Download or read book Quality of Life and Social Support Among Coronary Artery Bypass Graft Patients A Prospective Study written by P RaJa Sekhar and published by Cerebrate. This book was released on 2022-11-14 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: ABSTRACT Coronary artery bypass graft (CABG) surgery is among the most common procedures performed in the world and it is one of the possible treatments for a chronic cardio-vascular condition. The present study was conducted to examine the psychological status of the patients' prior to CABG and its influence of the patients' wellbeing before and after CABG. Psychological status of the patients in this study refers to their quality of life and social support (perceived and available). The study was conducted on a sample of 74 patients who underwent first-time elective CABG surgery. The major findings of the present study indicate that the psychological status (quality of life and social support) prior to surgery significantly influences the well being (depression, anxiety, energy and positive well being) of the patients. Gender differences in well being, quality of life and social support are noticed prior to the surgery, with the male patients being more energetic and reporting better well being. The male patients also report better quality of life. Further, patients whose spouses were homemakers reported better well being. The depression and anxiety scores of the patients reduced after the surgery with the reduction more for male patients.
Download or read book Wellbeing Quality of Life and Social Support Among CABG Patients written by Raja Sekhar Padala and published by LAP Lambert Academic Publishing. This book was released on 2015-09-29 with total page 148 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book provides valuable insights into the psychological aspects of coronary artery bypass graft.Chronic diseases are multidimensional and have the potential to affect many aspects of the individual's life. Cardiovascular diseases take the person and family through various phases of instability, with hospital admissions for complex inpatient procedures such as angioplasty and surgery. These experiences are part of the adaptation of the individual to the chronic condition of the disease, affecting his or her quality of life. Finally, life styles and stress plays a crucial role in maintaining good health.
Download or read book Gender and Recovery from Coronary Artery Bypass Surgery written by Friederike Kendel and published by Springer Science & Business Media. This book was released on 2009-01-24 with total page 106 pages. Available in PDF, EPUB and Kindle. Book excerpt: Progress in coronary artery bypass graft surgery has irrefutably improved the quality of life of many patients. However, we are confronted with the finding that women - hibit a higher mortality rate than men. In part, this difference can be explained by clinical parameters such as age, disease severity, or comorbidity – factors that have been well studied, but which do not fully explain the observed differences. This is one reason why, in recent years, psychosocial variables have attracted special atten- on in this context. In fact, women and men having undergone a bypass operation - ry a great deal with respect to, e. g. , depression, partner status, and socio-economic status. Moreover, psychological well-being, on the one hand, and social isolation, on the other hand, definitely influence the recovery process, particularly when consi- red under the gender aspect. The Deutsches Herzzentrum Berlin has been actively supporting gender-specific research for many years. In this context, a large prospective study on gender dif- rences in recovery after bypass surgery, carried out by the Competence Network of Heart Failure, was started at our Department for Cardiothoracic and Vascular Sur- ry. From the beginning of the study, psychosocial variables were included as being substantial contributors. The starting point of the study presented here* by psychologist Dr. Friederike Kendel are recent empirical investigations about gender differences in coronary heart disease and the course of recovery after bypass surgery.
