scholarly journals Self-Care Behaviors of Rural Women Post-Invasive Coronary Interventions

2020 ◽  
Vol 20 (2) ◽  
pp. 78-107
Author(s):  
Modjadji Mosima Choshi ◽  
Anne G Rosenfeld ◽  
Mary S Koithan
Keyword(s):  
Coronary Artery Disease ◽  
Health Care ◽  
Coronary Artery ◽  
Health Care Providers ◽  
Rural Women ◽  
Self Care ◽  
Care Providers ◽  
Coronary Interventions ◽  
Artery Disease ◽  
Care Behavior

Purpose: Self-care is an essential component of secondary prevention of coronary artery disease (CAD) for rural women after undergoing invasive coronary interventions (ICI). The purpose of the study was to describe self-care behavior experiences of rural women with CAD post-ICI. The specific aims were: to identify and describe self-care behaviors initiated by rural women post-ICI; and to identify and describe barriers to and facilitators of self-care behavior adoption. The language used to describe self-care can be different between health care providers, who are guided by the American Heart Association (AHA), and rural women whose descriptions are based on their life experiences. Methods: Qualitative descriptive methods were used to purposefully sample women (N=10) from two rural Arizona counties. Data were collected using semi-structured face-to-face interviews, lasting approximately 25minutes. Atlas.ti Mac Version 1.5.2 (462) was used for data analysis. Findings: Aim 1: Healthy diet was the most common self-care behavior described by rural women. When describing self-care behaviors, rural women used a different language, which was in alignment with AHA guidelines for self-care behaviors. Aim 2: Themes identified and described for barriers were: residential environment, health and physical ailments, family conditions, and personal characteristics; and for facilitators were relationships, available resources, and personal outcomes. Conclusions: Regardless of poor health-promoting environment, such as unavailability of fresh food stores and access to exercise opportunities rural women took advantage of what they had to keep healthy. They performed self-care behaviors that they described as good for their health and made them happy without associating them the expected self-care behaviors to prevent reoccurrences and complications post-ICI. Rural health care providers must recognize these challenges, acknowledge the positive assets wihin rural women, and incorporate them into the programs for self-care behavior modification strategies. Keywords: Self-care, rural women, coronary artery disease, invasive coronary interventions DOI:  http://doi.org/10.14574/ojrnhc.v20i2.629  

Perceived Social Support and Physical Activity Among Patients With Coronary Artery Disease

2016 ◽  
Vol 39 (12) ◽  
pp. 1606-1623 ◽  
Author(s):  
Mi Hwa Won ◽  
Youn-Jung Son
Keyword(s):  
Physical Activity ◽  
Social Support ◽  
Coronary Artery Disease ◽  
Health Care ◽  
Coronary Artery ◽  
Health Care Providers ◽  
Perceived Social Support ◽  
Stable Coronary Artery Disease ◽  
Care Providers ◽  
Artery Disease

Adherence to recommended physical activity after a cardiac event is important to prevent cardiac recurrence. Social support from peers and family is known to improve self-care in chronic illnesses, including cardiovascular disease. However, the relationship between social support from health care providers and physical activity among patients with coronary artery disease remains unclear. This cross-sectional study aimed to identify the relationship between perceived social support from health care providers and physical activity among patients with stable coronary artery disease. The study included 237 patients with stable coronary artery disease attending an outpatient clinic. Hierarchical linear regression found that perceived social support explained 12% of variance in physical activity, F(14, 222) = 7.37, p < .001. In addition, self-efficacy partially mediated the relationships between perceived social support and physical activity. Abundant support from health care providers plays a key role in promoting physical activity among patients with stable coronary artery disease.

scholarly journals Effectiveness of nurses-led cardiac rehabilitation program among coronary artery disease patients attending a teaching hospital, Bharatpur

2020 ◽  
Vol 10 (1) ◽  
pp. 48-53
Author(s):  
Rosy Shrestha ◽  
Laxmi Rajbanshi ◽  
Jaya Prasad Singh ◽  
Kshitiz Shrestha ◽  
Sajeeb Shrestha
Keyword(s):  
Coronary Artery Disease ◽  
Health Care ◽  
Coronary Artery ◽  
Cardiac Rehabilitation ◽  
Health Care Providers ◽  
Teaching Hospital ◽  
P Value ◽  
Care Providers ◽  
Post Test ◽  
Artery Disease

