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Tavakouli Kohjehri M, Kahrazei F. Relationship of Personality Traits With Quality of Life in Spouses of Patients With Physical Disabilities. JOURNAL OF REHABILITATION 2017. [DOI: 10.21859/jrehab-1802130] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022] Open
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Webster RA, Thompson DR, Mayou RA. The Experiences and Needs of Gujarati Hindu Patients and Partners in the First Month after a Myocardial Infarction. Eur J Cardiovasc Nurs 2016; 1:69-76. [PMID: 14622870 DOI: 10.1016/s1474-5151(01)00005-6] [Citation(s) in RCA: 49] [Impact Index Per Article: 6.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Abstract
BACKGROUND South Asian people living in the United Kingdom are at increased risk of coronary heart disease, have higher mortality rates and are less likely to be treated when compared to the white population. There is, however, little information about the experiences and needs of this group after discharge from hospital. AIMS To explore the experiences and needs of Gujarati Hindu patients and their partners in the first month after a myocardial infarction. METHODS Using a qualitative research approach, semi-structured interviews were conducted by a Gujarati-speaking researcher with 35 patients and their partners at home during early convalescence. RESULTS A number of categories emerged from the data which pertained to a lack of information and advice, poor performance of activity, little lifestyle adjustment, poor expectations, lack of future plans, strong family support, dissatisfaction with the family doctor, and a significant belief in fate. CONCLUSION Experiences and health care needs of Gujarati Hindu patients with myocardial infarction appear different to those of non-Asians. Cardiac aftercare and rehabilitation services should take account of such information
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Leigh ES, Wikman A, Molloy GJ, Randall G, Steptoe A. The psychosocial predictors of long-term distress in partners of patients with acute coronary syndrome. Psychol Health 2014; 29:737-52. [DOI: 10.1080/08870446.2014.882921] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
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Bressi C, Porcellana M, Pedrinazzi C, Manoussakis C, Marinaccio P, Magri L, Inama G. Expressed emotion in wives of myocardial infarction patients: an exploratory feasibility study. J Cardiovasc Med (Hagerstown) 2009; 10:752-7. [DOI: 10.2459/jcm.0b013e32832cae71] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/19/2022]
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de Klerk JE, du Plessis WF, Steyn HS. The effect of hypnotherapeutic ego strengthening with female spouses of South African coronary artery bypass surgery patients. AMERICAN JOURNAL OF CLINICAL HYPNOSIS 2006; 49:59-72. [PMID: 16889362 DOI: 10.1080/00029157.2006.10401552] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/17/2022]
Abstract
In addition to exacerbating morbidity in male coronary artery bypass surgery (CABS) patients, their plight can also impose considerable strain on their female spouses' mood states, resulting in compromised quality of life. The current study was aimed at determining the impact of pre postoperative hypnotherapeutic ego strengthening (HES) on anxiety and depression in female spouses. It was conducted simultaneously with a recently published study of their CABS husbands' response to HES. Spouses whose husbands had been randomly assigned to an experimental group, were designated the experimental spouse group (n = 25) and spouses whose husbands constituted the control group, likewise comprised the control spouse group (n = 25). Assessment occurred preoperatively, on the day of discharge and at six week follow-up. Spouses in the experimental group (n = 25) were introduced to hypnotherapeutic ego strengthening (HES), pre and postoperatively. In the postoperative assessment experimental female spouses showed significantly reduced morbidity levels, which were maintained at follow-up. In contrast, females in the control group (n = 25) showed no change. The results supported the value of brief hypnotherapy as a means of psychologically empowering spouses whose husbands' were undergoing CABS.
