Coronary Health Care最新文献_第9页

Coronary Health Care Pub Date : 1998-05-01 DOI: 10.1016/S1362-3265(98)80058-8

Roger Walker

引用次数: 0

The implementation of multiprofessional guidelines for cardiac rehabilitation: a pilot study 多专业心脏康复指南的实施:一项试点研究

Coronary Health Care Pub Date : 1998-05-01 DOI: 10.1016/S1362-3265(98)80045-X

H.C. Stokes (Research Officer) , D.R. Thompson (Professor of Nursing) , K. Seers (Senior Research Fellow)

{"title":"The implementation of multiprofessional guidelines for cardiac rehabilitation: a pilot study","authors":"H.C. Stokes (Research Officer) , D.R. Thompson (Professor of Nursing) , K. Seers (Senior Research Fellow)","doi":"10.1016/S1362-3265(98)80045-X","DOIUrl":"10.1016/S1362-3265(98)80045-X","url":null,"abstract":"<div><p>This study is concerned with the implementation of nationally developed multiprofessional guidelines for cardiac rehabilitation in the United Kingdom. The objectives of the study were: (1) to compare cardiac rehabilitation in settings: (a) actively receiving guidelines and additional facilitation; (b) actively receiving guidelines; and (c) not actively receiving guidelines; (2) to determine whether there are any differences in the three settings between those centres identified as either low or high providers of cardiac rehabilitation; (3) to identify particular problems associated with the implementation of guidelines in a multiprofessional setting; and (4) to gain feedback from health care workers about the credibility and feasibility of guidelines developed for cardiac rehabilitation. Six centres were randomized into the three groups, and a variety of tools were used, including questionnaires, facilitation, audit and semi-structured interviews. Results show that the national guidelines did not appear to have been utilized, other than in brief discussions. Recommendations include the need for education and training for cardiac rehabilitation staff, the development of a more comprehensive audit tool to help centres examine their performance in relation to the national guidelines, and further exploration of facilitation as a technique for the implementation of guidelines.</p></div>","PeriodicalId":100334,"journal":{"name":"Coronary Health Care","volume":"2 2","pages":"Pages 60-71"},"PeriodicalIF":0.0,"publicationDate":"1998-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S1362-3265(98)80045-X","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86110796","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: 4

Coronary Health Care Pub Date : 1998-05-01 DOI: 10.1016/S1362-3265(98)80057-6

Christine Bundy

引用次数: 0

Coronary Health Care Pub Date : 1998-05-01 DOI: 10.1016/S1362-3265(98)80054-0

Andy Hamilton

引用次数: 0

A review of current coronary heart disease research 冠心病研究现状综述

Coronary Health Care Pub Date : 1998-05-01 DOI: 10.1016/S1362-3265(98)80051-5

B. Linden (Nurse Advisor, British Heart Foundation)

引用次数: 0

Coronary Health Care Pub Date : 1998-02-01 DOI: 10.1016/S1362-3265(98)80030-8

D.A. Brodie (Professor) , PhD Student Xun Liu , P.E. Bundred (Senior Lecturer) , J.L. Odley (Clinical Manager)