Download or read book Complex Factors that Influence Patient and Partner and Dyad Outcome 4 Months After Coronary Artery Bypass Surgery written by Patricia Thomson and published by . This book was released on 2008 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Background: Coronary heart disease (CHD) remains a major cause of death and ill-health in Scotland. Coronary artery bypass grafting (CABG) aims to relieve CHD symptoms, improve quality of life and increase life expectancy in high-risk groups. Partners may positively or negatively influence patient outcome, and they too may be adversely affected by the experience of CABG. Health care is currently organised around the patient. The partner is seen as merely assisting patient recovery. Their health and well-being is neglected despite them being at an increased risk of CHD. Research has been limited in the partner variables that have been examined. Their health needs and concerns and the influence of the patient on partner outcome have seldom been examined and the effects of CABG on the dyad. The dyad has not previously been examined as an outcome variable of interest. Aim: To explore the complex factors that influence patient and partner and dyad outcome 4 months after CABG surgery. Design and methods: A multifactorial exploratory, prospective study was carried out. A consecutive sample of 80 patient-partner/family pairs were recruited and data were collected on a number of physical and psychosocial variables 2-3 months prior to elective CABG and 4 months after surgery. The outcome measures were perceived health status, quality of life and CHD risk factors. Findings: The patients' CHD risk factors and physical and mental health (SF-12) improved significantly from pre- to post-operatively, but there was no corresponding improvement in the partners. Most patients were free from angina following CABG. Though the partners' quality of life improved it remained sub-optimum post-operatively. The patients' self efficacy beliefs and partners' efficacy judgements about the patient's cardiac capabilities improved significantly at 4 months; treatment beliefs were unchanged. The patients' perceived social support improved post-operatively, but not the partners. Patients' and partners' total number of important need met increased significantly post-operatively, and the number of important needs unmet decreased. There were significant differences between the patient and partner groups over the two time periods (pre- and post-operatively) for CHD risk factors, physical health (SF-12), self-efficacy for maintaining function, affectionate support, positive social interaction and important needs met and unmet. Overall, the recovery patterns indicated a move towards concordance. The patients' poorer pre-operative physical and mental health (SF-12) significantly predicted their poorer post-operative physical health, and lower pre-operative importance need met predicted poorer mental health. Greater pre-operative CHD risk factors and being female predicted higher post-operative risk factors. Partners' poorer pre-operative physical and mental health (SF-12) significantly predicted their poorer post-operative physical and mental health; low pre-operative affectionate support predicted poorer physical and social health (QL-SP); and a greater number of pre-operative CHD risk factors predicted higher post-operative risk factors. The patients' pre-operative beliefs about CABG - mortality risk reduction predicted the partners' poorer post-operative physical health (SF-12) and emotional health (QL-SP); and patients' poorer pre-operative mental health (SF-12) and greater physical limitation (SAQ) predicted the partners' poorer physical and social health (QL-SP). Only the partners' poorer pre-operative physical health predicted patients' poorer post-operative physical health (SF-12). This unidirectional relationship in which the patients' pre-operative factors predominantly influenced partner outcome(s) was also evident when the physical and mental health and CHD risk factors of the dyad (outcomes) were examined. Results highlight the potential that pre-operative rehabilitation and use of interventions, which target the dyad have for the primary and secondary prevention of CHD. Nurses are heavily involved in the pre-operative preparation for CABG and in the post-operative care of patients and could contribute further to improving the outcomes of surgery for patients and partners.
Download or read book Social Support and Quality of Life After Coronary Artery Bypass Surgery written by Amy J. Eakin-McClune and published by . This book was released on 1988 with total page 154 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Perceptions of Patients Post Coronary Artery Bypass Grafting Surgery Related to Health Related Quality of Life and Satisfaction when Nurse Practitioners are Active Participants in Care written by Patricia Demko Sweeney and published by . This book was released on 2009 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: The issue of quality health care has a renewed focus since the Institute of Medicine's 2000 report and has become a primary concern for patients, providers, and payors. Quality needs to be addressed from the perspective of the patient, incorporating patient-centered preferences in all areas where care is received; with special attention for high frequency, high cost, high-risk populations that evaluates all types of providers. The primary aim of this study is to describe patient perceptions of health related quality of life (HRQOL) and satisfaction for patients hospitalized for coronary artery bypass grafting (CABG) surgery when Nurse Practitioners (NP) are active participants in care. Secondary aims of the study were to: describe the outcomes: adverse events (pulmonary, urinary tract, and wound infections); cost of care; mortality; and hospital re-admissions; and the role of the Nurse Practitioner for patients having CABG surgery. The Quality Health Outcomes Model was used as the foundation for the research. A prospective descriptive multi-site study using a criterion-based sample to select individuals having CABG surgery in mid to large size, non-Magnet community hospitals in northeastern, central, or southeastern Pennsylvania was used. Data was collected from four sources: two surveys, the Short Form-36, version 2 for HRQOL and the Patient Judgment System for patient satisfaction; a Chart Review Tool; and a NP survey. Participants were enrolled (N = 91) at two hospitals, with one NP at each facility. Primary data analysis was descriptive with secondary analyses performed to identify the presence of relationships among the study variables. Findings indicated participants had high satisfaction with all aspects of hospitalization and HRQOL mental health; and low scores for HRQOL physical role and physical component score. Mortality and cost of care were lower than State averages, while adverse events and re-admissions were higher than State averages. NPs were actively involved in patient care and spent 80% of their time in direct patient care activities. Implications include the need for continued research, using quasi-experimental designs to identify a cause and effect relationship between the use of NPs and selected patient outcomes.