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JoÃo Figueiras M, Weinman J. Do similar patient and spouse perceptions of myocardial infarction predict recovery? Psychol Health 2003. [DOI: 10.1080/0887044021000057266] [Citation(s) in RCA: 64] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
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Santavirta N, Kettunen S, Solovieva S. Coping in spouses of patients with acute myocardial infarction in the early phase of recovery. J Cardiovasc Nurs 2001; 16:34-46. [PMID: 11587239 DOI: 10.1097/00005082-200110000-00006] [Citation(s) in RCA: 21] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
The purpose of this study was (1) to determine the coping strategies employed by spouses of patients with AMI in the early phase of the crisis, (2) to define the role of age, gender, health perception, time since infarction, spouses' fears, and negative life events in the choice of coping strategies applied, and (3) to test the effect of coping strategies on physical and psychological strain. Fifty-seven spouses participated in the study, 47 were female and 10 were male. Data were collected by structured questionnaires, which were distributed to the spouses from 2 weeks-4 months after the patient's AMI. The researchers found that age, negative life event during the last 12 months, time since infarction, and the spouse's fears influenced the choice of strategies. In the early stage of the crisis, positive reappraisal seems to be a strategy that increased physical strain. Spouses' need for social support in the early stage of the crisis is a factor for health care providers to bear in mind. Besides giving information, empathy, and understanding, health care personnel can try to assist spouses in their efforts to reappraise their situation.
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Affiliation(s)
- N Santavirta
- Department of Education, University of Helsinki, Finland.
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Mårtensson J, Dracup K, Fridlund B. Decisive situations influencing spouses' support of patients with heart failure: a critical incident technique analysis. Heart Lung 2001; 30:341-50. [PMID: 11604976 DOI: 10.1067/mhl.2001.116245] [Citation(s) in RCA: 60] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
Abstract
OBJECTIVE The aim of this study was to describe decisive situations experienced by spouses of patients with heart failure that could potentially affect their ability to provide social support to the patient. METHODS A qualitative descriptive design with a critical incident technique was used. Twenty-three informants, 15 women and 8 men, who were spouses of patients with severe heart failure were strategically chosen to ensure maximal variation in sociodemographic data and experiences as a spouse. RESULTS Decisive situations influenced the experience of spouses of patients with heart failure in a manner that was either positive (involvement with others) or negative (feeling like an outsider). When spouses were given attention and treated like persons of value, they experienced involvement with others. In these cases, spouses had someone to turn to and were included in the physical care. In contrast, when spouses were kept at a distance by the patient, were socially isolated, and received insufficient support from children, friends, and health care professionals, they experienced feeling like an outsider. CONCLUSIONS By identifying spouses' experiences, health care professionals can assess which kind of specific interventions should be used to improve the life situation of the patient with heart failure and his or her spouse.
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Affiliation(s)
- J Mårtensson
- Department of Cardiology, Ryhov County Hospital, Jönköping, Sweden
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Hallaraker E, Arefjord K, Havik OE, Mæland JG. Social support and emotional adjustment during and after a severe life event: A study of wives of myocardial infarction patients. Psychol Health 2001. [DOI: 10.1080/08870440108405511] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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Kettunen S, Solovieva S, Laamanen R, Santavirta N. Myocardial infarction, spouses' reactions and their need of support. J Adv Nurs 1999; 30:479-88. [PMID: 10457251 DOI: 10.1046/j.1365-2648.1999.01103.x] [Citation(s) in RCA: 45] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Abstract
The purpose of this study was to investigate the impact of myocardial infarction (MI) on survivor's spouses in terms of fears and symptoms during the patient's recovery period. In addition the researchers sought to evaluate the influence of the support by the health care professionals on spouses' adjustment. A total of 57 Finnish spouses participated in the study. Of the spouses 47 were female and 10 were male. Data were collected using a structured questionnaire distributed to the spouses at a rehabilitation session at 2 weeks-4 months after the MI. Topics covered included fears, emotional and physical symptoms and the spouses' experience of the sufficiency of the support that they had received from health care professionals during the patient's recovery. Data were analysed using quantitative methods including descriptive statistics and multivariate methods. Fears and symptoms were classified using factor analyses. For fears two factors emerged which were named: disease-related fears and personal fears. In respect of symptoms experienced by the spouse three factors emerged: one which describes emotional distress, one which describes dysfunction and one describing spouses' own vulnerability. The significantly most intensively experienced fears by the spouses were the disease-related fears followed by the personal fears. The most frequently reported symptom was dysfunction followed by emotional distress and vulnerability. In regression analysis emotional distress was predicted by personal fears, support from the health care professionals, the shock reaction, spouse's own health and time after MI. Dysfunction was predicted by spouse's own health and personal fears whereas vulnerability was predicted by spouse's own health and support from the health care professionals. Study findings show that in the planning of the care of patients with MI it is important to attend to the reactions and needs of spouses. Their resources are required for optimal rehabilitation of the patient.