{"title":"Age-related heart rate thresholds to optimize aerobic training in cardiac rehabilitation","authors":"D.A. Brodie (Professor) , PhD Student Xun Liu , P.E. Bundred (Senior Lecturer) , J.L. Odley (Clinical Manager)","doi":"10.1016/S1362-3265(98)80030-8","DOIUrl":"10.1016/S1362-3265(98)80030-8","url":null,"abstract":"<div><p>The purpose of the study was to determine a safe and effective aerobic training threshold based on heart rate for post-myocardial infarction patients which would be simple to administer. This was required because of the concerns about using existing age-related formulae, which were inappropriate for this clinical group.</p><p>Thirty male recent post-myocardial infarction patients with beta blockade therapy (aged 60±8.9 years) and 40 male recent post-myocardial infarction patients without beta blockade therapy (aged 63.4±8.2 years) performed a graded exercise test (modified Bruce protocol) on a motorized treadmill until volitional cessation or reaching any of the American College of Sports Medicine criteria.</p><p>Ratings of perceived exertion, blood lactate, oxygen uptake, angina score, dyspnoea score and blood pressure were recorded every 3 min during the exercise. Oxygen uptake, volume of expired gas and heart rate were recorded every 30 s during the exercise and a 12-lead electrocardiograph was monitored continuously.</p><p>The results showed that the patients did not achieve the age-related maximum heart rates predicted from 220-age, showing early signs of myocardial ischaemia at about 90% of their peak heart rate. Patients using beta blockade had a significantly lower (<em>P</em><0.01) heart rate both a rest and at peak work rate compared with the non-blockade group.</p><p>Peak heart rate can be predicted from age for the two distinct groups and this enabled the optimal aerobic training thresholds to be determined for post-myocardial infarction patients aged 50–70 years separately for those who do or do not require beta-blockade therapy.</p></div>","PeriodicalId":100334,"journal":{"name":"Coronary Health Care","volume":"2 1","pages":"Pages 11-16"},"PeriodicalIF":0.0,"publicationDate":"1998-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S1362-3265(98)80030-8","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87091423","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: 3

Coronary Health Care Pub Date : 1998-02-01 DOI: 10.1016/S1362-3265(98)80042-4

Kay Currie

引用次数: 0

Awareness of and attitudes to coronary heart disease among the public, patients and family members: the HELP study 公众、患者和家属对冠心病的认识和态度:HELP研究

Coronary Health Care Pub Date : 1998-02-01 DOI: 10.1016/S1362-3265(98)80033-3

HELP Study Group, D.R. Thompson

引用次数: 11

Quality of life in pacemaker patients from a nursing perspective 从护理角度看起搏器患者的生活质量

Coronary Health Care Pub Date : 1998-02-01 DOI: 10.1016/S1362-3265(98)80031-X

R N BNSc D. Malm (Specialist Nurse) , J.-E. Karlsson (Head Physician) , B. Fridlund (Associate Professor)

{"title":"Quality of life in pacemaker patients from a nursing perspective","authors":"R N BNSc D. Malm (Specialist Nurse) , J.-E. Karlsson (Head Physician) , B. Fridlund (Associate Professor)","doi":"10.1016/S1362-3265(98)80031-X","DOIUrl":"10.1016/S1362-3265(98)80031-X","url":null,"abstract":"<div><p>The aim of this study was to describe quality of life (QoL) in pacemaker patients based on a nursing perspective. The questions at issue were how these individuals assessed their QoL in general and also with respect to sex, age, civil status and occupation. A cross-sectional study was conducted in a health care area in southern Sweden with 310000 inhabitants. A sample of pacemaker patients (<em>n</em>=182) entered into the study through a random selection of every fourth person. The results show that the total QoL for these pacemaker patients was acceptable. A poorer QoL was found with regard to physical health, the possibility of influencing one's own situation, lifestyle, health care resources and sociocultural orientation. Men, those who were cohabiting, white-collar workers, managers and those 64 years of age or younger assessed their QoL as higher. By using Orem's self-care theory, information, support and education can be carried out in such a way that nursing care affects the entire QoL in pacemaker patients. Measures should be taken on behalf of women, those living alone, those who are oldest and those who are blue-collar workers, all of whom have a lower QoL.</p></div>","PeriodicalId":100334,"journal":{"name":"Coronary Health Care","volume":"2 1","pages":"Pages 17-27"},"PeriodicalIF":0.0,"publicationDate":"1998-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S1362-3265(98)80031-X","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73481835","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: 6

User's guide to: cholesterol booklets 用户指南:胆固醇小册子

Coronary Health Care Pub Date : 1998-02-01 DOI: 10.1016/S1362-3265(98)80037-0

引用次数: 0