Download or read book Cardiovascular Prevention and Rehabilitation written by Joep Perk and published by Springer Science & Business Media. This book was released on 2007-09-18 with total page 540 pages. Available in PDF, EPUB and Kindle. Book excerpt: The aim of this textbook is to give guidance in prevention, lifestyle counselling and rehabilitation for cardiologists, other physicians and many different categories of health professionals in cardiac rehabilitation teams.
Download or read book Brain and Heart Dynamics written by Stefano Govoni and published by Springer. This book was released on 2020-07-31 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: This ambitious and comprehensive handbook represents an essential contribution to our current understanding of interactions between heart and brain, a research topic generating growing interest. Despite the increasing awareness that neural mechanisms are the primary cause of cardiac disease and its progression, therapy continues to focus on end-organ protection and does not approach the neural core of the problem. Growing public health problems such as heart failure are still treated with autonomic drugs that are 30-40 years old and simply act on cardiac receptors. However, it has now been shown that the progression of ischemic heart disease to heart failure is mainly due to abnormal central responses to incipient cardiac disease, with neural activation the primary cause rather than the consequence of cardiac remodeling. Written by leading international experts in their respective research areas, the book presents a variety of perspectives on the core topic: from social and philosophical to gender-related aspects. It is designed for a broad readership and includes dedicated sections for cardiologists, psychiatrists, neurologists and psychotherapists looking for a more insightful and targeted approach to neuro-cardiovascular disease.
Download or read book Measuring Health Status written by Sonja M. Hunt and published by Taylor & Francis. This book was released on 1986-01-01 with total page 283 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book State of the Art Surgical Coronary Revascularization written by David P. Taggart and published by Oxford University Press, USA. This book was released on 2021 with total page 521 pages. Available in PDF, EPUB and Kindle. Book excerpt: This is the most authoritative textbook ever dedicated to the art and science of surgical coronary revascularization, with 71 chapters, organized in 9 sections, and written by over 100 recognized world experts. It covers every aspect of the surgical management of coronary artery pathology and ischaemic heart disease.
Download or read book Care Without Coverage written by Institute of Medicine and published by National Academies Press. This book was released on 2002-06-20 with total page 213 pages. Available in PDF, EPUB and Kindle. Book excerpt: Many Americans believe that people who lack health insurance somehow get the care they really need. Care Without Coverage examines the real consequences for adults who lack health insurance. The study presents findings in the areas of prevention and screening, cancer, chronic illness, hospital-based care, and general health status. The committee looked at the consequences of being uninsured for people suffering from cancer, diabetes, HIV infection and AIDS, heart and kidney disease, mental illness, traumatic injuries, and heart attacks. It focused on the roughly 30 million-one in seven-working-age Americans without health insurance. This group does not include the population over 65 that is covered by Medicare or the nearly 10 million children who are uninsured in this country. The main findings of the report are that working-age Americans without health insurance are more likely to receive too little medical care and receive it too late; be sicker and die sooner; and receive poorer care when they are in the hospital, even for acute situations like a motor vehicle crash.
Download or read book Cardiovascular Disability written by Institute of Medicine and published by National Academies Press. This book was released on 2010-12-04 with total page 304 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Social Security Administration (SSA) uses a screening tool called the Listing of Impairments to identify claimants who are so severely impaired that they cannot work at all and thus immediately qualify for benefits. In this report, the IOM makes several recommendations for improving SSA's capacity to determine disability benefits more quickly and efficiently using the Listings.
