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Ghazisaeedi M, Shahmoradi L, Garavand A, Maleki M, Abhari S, Ladan M, Mehdizadeh S. Developing a Clinical Decision Support System for Prediction Postoperative Coronary Artery Bypass Grafting Infection in Diabetic Patients. J Biomed Phys Eng 2022; 12:583-590. [PMID: 36569563 PMCID: PMC9759640 DOI: 10.31661/jbpe.v0i0.2011-1235] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/23/2020] [Accepted: 12/20/2020] [Indexed: 06/17/2023]
Abstract
BACKGROUND Postoperative infection in Coronary Artery Bypass Graft (CABG) is one of the most common complications for diabetic patients, due to an increase in the hospitalization and cost. To address these issues, it is necessary to apply some solutions. OBJECTIVE The study aimed to the development of a Clinical Decision Support System (CDSS) for predicting the CABG postoperative infection in diabetic patients. MATERIAL AND METHODS This developmental study is conducted on a private hospital in Tehran in 2016. From 1061 CABG surgery medical records, we selected 210 cases randomly. After data gathering, we used statistical tests for selecting related features. Then an Artificial Neural Network (ANN), which was a one-layer perceptron network model and a supervised training algorithm with gradient descent, was constructed using MATLAB software. The software was then developed and tested using the receiver operating characteristic (ROC) diagram and the confusion matrix. RESULTS Based on the correlation analysis, from 28 variables in the data, 20 variables had a significant relationship with infection after CABG (P<0.05). The results of the confusion matrix showed that the sensitivity of the system was 69%, and the specificity and the accuracy were 97% and 84%, respectively. The Receiver Operating Characteristic (ROC) diagram shows the appropriate performance of the CDSS. CONCLUSION The use of CDSS can play an important role in predicting infection after CABG in patients with diabetes. The designed software can be used as a supporting tool for physicians to predict infections caused by CABG in diabetic patients as a susceptible group. However, other factors affecting infection must also be considered for accurate prediction.
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Affiliation(s)
- Marjan Ghazisaeedi
- PhD, Department of Health Information Management, School of Allied Medical Sciences, Tehran University of Medical Sciences, Tehran, Iran
| | - Leila Shahmoradi
- PhD, Department of Health Information Management, School of Allied Medical Sciences, Tehran University of Medical Sciences, Tehran, Iran
| | - Ali Garavand
- PhD, Department of Health Information Technology, School of Allied Medical Sciences, Lorestan University of Medical Sciences, Khorramabad, Iran
| | - Masoumeh Maleki
- MSc, Department of Health Information Management, School of Allied Medical Sciences, Tehran University of Medical Sciences, Tehran, Iran
| | - Shahabeddin Abhari
- PhD, Amol Faculty of Paramedical Sciences, Mazandaran University of Medical Sciences, Sari, Iran
| | - Marjan Ladan
- MD, Department of Cardiology, Pars Hospital, Tehran, Iran
| | - Sina Mehdizadeh
- MSc, Department of Robotic Engineering, Shahrood University of Technology, Shahrood, Iran
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Zhang Z, Zhang L, Zheng J, Xiao H, Li Z. COVID-19-Related Disruptions and Increased mHealth Emergency Use Intention: Experience Sampling Method Study. JMIR Mhealth Uhealth 2020; 8:e20642. [PMID: 33315579 PMCID: PMC7775377 DOI: 10.2196/20642] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/06/2020] [Revised: 08/03/2020] [Accepted: 12/11/2020] [Indexed: 01/26/2023] Open
Abstract
BACKGROUND The COVID-19 pandemic has become a global public health event, which has raised concerns regarding individuals' health. Individuals need to cope with the COVID-19 pandemic with guidelines on symptom recognition, home isolation, and maintain mental health. Besides routine use of mobile health (mHealth) such as accessing information to keep healthy, individuals can use mHealth services in situations requiring urgent medical care, which is defined as mHealth emergency use. It is not known whether individuals have increased their daily mHealth services emergency use as a result of disruptions caused by the COVID-19 pandemic. OBJECTIVE The purpose of this diary analysis study is to assess the influences of daily disruptions related to the COVID-19 pandemic on individuals' mHealth emergency use. The secondary purpose of this study is to explore the mediating role of COVID-19-induced strain and the moderating role of promotion regulatory focus in the relationship between daily disruptions of COVID-19 and mHealth emergency use. Drawing from the cognitive activation theory of stress, we investigated the underlying mechanism and boundary condition of the influence of COVID-19-related disruptions on daily mHealth emergency use. METHODS To test the proposed model, this study adopts the experience sampling method to collect daily data. The experience sampling method helps researchers to capture participants' fluctuations in emotions, mental engagement in an activity, and experienced stress. This study collected 550 cases nested in 110 samples in mainland China to test the conceptual model. In addition, we employed hierarchical linear modeling analysis to test the effect of COVID-19-related disruptions on mHealth emergency use. RESULTS We found that COVID-19-related disruptions increased COVID-19-induced strain (γ=0.24, P<.001) and mHealth emergency use on a daily basis (γ=0.28, P<.001). COVID-19-induced daily strain mediated this relationship (effect=0.09, 95% CI 0.05-0.14). Promotion regulatory focus moderated the relationship between COVID-19-induced strain and mHealth emergency use (γ=0.35, P=.02). In addition, the indirect relationship between disruptions and mHealth emergency use intentions through COVID-19-induced strain is contingent upon promotion regulatory focus: this relationship was stronger in those with high promotion regulatory focus (effect=0.12, 95% CI 0.06-0.19) than in those with low promotion regulatory focus (effect=0.06, 95% CI 0.02-0.11). CONCLUSIONS Event disruption of the COVID-19 pandemic induced mHealth emergency use intention through increased psychological strain. Furthermore, individuals' promotion regulatory focus amplified this indirect relationship. Our findings extend our understanding of the factors underlying mHealth emergency use intention and illustrate the potential contingent role of promotion regulatory focus in the cognitive activation theory of stress. This study also opens avenues for future research on mHealth emergency use intention in other countries and cultural settings.
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Affiliation(s)
- Zhenduo Zhang
- School of Management, Harbin Institute of Technology, Harbin, China
| | - Li Zhang
- School of Management, Harbin Institute of Technology, Harbin, China
| | - Junwei Zheng
- Department of Construction Management, Kunming University of Science and Technology, Kunming, China
| | - Huan Xiao
- School of Management, Harbin Institute of Technology, Harbin, China
| | - Zhigang Li
- School of Economics and Management, Beijing Polytechnic, Beijing, China
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Chasiotis A, Wedderhoff O, Rosman T, Mayer AK. Why do we want health information? The goals associated with health information seeking (GAINS) questionnaire. Psychol Health 2019; 35:255-274. [PMID: 31340675 DOI: 10.1080/08870446.2019.1644336] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
Abstract
Objective: Individual goals of health information seeking have been widely neglected by previous research, let alone systematically assessed. The authors propose that these goals may be classified on two dimensions, namely coping focus (problem versus emotion oriented) and regulatory focus (promotion versus prevention oriented).Methods: Based on this classification, the authors developed the 16-item Goals Associated with Health Information Seeking (GAINS) questionnaire measuring the four goals 'understanding', 'action planning', 'hope' and 'reassurance' on four scales, and a superordinate general need for health information. Three studies were conducted to assess the psychometric properties of the questionnaire.Results: In the first two studies (N = 150 and N = 283), internal consistency of the scales was acceptable to very good, and all items had a satisfying discriminatory power. Factorial validity was corroborated by an acceptable model fit in confirmatory factor analyses. In the third study, which included a patient sample (N = 502), the questionnaire proved to be suitable for its target group and nomological relationships with personality as well as with situational variables providing evidence for construct validity.Conclusion: The GAINS is a reliable and valid assessment tool, which enables researchers and practitioners to identify an individual's goals related to health information seeking.
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Affiliation(s)
- Anita Chasiotis
- Leibniz Institute for Psychology Information, Trier, Germany
| | | | - Tom Rosman
- Leibniz Institute for Psychology Information, Trier, Germany
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Douma LN, Uiters E, Timmermans DRM. Do people with a different goal-orientation or specific focus make different decisions about colorectal cancer-screening participation? PLoS One 2019; 14:e0213003. [PMID: 30817788 PMCID: PMC6394955 DOI: 10.1371/journal.pone.0213003] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/20/2018] [Accepted: 02/13/2019] [Indexed: 11/19/2022] Open
Abstract
Objective Previous studies have shown that having promotion-oriented goals (e.g. wanting to become healthy) or prevention-oriented goals (e.g. wanting to avoid getting ill) can affect people’s health-related decisions and behaviour by emphasising aspects and information that seem relevant in light of what they want to achieve. However, this issue has not yet been researched regarding colorectal cancer (CRC) screening. With our study, we aimed to examine the relationship between people’s goal-orientation or focus on advantages or disadvantages and their CRC screening participation, as this could provide insights for supporting people in making this complex decision. Methods An online survey was carried out among a sample of first-time CRC screening invitees (1282 respondents, response rate 49%). We assessed people’s goal-orientation (i.e. promotion-orientation and prevention-orientation), focus on the advantages or disadvantages of CRC screening, screening participation and main considerations (e.g. cancer is a serious illness) concerning their screening decision. Results Generally, CRC screening participants scored higher on both promotion-orientation and prevention-orientation than non-participants. Both CRC screening participation and non-participation were not associated with a dominant goal-orientation. CRC screening participants did show a dominant focus on the advantages of CRC screening. Mediation analysis showed support for our premise that the relationship between people’s goal-orientation or focus on advantages or disadvantages and their screening participation could be (partially) mediated by people’s main considerations concerning CRC screening. Conclusion CRC screening participants and non-participants differed in their goal-orientation and focus on advantages or disadvantages. CRC screening participation appears to be associated with a focus on the advantages of CRC screening, which could impede the making of an informed decision. CRC screening non-participation appears not to be associated with any clear goal-orientation or focus, or we have not yet managed to capture this, which could be either beneficial or problematic for making an informed decision.
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Affiliation(s)
- Linda N. Douma
- Department of Public and Occupational Health, Amsterdam Public Health Research Institute, VU University Medical Center, Van der Boechorststraat 7, BT Amsterdam, The Netherlands
- National Institute for Public Health and the Environment (RIVM), BA Bilthoven, The Netherlands
- * E-mail:
| | - Ellen Uiters
- National Institute for Public Health and the Environment (RIVM), BA Bilthoven, The Netherlands
| | - Danielle R. M. Timmermans
- Department of Public and Occupational Health, Amsterdam Public Health Research Institute, VU University Medical Center, Van der Boechorststraat 7, BT Amsterdam, The Netherlands
- National Institute for Public Health and the Environment (RIVM), BA Bilthoven, The Netherlands
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Berg Gundersen AE, Sørlie T, Bergvik S. Women with coronary heart disease – making sense of their symptoms and their experiences from interacting with their general practitioners. Health Psychol Behav Med 2017. [DOI: 10.1080/21642850.2016.1263574] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022] Open
Affiliation(s)
| | - Tore Sørlie
- Department of Clinical Medicine, UiT The Arctic University of Norway, Tromsø, Norway
- Department of Mental Health and Substance Abuse, The University Hospital of North Norway, Tromsø, Norway
| | - Svein Bergvik
- Department of Psychology, UiT The Arctic University of Norway, Tromsø, Norway
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Kassianos AP, Symeou M, Ioannou M. The health locus of control concept: Factorial structure, psychometric properties and form equivalence of the Multidimensional Health Locus of Control scales. Health Psychol Open 2016; 3:2055102916676211. [PMID: 35223073 PMCID: PMC8864536 DOI: 10.1177/2055102916676211] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/19/2022] Open
Abstract
Contradictory evidence exists on the Multidimensional Health Locus of Control
scale’s factor structure and the psychometric equivalence between Form A and
Form B. University students (N = 359) completed the
Multidimensional Health Locus of Control and General Self-Efficacy scales. The
three-factor model had better fit and parsimony in both Forms. ‘Internal’ scale
negatively correlated with ‘chance’ but positively with ‘others’. The two
external scales positively correlated. The scales’ reliability was satisfactory,
but the two Forms were not psychometrically equivalent. Convergent validity was
confirmed. The evidence suggests a three-factor structure and psychometric
non-equivalence of the two Forms. Researchers should make an informed choice on
which Form to use.
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7
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Gabarron E, Wynn R. Use of social media for sexual health promotion: a scoping review. Glob Health Action 2016; 9:32193. [PMID: 27649758 PMCID: PMC5030258 DOI: 10.3402/gha.v9.32193] [Citation(s) in RCA: 80] [Impact Index Per Article: 10.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/09/2016] [Revised: 08/12/2016] [Accepted: 08/13/2016] [Indexed: 11/20/2022] Open
Abstract
BACKGROUND In order to prevent sexually transmitted infections (STIs), the World Health Organization recommends educating people on sexual health. With more than 2 billion active users worldwide, online social media potentially represent powerful channels for health promotion, including sexual health. OBJECTIVE To review the scientific literature on the use of online social media for sexual health promotion. DESIGN A search was conducted of scientific and medical databases, and grey literature was also included. The selected publications were classified according to their study designs, sexual health promotion main subject, target audience age, and social media use. RESULTS Fifty-one publications were included; 4 publications presenting randomized intervention studies, 39 non-randomized intervention studies, and 8 observational studies. In 29 publications (56.9%), the main subject of the sexual health promotion was 'general' or to increase STI testing. Thirty publications (58.8%) specifically focused on youth or young people (aged 11-29 years). Fourteen publications that used social media either as unique channels for sexual health promotion interventions or as a tool supporting the sexual health promotion reported an effect on behavior (27%), and two of those studies found a reduction in the number of positive chlamydia and gonorrhea cases linked to social media intervention. Forty-four publications (86.3%) involved Facebook in some way. CONCLUSIONS Although billions of people worldwide actively use social media, we identified only 51 publications on the use of social media for promoting sexual health. About a quarter of the publications have identified promising results, and the evidence for positive effects of social media interventions for promoting sexual health is increasing. There is a need for more studies that explicitly discuss their theoretical framework, and that have strong research designs, in order to further increase the evidence base of the field.
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Affiliation(s)
- Elia Gabarron
- Norwegian Centre for eHealth Research, University Hospital of North Norway, Tromsø, Norway
- Department of Clinical Medicine, Faculty of Health Sciences, The Arctic University of Norway, Tromsø, Norway;
| | - Rolf Wynn
- Department of Clinical Medicine, Faculty of Health Sciences, The Arctic University of Norway, Tromsø, Norway
- Division of Mental Health and Addictions, University Hospital of North Norway, Tromsø, Norway
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Wottrich SH, Quintana AM, Camargo VP, Beck CLC. “Manifestos do Coração”: Significados Atribuídos à Doença por Pacientes Cardíacos Pré-cirúrgicos. PSICOLOGIA: TEORIA E PESQUISA 2015. [DOI: 10.1590/0102-37722015021127213219] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
RESUMO Este estudo objetivou explorar os significados atribuídos à doença cardíaca por pacientes cardíacos pré-cirúrgicos em tratamento ambulatorial no sul do Brasil. É um estudo clínico-qualitativo, de caráter exploratório e descritivo, cuja coleta de dados aconteceu por meio de entrevistas semiestruturadas e da autofotografia, propostas a 15 indivíduos. Foi realizada análise de conteúdo temática, emergindo as categorias: Confrontação com a doença: os saberes em questão, Negação da doença, Doença e trabalho e Sexualidade rompida. Os resultados destacaram as dificuldades dos participantes relacionadas à apropriação do quadro da doença e à aceitação dessa condição. Salienta-se a premência de ações de saúde, que possam ser coadjuvantes na reestruturação das possibilidades de vida para os pacientes cardíacos pré-cirúrgicos.
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Waight CA, Strodl E, Sheridan J, Tesar P. Posttraumatic growth in post-surgical coronary artery bypass graft patients. Health Psychol Open 2015; 2:2055102915571370. [PMID: 28070351 PMCID: PMC5193300 DOI: 10.1177/2055102915571370] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022] Open
Abstract
Recent research in posttraumatic growth has been applied to people with life-threatening illnesses to optimise recovery. There is a lack of research exploring posttraumatic growth in coronary artery bypass graft patients. This article describes the recovery experience of 14 coronary artery bypass graft patients (13 males and 1 female) at their first outpatient review post-surgery. Grounded theory analysis was used to develop a model of distinct and shared pathways to growth depending on whether patients were symptomatic or asymptomatic pre-coronary artery bypass graft. Outcomes of posttraumatic growth in this sample included action-based healthy lifestyle growth and two forms of cognitive growth: appreciation of life and new possibilities. The model of posttraumatic growth developed in this study may be helpful in guiding future research into promoting posttraumatic growth and behaviour change in coronary artery bypass graft patients.
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O'Mullan C, Doherty M, Coates R, Tilley PJM. Women's experiences of coping with the sexual side effects of antidepressant medication. Psychol Health 2014; 29:1388-406. [PMID: 24991877 DOI: 10.1080/08870446.2014.940951] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
Abstract
A growing body of evidence has highlighted the sexual side effects of selective serotonin reuptake inhibitor (SSRI) medication. Whilst most of the research has focused on the prevalence and treatment of sexual difficulties, little is known about how patients cope with the SSRI-related sexual side effects. The objective of this study was to explore women's experiences of coping with the sexual side effects of SSRI medication and interpretative phenomenological analysis was employed for an in-depth exploratory study of a sample of 10 women. Four broad themes emerged which are discussed under the following headings: searching, suffering in silence, trying to resolve and accepting what is. The themes provide an insight into the different strategies used by women to cope with the sexual side effects of SSRI medication and highlight the importance of contextualising these difficulties as part of an overall approach to improve the management and treatment of SSRI-related sexual side effects.
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Affiliation(s)
- Cathy O'Mullan
- a School of Human, Health and Social Sciences , Central Queensland University , Bundaberg , Australia
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Shi R, Zhang S, Xu H, Liu X, Miao D. Regulatory focus and burnout in nurses: The mediating effect of perception of transformational leadership. Int J Nurs Pract 2014; 21:858-67. [DOI: 10.1111/ijn.12315] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Affiliation(s)
- Rui Shi
- Department of Psychology; Fourth Military Medical University; Shaanxi China
| | - Shilei Zhang
- Department of Psychology; Fourth Military Medical University; Shaanxi China
| | - Hang Xu
- Department of Psychology; Fourth Military Medical University; Shaanxi China
| | - Xufeng Liu
- Department of Psychology; Fourth Military Medical University; Shaanxi China
| | - Danmin Miao
- Department of Psychology; Fourth Military Medical University; Shaanxi China
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Cornett L, Simms J. At the 'heart' of the matter: an exploration of the psychological impact of living with congenital heart disease in adulthood. J Health Psychol 2013; 19:393-406. [PMID: 23407131 DOI: 10.1177/1359105312471569] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
The psychological impact of living with congenital heart disease in adulthood was explored using semi-structured interviews with seven adults. Participants described living with congenital heart disease as a constant and limiting presence, which impacts upon the relationship with self and others. Psychological and emotional reactions ranged from depression, shame, trauma, lack of control and an ongoing struggle with issues of uncertainty and life expectancy. Various coping strategies were identified such as denial and overcompensation. Participants reported that they were not psychologically supported by health professionals. Implications of findings are discussed with regard to service provision.