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Affiliation(s)
- S Kettunen
- Department of Public Health, University of Helsinki, Helsinki, Finland
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Arefjord K, Hallaråker E, Havik OE, Maeland JG. Life after a myocardial infarction--the wives' point of view. Psychol Rep 1998; 83:1203-16. [PMID: 10079717 DOI: 10.2466/pr0.1998.83.3f.1203] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
37 wives of patients with myocardial infarction (MI) were interviewed after the index MI to examine the consequences with regard to quality of marital relationship, symptoms of distress, worries and concerns and to evaluate the long-term outcome from the wives' personal point of view. The interviews were done at three times: during hospitalisation, three months after discharge, and 10 years post index MI. Our findings suggest relatively minor and time-limited adjustment problems concerning marital relationship and symptoms of distress. In a long-term perspective, only a few lasting changes were found. On the other hand, the wives' subjective assessment of the long-term effects of the infarct within different domains of life indicated that the illness episode had a comprehensive negative influence on their quality of life. In accordance with this, the majority reported that the myocardial infarction was still not a closed episode.
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Affiliation(s)
- K Arefjord
- University of Bergen, Department of Clinical Psychology, Norway.
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Nelson DV, Baer PE, Cleveland SE. Family stress management following acute myocardial infarction: an educational and skills training intervention program. PATIENT EDUCATION AND COUNSELING 1998; 34:135-145. [PMID: 9731173 DOI: 10.1016/s0738-3991(97)00090-6] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/22/2023]
Abstract
Although the experience of acute myocardial infarction (AMI) is a family affair, little has been available to guide stress and distress reduction efforts focusing on all members of the family compared to the somewhat larger literature addressing stress management interventions with cardiac patients. This article provides a conceptual background for a specific behavioral therapy approach to family stress management in dealing with the sequelae of AMI for all family members with the goal of reducing morbidity for all family members as they cope with ongoing survivorship issues. The family intervention program is described and its pilot implementation discussed. Evaluation of the pilot suggests that an individually tailored focus for that subset of families at higher risk for elevated persistent distress may be the most cost-effective use of such a family intervention program.
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Affiliation(s)
- D V Nelson
- Department of Anesthesiology, University of Texas-Houston Health Science Center 77030, USA
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Arefjord K, Hallaråeri E, Hawk OE, Mæland JG. Myocardial infarction—emotional consequences for the wife. Psychol Health 1998. [DOI: 10.1080/08870449808406137] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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Rose GL, Suls J, Green PJ, Lounsbury P, Gordon E. Comparison of adjustment, activity, and tangible social support in men and women patients and their spouses during the six months post-myocardial infarction. Ann Behav Med 1996; 18:264-72. [DOI: 10.1007/bf02895288] [Citation(s) in RCA: 30] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022] Open
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Abstract
Evidence pertaining to the efficacy of cognitive-behavioural interventions, broadly defined, in cardiac rehabilitation is reviewed. Primary concerns lie with risk reduction and with the amelioration of psychological distress following myocardial infarction. The available data permit few definitive conclusions. The available data, on balance, suggest that programmes targeted at reducing Type A behaviours, smoking cessation, increasing exercise, or which teach stress management techniques, may be effective in reducing psychological distress and increasing effective coping, although frequently only in the short-term; it is more difficult to point to long-lasting advantage in this context. In addition, psychological interventions of this sort would seem to be associated with positive behavioural change. However, there is, as yet, little concerted evidence that such changes afford benefits in terms of coronary heart disease mortality or morbidity. Nevertheless, the pessimism of these conclusions may reflect shortcomings in study design and the failure to optimally match patients to programmes rather than an intrinsic lack of efficacy of the interventions.
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Affiliation(s)
- P Bennett
- Gwent Psychology Services, Newport, U.K
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Sotile WM, Sotile MO, Sotile LJ, Ewen GS. Marital and family factors relevant to cardiac rehabilitation: An integrative review of the psychosocial literature. ACTA ACUST UNITED AC 1993. [DOI: 10.1080/15438629309511985] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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