Download or read book The Artificial Heart written by Institute of Medicine and published by National Academies Press. This book was released on 1991-02-01 with total page 313 pages. Available in PDF, EPUB and Kindle. Book excerpt: A significant medical event is expected in 1992: the first human use of a fully implantable, long-term cardiac assist device. This timely volume reviews the artificial heart program-and in particular, the National Institutes of Health's major investment-raising important questions. The volume includes: Consideration of the artificial heart versus heart transplantation and other approaches to treating end-stage heart disease, keeping in mind the different outcomes and costs of these treatments. A look at human issues, including the number of people who may require the artificial heart, patient quality of life, and other ethical and societal questions. Examination of how this technology's use can be targeted most appropriately. Attention to achieving access to this technology for all those who can benefit from it. The committee also offers three mechanisms to aid in allocating research and development funds.
Download or read book Quality of Life after Open Heart Surgery written by P.J. Walter and published by Springer Science & Business Media. This book was released on 2012-12-06 with total page 509 pages. Available in PDF, EPUB and Kindle. Book excerpt: primary goal of all forms of therapy is not just prolonging life, but improving the quality of life, has forced analysis of what constitutes quality of life, a concept whose structure pervades all walks of life and eludes definition. Global well being, happiness, morale, vitality, fullness of social life, and satisfaction must be integrated and assessed for the effects of the disease and the therapy, in the context of specific personality traits, attitudes to life, family situation, and socio-economic and political freedom. A growing inter est in research on this subject has led to a clearer understanding of the components which come to determine quality of a patient's life, and how they can be measured in a reproducible manner so that valid comparisons can be made. Keeping these recommendations of analysing quality of life within the context of patients who have undergone open heart surgery, it seemed appro priate to me to separate the influence of various forms of open heart surgery into five aspects of life which can comprehensively reflect the quality of life outcome of the operation. These five 'components' are (1) Physiological state, which summarises the traditionally reported incidence of operative mortality and morbidity, objectively and subjectively measured physical ca pacity, and the residual symptoms, treatment and long-term survival. (2) Intellectual functioning relates to the psychoneurolgocial deficit in memory, reasoning or judgement because of cerebral microembolism and hypo perfusion during cardiopulmonary bypass.
Download or read book Measuring Health written by Bowling, Ann and published by McGraw-Hill Education (UK). This book was released on 2004-10-01 with total page 226 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book offers a comprehensive guide to measures of health and is an essential reference resource for all health professionals and students.
Download or read book Cardiovascular Prevention and Rehabilitation in Practice written by Jennifer Jones and published by John Wiley & Sons. This book was released on 2020-06-08 with total page 334 pages. Available in PDF, EPUB and Kindle. Book excerpt: The authoritative clinical handbook promoting excellence and best practice Cardiovascular Prevention and Rehabilitation in Practice is a comprehensive, practitioner-focused clinical handbook which provides internationally applicable evidence-based standards of good practice. Edited and written by a multidisciplinary team of experts from the British Association for Cardiovascular Prevention and Rehabilitation (BACPR), this book is invaluable for practitioners helping people with heart disease return to health. The text provides an overview of research findings, examines the core components of cardiac rehabilitation, and discusses how to support healthier lifestyles and reduce the risks of recurrence. Now in its second edition, this textbook has been fully revised to incorporate recent clinical evidence and align with current national and international guidelines. Increased emphasis is placed on an integrated approach to cardiac rehabilitation programmes, whilst six specified standards and six core components are presented to promote sustainable health outcomes. Describes how cardiovascular prevention and rehabilitation programmes can be delivered to meet standards of good practice Covers a broad range of topics including: promoting health behaviour change to improve lifestyle risk factors, supporting psycho-social health, managing medical risk factors, and how to develop long-term health strategies Emphasises the importance of early programme commencement with assessment and reassessment of patient goals and outcomes, and gives examples of strategies to achieve these Discusses the role of programme audit and certification of meeting minimum standards of practice Looks to the future and how delivery of cardiovascular prevention and rehabilitation programmes internationally will need to meet common challenges Cardiovascular Prevention and Rehabilitation in Practice is an indispensable resource for all health professionals involved in cardiac rehabilitation and cardiovascular disease prevention.
Download or read book Cumulated Index Medicus written by and published by . This book was released on 2000 with total page 1828 pages. Available in PDF, EPUB and Kindle. Book excerpt:
