life less ordinary: growing up and coping with congenital heart disease 不平凡的生活:成长和应对先天性心脏病

Coronary Health Care Pub Date : 2001-02-01 DOI: 10.1054/chec.2001.0112

R. McMurray , L. Kendall , J.M. Parsons , J. Quirk , G.R. Veldtman , R.J.P. Lewin , P. Sloper

引用次数: 78

‘I’d rather go with a heart attack than drag on’: lay images of heart disease and the problems they present for primary and secondary prevention “我宁愿心脏病发作，也不愿拖延”:列出心脏病的图片，以及它们给一级和二级预防带来的问题

Coronary Health Care Pub Date : 2001-02-01 DOI: 10.1054/chec.2000.0109

C Emslie , K Hunt, G Watt

{"title":"‘I’d rather go with a heart attack than drag on’: lay images of heart disease and the problems they present for primary and secondary prevention","authors":"C Emslie , K Hunt, G Watt","doi":"10.1054/chec.2000.0109","DOIUrl":"10.1054/chec.2000.0109","url":null,"abstract":"<div><p>Current public health policy emphasizes the importance of primary and secondary prevention of coronary heart disease (CHD). However, evidence on the effectiveness of health advice to modify behavioural risk factors to date is discouraging. This lends urgency to understanding more about the public’s perceptions of the causes and consequences of heart disease, and particularly any barriers to adopting less coronary prone behaviours.</p><p>Using data from a qualitative study of heart disease amongst 61 men and women living in the west of Scotland, we draw attention to a powerful image that recurred when people were weighing up their decisions about health-related behaviours and appeared to undermine people’s preparedness to change their lifestyle. This is the image of CHD as a ‘good way to go’, typically described in contrast to a painful and lingering death, usually from cancer. Two elements of this characterization of CHD as a ‘more desirable’ way to die were apparent: in some deaths (particularly those occurring prematurely) its ‘quickness’ was emphasized; and in deaths amongst older people a heart attack was often portrayed as an inevitable and ‘natural’ way of dying from ‘old age’.</p></div>","PeriodicalId":100334,"journal":{"name":"Coronary Health Care","volume":"5 1","pages":"Pages 25-32"},"PeriodicalIF":0.0,"publicationDate":"2001-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1054/chec.2000.0109","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85023911","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}

引用次数: 42

Effect of computerized coronary heart disease risk assessment on the use of lipid-lowering therapy in general practice patients 计算机化冠心病风险评估对全科患者使用降脂治疗的影响

Coronary Health Care Pub Date : 2001-02-01 DOI: 10.1054/chec.2000.0103

D.R. Ford, J. Walker, F.L. Game, W.A. Bartlett, A.F. Jones

{"title":"Effect of computerized coronary heart disease risk assessment on the use of lipid-lowering therapy in general practice patients","authors":"D.R. Ford, J. Walker, F.L. Game, W.A. Bartlett, A.F. Jones","doi":"10.1054/chec.2000.0103","DOIUrl":"10.1054/chec.2000.0103","url":null,"abstract":"<div><p>UK guidelines recommend the use of cholesterol-lowering drugs for the primary prevention of coronary heart disease (CHD) when the 10 year risk of CHD is ≥ 30%. Absolute CHD risks are conventionally calculated using predictive equations derived from the Framingham Heart Study. We have previously adapted the laboratory information software to use the Framingham equation to calculate patients’ CHD risks, and have now evaluated the subsequent use of lipid-lowering therapy by those general practitioners who elected to use the system. 1132 risk calculation requests were received during 1998 from 14 general practices (range 23 to 186 requests). 999 patient records (88%) were available for review, of which 93 patients were excluded since they had recorded vascular disease (and were candidates for secondary prevention). Of the remaining 906 patients, 500 were male and 406 female, age 54.9 (11.2) years [mean (SD)]. 197 (22%) smoked, 180 (20%) had diabetes mellitus, 441 (49%) had a family history of CHD, 476 (53%) had hypertension and 223 (25%) were hyperlipidaemic. Median 10 year CHD risk was 13.2% (range 1–58%) and 81 patients (8.9%) had 10 year CHD risks ≥ 30%. Statins had been prescribed to 97 patients prior to CHD risk assessment, of whom 62 had calculated risks <30% and 35 risks ≥ 30%. Following CHD risk assessment, statins were prescribed to a further 3 patients with CHD risks ≥ 30%, and discontinued in 4 who had risks < 30%. Of the 43 patients with calculated CHD risks ≥ 30% who were not given a statin, 31 (72%) had a serum cholesterol below 6.5 mmol/L, the traditional threshold for considering a patient to be hypercholesterolaemic. CHD risk assessment has only a marginal impact on the use of lipid-lowering therapy even in a group of motivated general practitioners.</p></div>","PeriodicalId":100334,"journal":{"name":"Coronary Health Care","volume":"5 1","pages":"Pages 4-8"},"PeriodicalIF":0.0,"publicationDate":"2001-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1054/chec.2000.0103","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81836862","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}

引用次数: 9

Lipid lowering therapy and coronary heart disease risk assessment in general practice 降脂治疗和冠心病风险评估的全科实践

Coronary Health Care Pub Date : 2001-02-01 DOI: 10.1054/chec.2001.0116

A. Makin, G.Y.H. Lip

引用次数: 0

Brief summaries of research and research reviews on a range of issues relating to coronary heart disease 与冠心病有关的一系列问题的研究和研究综述的简要总结

Coronary Health Care Pub Date : 2001-02-01 DOI: 10.1054/chec.2000.0110

B. Linden

引用次数: 0

HOPE and MICRO-HOPE: review of the results and implications for people with diabetes HOPE和MICRO-HOPE:对糖尿病患者的结果和影响的综述

Coronary Health Care Pub Date : 2001-02-01 DOI: 10.1054/chec.2001.0111

M. Fisher , M. Small , C. Kesson

{"title":"HOPE and MICRO-HOPE: review of the results and implications for people with diabetes","authors":"M. Fisher , M. Small , C. Kesson","doi":"10.1054/chec.2001.0111","DOIUrl":"10.1054/chec.2001.0111","url":null,"abstract":"<div><p>Cardiovascular disease remains the commonest cause of mortality in people with diabetes. Previous attempts to reduce the burden of heart disease in people with diabetes have tended to concentrate on the reduction of conventional cardiovascular risk factors, and less attention has been paid to wider aspects of cardiovascular disease in this group of people. The Heart Outcomes Prevention Evaluation (HOPE) study was a large, randomized trial with wide entry criteria which examined the hypothesis that ACE inhibition using ramipril would reduce cardiovascular events in patients at high risk who would not previously be treated with ACE inhibitors. Diabetes was a pre-defined subgroup, and over three thousand patients with diabetes were recruited who had evidence of vascular disease, or had diabetes and one other cardiovascular risk factor (cholesterol > 5.2, hypertension, microalbuminuria, smoking). The study was discontinued prematurely because of a significant reduction in the composite primary end-point of myocardial infarction, stroke, and death from cardiovascular disease. In the diabetic patients the primary event rate of the combination of myocardial infarction, stroke and cardiovascular death was reduced by a quarter in patients on ramipril, and this reduction was seen both in patients with and without previous cardiovascular disease. The benefit was greater than could be accounted for by the minor decrease in blood pressure, suggesting wider effects on the cardiovascular system. Ramipril also reduced the development of overt nephropathy in diabetic subjects with microalbuminuria. Ramipril should be considered for diabetic patients with existing cardiovascular disease, or who have a high risk of disease because of the presence of cardiovascular risk factors. Copyright 2001 Harcourt Publishers Ltd <em>Copyright 2001 Harcourt Publishers Ltd doi: 10.1054/chec.2001.0111, available online at http://www.idealibrary.com on</em></p></div>","PeriodicalId":100334,"journal":{"name":"Coronary Health Care","volume":"5 1","pages":"Pages 41-44"},"PeriodicalIF":0.0,"publicationDate":"2001-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1054/chec.2001.0111","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75067768","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 2