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Bouchard K, Gareau A, Greenman PS, Lalande K, Sztajerowska K, Tulloch H. What's love got to do with it? Relationship quality appraisals and quality of life in couples facing cardiovascular disease. Health Psychol Behav Med 2023; 11:2237564. [PMID: 37484832 PMCID: PMC10360988 DOI: 10.1080/21642850.2023.2237564] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/23/2023] [Accepted: 07/08/2023] [Indexed: 07/25/2023] Open
Abstract
Objective Changes in couples' relationship quality are common post-cardiac event but it is unclear how relationship quality is linked to patients' and spouses' quality of life (QoL). The purpose of the present study was to examine the association between relationship quality on QoL in patient-spouse dyads within six months of a cardiac event. Methods Participants (N = 181 dyads; 25.9% female patients), recruited from a large cardiac hospital, completed validated questionnaires measuring demographic, relationship (Dyadic Adjustment Scale; DAS) and QoL variables (Heart-QoL & Quality of life of Cardiac Spouses Questionnaire). An Actor-Partner Interdependence Model was used to investigate actor (i.e. responses influencing their own outcome) and partner effects (responses influencing their partner's outcome) of relationship quality and QoL. Results Patients' and spouses' perceptions of relationship quality were in the satisfied range (DAS > 108; 65% of sample) and, as expected, patients reported lower general physical QoL than did their spouse (t(180) = -10.635, p < .001). Patient and spouse relationship quality appraisals were positively associated with their own physical (patient β = .25; spouse β = .05) and emotional/social (patient β = .21; spouse β = .04) QoL. No partner effects were identified. Conclusion High quality relationship appraisals appear to matter for patients' and spouses' QoL after the onset of CVD.
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Affiliation(s)
- Karen Bouchard
- Prevention and Rehabilitation Center, Division of Cardiac Prevention and Rehabilitation, University of Ottawa Heart Institute, Ottawa, Canada
- Faculty of Medicine, University of Ottawa, Ottawa, Canada
| | | | - Paul S. Greenman
- Prevention and Rehabilitation Center, Division of Cardiac Prevention and Rehabilitation, University of Ottawa Heart Institute, Ottawa, Canada
- Université du Québec en Outaouais, Gatineau, Canada
- Monfort Hospital, Ottawa, Canada
| | - Kathleen Lalande
- Prevention and Rehabilitation Center, Division of Cardiac Prevention and Rehabilitation, University of Ottawa Heart Institute, Ottawa, Canada
| | | | - Heather Tulloch
- Prevention and Rehabilitation Center, Division of Cardiac Prevention and Rehabilitation, University of Ottawa Heart Institute, Ottawa, Canada
- Faculty of Medicine, University of Ottawa, Ottawa, Canada
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2
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Öztürk ME, Poínhos R, Afonso C, Ayhan NY, de Almeida MDV, Oliveira BMPM. Nutritional Status among Portuguese and Turkish Older Adults Living in the Community: Relationships with Sociodemographic, Health and Anthropometric Characteristics. Nutrients 2023; 15:nu15061333. [PMID: 36986063 PMCID: PMC10058781 DOI: 10.3390/nu15061333] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/06/2023] [Revised: 03/04/2023] [Accepted: 03/07/2023] [Indexed: 03/11/2023] Open
Abstract
Malnutrition is widespread among older adults, and its determinants may differ between countries. We compared Portuguese and Turkish non-institutionalized older adults regarding nutritional status, sociodemographic, health and anthropometric characteristics and studied the relationships between nutritional status and those characteristics. This cross-sectional study analyzed data from 430 Portuguese and 162 Turkish non-institutionalized older adults regarding sociodemographics, health conditions, the Mini-Nutritional Assessment (MNA-FF) and anthropometry. Turkish older adults were more likely to be malnourished or at risk of malnutrition and had lower average BMI but a higher calf circumference. A higher proportion of the Portuguese sample had tooth loss, diabetes, hypertension, oncologic diseases, kidney diseases, osteoarticular problems or eye problems, while less had anemia. A better nutritional status (higher MNA-FF score) was found among the Portuguese, males, people using dentures, those without tooth loss, hypertension, cardiovascular diseases, anemia or oncological diseases and was related to younger age, higher BMI and a higher calf circumference. Malnutrition and its risk were higher among older adults from Turkey, despite Portuguese older adults presenting a higher prevalence of chronic diseases. Being female, older age, tooth loss, hypertension, anemia, CVD or oncological disorders and having a lower BMI or CC were associated with higher rates of malnutrition among older adults from Portugal and Turkey.
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Affiliation(s)
- Meryem Elif Öztürk
- Department of Nutrition and Dietetics, Faculty of Health Sciences, Karamanoğlu Mehmetbey University, İbrahim Öktem Cd., 70100 Karaman, Turkey
| | - Rui Poínhos
- Faculty of Nutrition and Food Sciences, University of Porto, Rua do Campo Alegre, 823, 4150-180 Porto, Portugal
- Correspondence:
| | - Cláudia Afonso
- Faculty of Nutrition and Food Sciences, University of Porto, Rua do Campo Alegre, 823, 4150-180 Porto, Portugal
| | - Nurcan Yabancı Ayhan
- Department of Nutrition and Dietetics, Faculty of Health Sciences, Ankara University, Fatih Caddesi 197/7, 06290 Ankara, Turkey
| | - Maria Daniel Vaz de Almeida
- Faculty of Nutrition and Food Sciences, University of Porto, Rua do Campo Alegre, 823, 4150-180 Porto, Portugal
- GreenUPorto—Sustainable Agrifood Production Research Center, Rua da Agrária 747, 4485-646 Vairão, Portugal
| | - Bruno M. P. M. Oliveira
- Faculty of Nutrition and Food Sciences, University of Porto, Rua do Campo Alegre, 823, 4150-180 Porto, Portugal
- Artificial Intelligence and Decision Support, Institute for Systems and Computer Engineering—Technology and Science, Rua Dr. Roberto Frias, 4200-465 Porto, Portugal
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3
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Gutama F, Barliana MI, Puspitasari IM. Factors associated with health-related quality of life in patients with coronary heart disease. PHARMACIA 2022. [DOI: 10.3897/pharmacia.69.e87279] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Abstract
Coronary heart disease (CHD) contributes to decreased health-related quality of life (HRQOL). This review article investigates the factors that can affect the HRQOL in CHD patients. A literature search from PubMed and EBSCO databases was performed until March 2021 with predetermined keywords. The review of 15 included articles showed that many factors that can affect the HRQOL by using EQ-5D instrument in CHD patients, such as education, gender, comorbidity, percutaneous coronary intervention (PCI)/coronary artery bypass graft (CABG) intervention, patient-physician interaction, obesity, physical activity, numbers of medication, smoking, self-efficacy, social/family life, alcohol drinking, income, employment, and behavioral risk factor profile. The top three factors associated with HRQOL in CHD patients were education, gender, and comorbidity. Therefore, we should pay more attention to CHD patients with lower education levels, females, and comorbidity.