Background: Cardiac rehabilitation (CR) is a comprehensive secondary prevention program, de­livered by multidisciplinary team including nurses. This portion in health care sector is found to be lacking and communication between health care providers and cardiac patients is frequently suboptimal. The aim of this study was to identify the effectiveness of nurse-led cardiac rehabilita­tion program among coronary artery disease patients attending a teaching hospital in Bharatpur, Nepal. Methods: One group pre-test post-test design was used. Total 85 CAD patients were selected for pre and post-test, baseline information was collected using consecutive sampling technique. The educa­tion intervention on CR was developed in Nepali language and distributed to each respondent after pre-test in separate room of OPD of Chitwan medical college and teaching hospital, Bharatpur. After one month of education intervention program, post-test was conducted with same subjects using face to face interview questionnaire using CADE-Q. Data was analyzed using Wilcoxon Rang signed test. Results: Of all 85 respondents, median difference between pre-test was 17 (IQR=14-22) and post-test was 39 (IQR=32-44) which was statistically significant (p=<0.001). The percentage of respondents with non-acceptable level (<50%) of knowledge sharply declined from 96.4% to 11.7% whereas those with acceptable knowledge (≥50%) significantly increased to 3.53% to 88.2% at p value <0.001. Conclusion:The nurse-led educational intervention programme considerably improved the knowl­edge on Cardiac Rehabilitation among CAD patients. Hence, it is strongly recommended that nurses should be involved in establishing and organizing cardiac rehabilitation programs at each tertiary level hospital in Nepal.

scholarly journals Cardiac Rehabilitation for Patients With Coronary Artery Disease: A Practical Guide to Enhance Patient Outcomes Through Continuity of Care

2017 ◽  
Vol 11 ◽  
pp. 117954681771002 ◽  
Author(s):  
Catherine Giuliano ◽  
Belinda J Parmenter ◽  
Michael K Baker ◽  
Braden L Mitchell ◽  
Andrew D Williams ◽  
...  
Keyword(s):  
Coronary Artery Disease ◽  
Health Care ◽  
Coronary Artery ◽  
Cardiac Rehabilitation ◽  
Patient Outcomes ◽  
Health Care Providers ◽  
Continuity Of Care ◽  
Care Providers ◽  
Relational Continuity ◽  
Artery Disease

Coronary artery disease (CAD) is a leading cause of disease burden worldwide. Referral to cardiac rehabilitation (CR) is a class I recommendation for all patients with CAD based on findings that participation can reduce cardiovascular and all-cause mortality, as well as improve functional capacity and quality of life. However, programme uptake remains low, systematic progression through the traditional CR phases is often lacking, and communication between health care providers is frequently suboptimal, resulting in fragmented care. Only 30% to 50% of eligible patients are typically referred to outpatient CR and fewer still complete the programme. In contemporary models of CR, patients are no longer treated by a single practitioner, but rather by an array of health professionals, across multiples specialities and health care settings. The risk of fragmented care in CR may be great, and a concerted approach is required to achieve continuity and optimise patient outcomes. ‘Continuity of care’ has been described as the delivery of services in a coherent, logical, and timely fashion and which entails 3 specific domains: informational, management, and relational continuity. This is examined in the context of CR.

scholarly journals Health Care Analysis on Myocardial Revascularization in Patients with Chronic Coronary Artery Disease: The Multicenter REVASK Study: Design and Protocol

2020 ◽  
Author(s):  
Andreas Beckmann ◽  
Eva-Maria Bitzer ◽  
Mareike Lederle ◽  
Peter Ihle ◽  
Jochen Walker ◽  
...  
Keyword(s):  
Coronary Artery Disease ◽  
Health Care ◽  
Decision Making ◽  
Coronary Artery ◽  
Myocardial Revascularization ◽  
Care Providers ◽  
Chronic Coronary Artery Disease ◽  
Care Guideline ◽  
Artery Disease

AbstractCoronary artery bypass grafting (CABG) and percutaneous coronary intervention (PCI) are available for revascularization of coronary artery disease (CAD) with the aims to reduce cardiovascular morbidity and mortality and to improve disease-related quality of life in particular. The German National Care Guideline (NVL-cKHK) on chronic CAD recommends the establishment of so-called heart teams for decision making in myocardial revascularization to improve the quality of care. Preferred recommendations for PCI or CABG are given for different patient subgroups depending on patient characteristics, concomitant diseases, and coronary morphology. The myocardial revascularization study (REVASK) is a noninterventional cohort study on care of patients undergoing PCI or CABG based on retrospective statutory health insurance (SHI) routine data, registry data from the German Cardiac Society (DGK) resp., the German Society for Thoracic and Cardiovascular Surgery (DGTHG), combined with prospective primary data collection from health care providers and patients. The primary goal is to investigate whether and to which extent heart teams, consisting of cardiologists and cardiac surgeons, increase guideline adherence in decision making for myocardial revascularization. Ultimately the study project aims to improve patient care in terms of decision making for appropriate myocardial revascularization. Through the consistent implementation of the German National Care Guideline on chronic Coronary Artery Disease (NVL-cKHK) and the European Guidelines on myocardial revascularization, the reduction of morbidity, mortality and the reduced need for subsequent revascularization procedures are also desirable from a health economics perspective.

Primary and Secondary Prevention of CAD: A Review

2021 ◽  
Author(s):  
Lindsay Short ◽  
Van T. La ◽  
Mandira Patel ◽  
Ramdas G. Pai
Keyword(s):  
Coronary Artery Disease ◽  
Coronary Artery ◽  
Secondary Prevention ◽  
Health Care Providers ◽  
Clear Understanding ◽  
Care Providers ◽  
Primary And Secondary Prevention ◽  
Cardiac Events ◽  
Management Options ◽  
Artery Disease

AbstractCoronary artery disease is the leading cause of death in both men and women, yet adequate control of risk factors can largely reduce the incidence and recurrence of cardiac events. In this review, we discuss various life style and pharmacological measures for both the primary and secondary prevention of coronary artery disease. With a clear understanding of management options, health care providers have an excellent opportunity to educate patients and ameliorate a significant burden of morbidity and mortality.

Self-care advice for health-care providers during COVID-19

2020 ◽  
Author(s):  
Helen L. Coons ◽  
Steven Berkowitz ◽  
Rachel Davis
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Self Care ◽  
Care Providers

National Trends in Coronary Artery Disease Imagingassociations with Health Care Outcomes and Costs

2021 ◽  
Author(s):  
Jonathan Weir-McCall ◽  
Michelle C. Williams ◽  
Anoop Shah ◽  
Giles Roditi ◽  
James Rudd ◽  
...  
Keyword(s):  
Coronary Artery Disease ◽  
Health Care ◽  
Coronary Artery ◽  
Health Care Outcomes ◽  
Care Outcomes ◽  
Artery Disease ◽  
National Trends

scholarly journals The role of community pharmacists in increasing access and use of self-care interventions for sexual and reproductive health in the Eastern Mediterranean Region: examples from Egypt, Jordan, Lebanon and Somalia

2021 ◽  
Vol 19 (S1) ◽  
Author(s):  
Luna El Bizri ◽  
Laila Ghazi Jarrar ◽  
Wael K. Ali Ali ◽  
Abdifatah H. Omar
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Eastern Mediterranean ◽  
Self Care ◽  
Eastern Mediterranean Region ◽  
Community Pharmacists ◽  
Health Coverage ◽  
Care Providers ◽  
Universal Health

Abstract Background Self-care interventions offer a solution to support the achievement of three goals of the World Health Organization (WHO): to improve universal health coverage, reach people in humanitarian situations, and improve health and well-being. In light of implementing WHO consolidated guidelines on self-care interventions to strengthen sexual and reproductive health (SRH) in the Eastern Mediterranean Region (EMR), especially during the COVID-19 pandemic, pharmacists from four different EMR countries discussed the current SRH situation, inequality gaps, barriers to SRH service access and the pharmacist’s crucial role as a first-line responder to patients before, during and after COVID-19. Case presentation Self-care interventions for SRH allow health care providers to serve a greater number of patients, improve progress toward universal health coverage, and reach people in humanitarian crises. In fact, these interventions can be significantly enhanced by utilizing community pharmacists as first-line health care providers. This review highlights the important role of community pharmacists in promoting self-care interventions and empowering individuals, families and communities. As a result, well-informed individuals will be authoritative in their health decisions. Exploring self-care interventions in the EMR was done through reviewing selected SRH services delivery through community pharmacists before and during the COVID-19 pandemic in Egypt, Jordan, Lebanon and Somalia. Before the COVID-19 pandemic, community pharmacists were found to be excluded from both governmental and nongovernmental SRH programmes. During the pandemic, community pharmacists managed to support patients with self-care interventions, whether voluntarily or through their pharmacy associations. This highlights the need for the health care decision-makers to involve and support community pharmacists in influencing policies and promoting self-care interventions. Conclusion Self-care interventions can increase individuals’ choice and autonomy over SRH. Supporting community pharmacists will definitely strengthen SRH in the EMR and may help make the health system more efficient and more targeted.

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