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Buneviciute J, Staniute M, Brozaitiene J, Girdler SS, Bunevicius R. Mood symptoms and personality dimensions as determinants of health-related quality of life in patients with coronary artery disease. J Health Psychol 2013; 18:1493-504. [PMID: 23325379 DOI: 10.1177/1359105312465909] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/19/2023] Open
Abstract
This study examined the effects of personality dimensions in relation to the symptoms of depression and anxiety on health-related quality of life in coronary artery disease patients (N = 514). A linear regression analysis showed that symptoms of depression and anxiety as well as personality trait of emotional stability have independent significant effect on the health-related quality of life in patients with coronary artery disease. Psychological interventions in coronary artery disease patients should not only be limited to the treatment of symptoms of depression and anxiety but should also be extended to the management of personality traits.
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Bergvik S, Wynn R. The use of short message service (SMS) among hospitalized coronary patients. Gen Hosp Psychiatry 2012; 34:390-7. [PMID: 22516220 DOI: 10.1016/j.genhosppsych.2012.03.006] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/11/2011] [Revised: 03/03/2012] [Accepted: 03/08/2012] [Indexed: 11/29/2022]
Abstract
OBJECTIVE The use of cell phones and short message service (SMS, also called "texting") has become pervasive in Western society and increasingly throughout the world. Despite the importance of this technology in everyday life, little is known about how patients draw on SMS to keep in contact with family and friends during their hospitalization. METHODS A questionnaire was distributed to patients with coronary artery disease discharged from a Norwegian university hospital during the period from June 2005 to June 2006. In addition to questions pertaining to demographics, illness and treatment, mental distress, personality traits, perceived control, Internet usage and lifestyle, respondents were asked if they had contact with family and friends by SMS while in the hospital. RESULTS Four hundred twelve responded (59%), of which 216 had undergone surgery and 196 had undergone percutaneous coronary interventions. Sixty-three percent had used SMS to keep in touch with family and friends during their stay at the hospital. Use of SMS was positively predicted by Internet usage, gender and the personality trait of Openness, and was negatively predicted by the belief that illness and health were caused by luck or destiny. CONCLUSIONS SMS is an important means of communication during hospitalization for a majority of coronary disease inpatients.
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Affiliation(s)
- Svein Bergvik
- Department of Clinical Medicine, University of Tromsø, Faculty of Health Sciences, Tromsø, Norway
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Bergvik S, Sørlie T, Wynn R. Coronary patients who returned to work had stronger internal locus of control beliefs than those who did not return to work. Br J Health Psychol 2011; 17:596-608. [PMID: 22151690 DOI: 10.1111/j.2044-8287.2011.02058.x] [Citation(s) in RCA: 20] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/14/2022]
Abstract
OBJECTIVES Return To Work (RTW) is an important indicator of recovery from coronary artery disease (CAD), associated with social and economical benefits, and improved quality of life. Percutaneous coronary intervention (PCI) and coronary artery bypass graft (CABG) surgery are effective procedures relieving symptoms and reducing the risk for new events, but psychosocial problems are frequent among these patients. The aim was to determine psychosocial and treatment-related factors associated with RTW among PCI and CABG patients in Northern Norway. DESIGN Cross-sectional design based on questionnaire data from CABG and PCI patients 3-15 months following discharge, and from hospital records. METHODS Of the 348 responding patients, 168 were younger than 67 years and working prior to hospitalization. Factors associated with RTW were examined in a logistic regression analysis. RESULTS A total of 108 (64%) had RTW within 3-15 months. Four factors made unique significant contributions to the model, including higher education, time since hospital discharge and Internal Locus of Control (LoC) of the Multidimensional Health Locus of Control Scale (MHLC) as positively associated factors, and Powerful Others LoC as a negatively associated factor. Analyses controlled for data on demographics, emergency status, type of treatment, number of days at the hospital, physical exercise, attending a rehabilitation program, mental distress, Type D personality, and for the CABG patients additional data on coronary health. CONCLUSIONS Patients' control beliefs and educational level are significant psychosocial factors associated with RTW following PCI and CABG treatment. Implications for hospital treatment and rehabilitation programs are discussed.
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Affiliation(s)
- Svein Bergvik
- Department of Clinical Medicine, Faculty of Health Sciences, University of Tromsø, Norway
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