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Du H, Newton PJ, Budhathoki C, Everett B, Salamonson Y, Macdonald PS, Davidson PM. The Home-Heart-Walk study, a self-administered walk test on perceived physical functioning, and self-care behaviour in people with stable chronic heart failure: A randomized controlled trial. Eur J Cardiovasc Nurs 2017; 17:235-245. [PMID: 28857618 DOI: 10.1177/1474515117729779] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/18/2022]
Abstract
BACKGROUND Adherence to self-care recommendations is associated with improved patient outcomes and improved quality of life for people living with heart failure. The Home-Heart-Walk (HHW) is an intervention to promote physical activity adapting the elements of a six minute walk test, a reliable and valid measure. This adaptation was designed to support self-monitoring of physical functioning and promote the self-care of people with heart failure. The primary outcome of the Home-Heart-Walk was perceived physical functioning and the secondary outcomes were six-minute walk test distance, health related quality of life, self-care behaviour, self-efficacy and physical activity level. METHODS A multicentre randomized controlled trial. Participants ( N=132) were recruited from three academic hospitals in Sydney, Australia. Participants were randomized to either the Home-Heart-Walk group or the control group. Perceived physical functioning, health related quality of life, self-care behaviour, exercise self-efficacy and physical activity level were measured at baseline and at three- and six-month follow-up. RESULTS After adjusting for baseline scores, there were no statistically significant between-group differences in perceived physical functioning, six-minute walk test distance, health related quality of life and exercise self-efficacy at follow-up. The intervention group had improvement in self-care behaviour ( F(1,129) = 4.75, p = 0.031) and physical activity level ( U = 1713, z = -2.12, p = 0.034) at the six-month follow-up compared with the control group. CONCLUSION The Home-Heart-Walk did not improve the perceived physical functioning of the intervention group. Although the feasibility and acceptability of this strategy to support self-monitoring and improve self-care behaviour was demonstrated, self-reported adherence was unreliable; newer technologies may offer better assessment of adherence.
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Affiliation(s)
- Huiyun Du
- 1 College of Nursing and Health Science, Flinders University, Australia
| | - Phillip J Newton
- 2 Centre for Cardiovascular & Chronic Care, University of Technology Sydney, Australia
| | | | - Bronwyn Everett
- 4 School of Nursing & Midwifery, University of Western Sydney, Australia.,5 Centre for Applied Nursing Research, Ingham Institute for Applied Medical Research, Liverpool, Australia
| | - Yenna Salamonson
- 4 School of Nursing & Midwifery, University of Western Sydney, Australia.,5 Centre for Applied Nursing Research, Ingham Institute for Applied Medical Research, Liverpool, Australia
| | - Peter S Macdonald
- 6 St Vincent's Hospital, Darlinghurst, & Victor Chang Cardiac Research Institute, Sydney, Australia
| | - Patricia M Davidson
- 2 Centre for Cardiovascular & Chronic Care, University of Technology Sydney, Australia.,3 School of Nursing, Johns Hopkins University, USA
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Lillevik SA, Schroter S, Hanssen TA. Translation and validation of the Norwegian version of the Coronary Revascularisation Outcome Questionnaire. Eur J Cardiovasc Nurs 2017; 17:36-44. [PMID: 28617044 DOI: 10.1177/1474515117715841] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
BACKGROUND Health-related quality of life (HRQOL) questionnaires are increasingly used as outcome measures in research and clinical practice to assess treatment effectiveness in coronary heart disease (CHD) alongside traditional outcome measures. The Coronary Revascularisation Outcome Questionnaire (CROQ) is a patient-reported outcome measure (PROM) to evaluate health outcomes and HRQOL before and after coronary artery bypass grafting surgery (CABG) and percutaneous coronary intervention (PCI). AIM To translate the CROQ-PCI from English into Norwegian and test its psychometric properties. METHODS Independent forward and backward translation was done following international guidelines. The CROQ was then pretested with both healthcare professionals and patients before the psychometric properties were field tested in a sample of patients who had undergone PCI. Psychometric testing included an evaluation of: acceptability; tests of scaling assumptions; reliability; content validity; construct validity based on within-scale analyses; and construct validity based on comparisons with external measures. RESULTS 171 of 258 (66%) invited patients participated. The CROQ was acceptable to patients (low proportion of missing data and good response rate), reliable (good internal consistency and test-retest reliability for all scales), had good content validity (reported by both patients and healthcare professionals) and good construct validity (convergent validity with the SF-12 and Seattle Angina Questionnaire, known groups validity and factor analysis). CONCLUSION The Norwegian version of CROQ-PCI is a reliable and valid PROM for assessing HRQOL in CHD patients. Further testing of its responsiveness and ability to detect change is needed before recommending its use in Norwegian clinical practice and research.
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Affiliation(s)
- Siw A Lillevik
- 1 Department of Cardiology, University Hospital of North Norway, Tromsø, Norway
| | | | - Tove A Hanssen
- 1 Department of Cardiology, University Hospital of North Norway, Tromsø, Norway.,3 Cardiovascular Research Group Institute of Clinical Medicine, The Arctic University of Norway, Tromsø, Norway
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De Bardi S, Lorenzoni G, Gregori D. Social support to elderly pacemaker patients improves device acceptance and quality of life. Eur Geriatr Med 2016. [DOI: 10.1016/j.eurger.2016.02.001] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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Shin S, Kim J, Jung D. Traditional Yangsaeng oriental health promotion in patients with cardiovascular disease. Int Nurs Rev 2015; 62:312-20. [DOI: 10.1111/inr.12187] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Affiliation(s)
- S. Shin
- Department of Nursing; College of Medicine; Soonchunhyang University; Cheonan South Korea
| | - J.H. Kim
- Department of Nursing; College of Health Sciences; Dankook University; Cheonan South Korea
| | - D. Jung
- Division of Nursing Science; College of Health Sciences; Ewha Womans University; Seoul South Korea
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Younge JO, Gotink RA, Baena CP, Roos-Hesselink JW, Hunink MGM. Mind-body practices for patients with cardiac disease: a systematic review and meta-analysis. Eur J Prev Cardiol 2014; 22:1385-98. [PMID: 25227551 DOI: 10.1177/2047487314549927] [Citation(s) in RCA: 51] [Impact Index Per Article: 5.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/08/2014] [Accepted: 08/13/2014] [Indexed: 12/15/2022]
Abstract
BACKGROUND Due to new treatment modalities in the last decades, a decline in cardiovascular deaths has been observed. There is an emerging field of secondary prevention and behavioural programmes with increased interest in the use of mind-body practices. Until now, these have not been established in cardiovascular disease treatment programmes. DESIGN We performed a systematic review and meta-analysis of the available evidence on the effectiveness of mind-body practices for patients with diagnosed cardiac disease. METHODS We included randomized controlled trials (RCTs), published in English, reporting mind-body practices for patients with diagnosed cardiac disease. EMBASE, MEDLINE, Pubmed, Web of Science, The Cochrane Central Register of Controlled Trials and PsycINFO were searched up to July 2013. Two reviewers independently identified studies for inclusion and extracted data on study characteristics, outcomes (Quality of Life, anxiety, depression, physical parameters and exercise tolerance) and quality assessment. Standardized effect sizes (Cohen's d) were calculated comparing the outcomes between the intervention and control group and random effects meta-analysis was conducted. RESULTS We identified 11 unique RCTs with an overall low quality. The studies evaluated mindfulness-based stress reduction, transcendental meditation, progressive muscle relaxation and stress management. Pooled analyses revealed effect sizes of 0.45 (95%CI 0.20-0.72) for physical quality of life, 0.68 (95%CI 0.10-1.26) for mental quality of life, 0.61 (95%CI 0.23-0.99) for depression, 0.52 (95%CI 0.26-0.78) for anxiety, 0.48 (95%CI 0.27-0.69) for systolic blood pressure and 0.36 (95%CI 0.15-0.57) for diastolic blood pressure. CONCLUSIONS Mind-body practices have encouraging results for patients with cardiac disease. Our review demonstrates the need for high-quality studies in this field.
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Affiliation(s)
- John O Younge
- Department of Cardiology, Erasmus MC, University Medical Centre, Rotterdam, the Netherlands Department of Epidemiology, Erasmus MC, University Medical Centre, Rotterdam, the Netherlands
| | - Rinske A Gotink
- Department of Epidemiology, Erasmus MC, University Medical Centre, Rotterdam, the Netherlands
| | - Cristina P Baena
- School of Medicine, Pontifícia Universidade Católica do Paraná, Curitiba, Brazil
| | | | - M G Myriam Hunink
- Department of Epidemiology, Erasmus MC, University Medical Centre, Rotterdam, the Netherlands Department of Radiology, Erasmus MC, Erasmus MC, University Medical Centre, Rotterdam, the Netherlands Department of Health Policy and Management, Harvard School of Public Health, Boston, MA, USA
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9
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Hosang GM, Johnson SL, Kiecolt-Glaser J, Di Gregorio MP, Lambert DR, Bechtel MA, Hearne DW, Herron JB, Glaser R. Gender specific association of child abuse and adult cardiovascular disease in a sample of patients with basal cell carcinoma. CHILD ABUSE & NEGLECT 2013; 37:374-9. [PMID: 23347911 PMCID: PMC3845899 DOI: 10.1016/j.chiabu.2012.09.018] [Citation(s) in RCA: 20] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/28/2012] [Revised: 09/19/2012] [Accepted: 09/21/2012] [Indexed: 05/21/2023]
Abstract
OBJECTIVE The aim of this study is to examine whether child abuse or neglect is more strongly associated with adult cardiovascular disease, and whether these associations differ by gender. METHODS A total of 116 participants (mean age 57.75 years) reported their experience of childhood maltreatment using the well-validated Childhood Experience of Care and Abuse Questionnaire. Cardiovascular disease was assessed using the Older Adults Resources Survey Multidimensional Functional Assessment Questionnaire. RESULTS Child abuse but not neglect was significantly associated with adult cardiovascular disease. The significant relationship between child abuse and cardiovascular disease was specific to women. CONCLUSION The results of this study indicate that being abused as a child is significantly associated with cardiovascular disease in adulthood, particularly among women.
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Affiliation(s)
- Georgina M Hosang
- MRC Social, Genetic and Developmental Psychiatry Centre, Institute of Psychiatry, King's College London, De Crespigny Park, London SE5 8AF, UK
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Jaarsma T, Strömberg A, Thompson DR. What’s going on at age 11: development of the European Journal of Cardiovascular Nursing. Eur J Cardiovasc Nurs 2012; 11:7-8. [DOI: 10.1177/1474515112438322] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Affiliation(s)
- Tiny Jaarsma
- Department of Social and Welfare Studies, Faculty of Health Sciences, Linköping University, Norrköping, Sweden
| | - Anna Strömberg
- Division of Nursing Science, Department of Medicine and Health Sciences, Linköping University, Faculty of Health Sciences Linköping University, Sweden
| | - David R Thompson
- Cardiovascular Research Centre(CvRC), Australian Catholic University, Melbourne, Australia
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Gjeilo KH, Wahba A, Klepstad P, Lydersen S, Stenseth R. Recovery patterns and health-related quality of life in older patients undergoing cardiac surgery: a prospective study. Eur J Cardiovasc Nurs 2011; 11:322-30. [DOI: 10.1016/j.ejcnurse.2011.05.002] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Affiliation(s)
- Kari Hanne Gjeilo
- Department of Cardiothoracic Surgery, St. Olav’s Hospital, Trondheim University Hospital, Trondheim, Norway
- National Competence Centre for Complex Symptom Disorders, St. Olav’s Hospital, Trondheim University Hospital, Trondheim, Norway
- Faculty of Nursing, Sør-Trøndelag University College, Trondheim, Norway
| | - Alexander Wahba
- Department of Cardiothoracic Surgery, St. Olav’s Hospital, Trondheim University Hospital, Trondheim, Norway
- Department of Circulation and Medical Imaging, Faculty of Medicine, Norwegian University of Science and Technology, Trondheim, Norway
| | - Pål Klepstad
- Department of Circulation and Medical Imaging, Faculty of Medicine, Norwegian University of Science and Technology, Trondheim, Norway
- Department of Intensive Care Medicine, St. Olav’s Hospital, Trondheim University Hospital, Trondheim, Norway
| | - Stian Lydersen
- The Regional Centre for Child and Adolescent Mental Health, Department of Neuroscience, Norwegian University of Science and Technology, Trondheim, Norway
| | - Roar Stenseth
- Department of Circulation and Medical Imaging, Faculty of Medicine, Norwegian University of Science and Technology, Trondheim, Norway
- Department of Cardiothoracic Anaesthesiology St. Olav’s Hospital, Trondheim University Hospital, Trondheim, Norway
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