scholarly journals THE DESCRIPTION OF RESILIENCE IN POST-ACUTE ATTACK PATIENT WITH CORONARY ARTERY DISEASE

2018 ◽  
Vol 4 (3) ◽  
pp. 312-322
Author(s):  
Eva Puspawatie ◽  
Ayu Prawesti ◽  
Titin Sutini
Keyword(s):  
Coronary Heart Disease ◽  
Heart Disease ◽  
Disease Patient ◽  
Coronary Heart Disease Patient ◽  
Acute Attack ◽  
Mean Value ◽  
Self Control ◽  
Sample Number ◽  
Heart Disease Patient ◽  
The Mean

Background: Coronary heart disease patients shall experience physical, psychological and social changes that will affect life. The psychological condition of outpatients that has been investigated include anxiety, depression and quality of life, all of these problems can be attributed to resilience.Objective: The purpose of this study was to determine the image of resilience of coronary heart disease patient following up the acute attack in outpatient ward.Methods:  The research method used quantitative descriptive using CD-RISC instrument 25. Instrument had validity value r = 0.83, P <.0001 and reliability value of Cronbach’s α 0.89. The selection of sample with consecutive sampling and got sample number 50 people for 2 weeks. Data were analyzed based on the value of each respondent categorized using tertile to see the overall resilience picture, while for the five sub-variables measured using the mean and standard deviation.Result: The results showed that almost half of respondents had 70-75 resilience. The mean value of sub-variables if sorted from the lowest to the highest is trust and reinforcement (2.71±0.58); competence and resilience (2.88±0.53); relationships with others (2.92±0.48); self-control (3.04±0.62) and spiritual influence (3.33±0.45). These results are influenced by lack of self-efficacy, optimism and family support.Conclusion: The conclusions of the research resilience of patients are in the medium category, for the lowest sub-variable value is trust and strengthening, while the highest is the spiritual influence. So, it is advisable to provide education to improve management skills post-acute attacks and increase social support in the care of patients at home.

Dramatic fate of a young coronary heart disease patient rescued with specific lipoprotein(a) apheresis

2014 ◽  
Vol 30 (3) ◽  
pp. 193-195 ◽  
Author(s):  
Maya S. Safarova ◽  
Marat V. Ezhov ◽  
Olga I. Afanasieva ◽  
Gennady A. Konovalov ◽  
Sergei N. Pokrovsky
Keyword(s):  
Coronary Heart Disease ◽  
Heart Disease ◽  
Disease Patient ◽  
Coronary Heart Disease Patient ◽  
Lipoprotein A ◽  
Heart Disease Patient

scholarly journals Coronary heart disease patient with implantable cardioverter desfibrilator and electrical storm submitted to ventricular tachycardia ablation

2012 ◽  
Vol 10 (1) ◽  
pp. 116-117
Author(s):  
Nilton José Carneiro da Silva ◽  
Bruno Pereira Valdigem ◽  
Christian Luize ◽  
Fernando Lopes Nogueira ◽  
Claudio Cirenza ◽  
...  
Keyword(s):  
Coronary Heart Disease ◽  
Heart Disease ◽  
Ventricular Tachycardia ◽  
Disease Patient ◽  
Coronary Heart Disease Patient ◽  
Electrical Storm ◽  
Ventricular Tachycardia Ablation ◽  
Heart Disease Patient

scholarly journals Clinical Impact of the Maximum Mean Value of Home Blood Pressure on Cardiovascular Outcomes: A Novel Indicator of Home Blood Pressure Variability

Hypertension ◽  
2021 ◽  
Author(s):  
Takeshi Fujiwara ◽  
Satoshi Hoshide ◽  
Hiroshi Kanegae ◽  
Kazuomi Kario
Keyword(s):  
Blood Pressure ◽  
Coronary Heart Disease ◽  
Heart Disease ◽  
Cox Regression ◽  
Mean Value ◽  
Home Blood Pressure ◽  
Antihypertensive Medications ◽  
Unique Identifier ◽  
Cox Regression Analysis ◽  
The Mean

We assessed the relationship between maximum mean home blood pressure (HBP) and incident cardiovascular disease risks in the general practice population of the J-HOP study (Japan Morning Surge-Home Blood Pressure), which recruited 4231 patients with cardiovascular risk factors (mean [SD] age: 65 [11] years; 53% women; 79% on antihypertensive medications) who measured their HBP in the morning and evening for 14 days. The first day’s HBPs were excluded. The average of morning and evening (the average of morning and evening value [MEave]) BP was defined as the average of all HBP values. The maximum mean HBP was defined as the highest value of mean HBP on one occasion. The variability independent of the mean of MEave BP was assessed. The MEave BP was 134/76 mm Hg; the maximum mean HBP was 156/88 mm Hg. Over a median 3.9-year follow-up (16 762 person-years), 72 stroke, and 76 coronary heart disease events occurred. A Cox regression analysis showed that the hazard ratios of a 1-SD increase in maximum mean home systolic BP (SBP; 95% CI) for incident stroke events were (1) 1.89 (1.23–2.89) including MEave SBP and (2) 1.68 (1.33–2.14) including the variability independent of the mean of MEave SBP. These significant associations were not observed for coronary heart disease events. Adding the maximum mean home SBP to the stroke prediction model significantly improved the discrimination: (1) MEave SBP: C statistics difference (95% CI), 0.019 (0.002–0.038); and (2) variability independent of the mean of MEave SBP: 0.031 (0.008–0.056). The maximum mean HBP could be a useful marker for evaluating the stroke risk of patients. REGISTRATION: URL: https://upload.umin.ac.jp ; Unique identifier: UMIN000000894

scholarly journals Awareness on the coronary heart disease patient - a case series

2021 ◽  
Vol 20 (Supplement_1) ◽  
Author(s):  
D Teixeira Rodrigues ◽  
G Ferreira
Keyword(s):  
Coronary Heart Disease ◽  
Heart Disease ◽  
Health Education ◽  
Nursing Practice ◽  
Disease Patient ◽  
Case Series ◽  
Coronary Heart Disease Patient ◽  
Structured Interview ◽  
Major Theme ◽  
Coronary Syndrome

Abstract Funding Acknowledgements Type of funding sources: None. Background Each year cardiovascular disease (CVD) causes 3.9 million deaths in Europe, accounting for 45% of all deaths. CVD are especially relevant not only due to the high mortality rate related to them, but also due to the disability associated with them. In Portugal, one of the specific skills of the medical-surgical nurse is to take care of the person and family / caregivers experiencing complex medical processes (such as acute coronary syndrome - ACS), resulting from chronic disease (such as coronary heart disease - CHD). The medium-range theory of transitions, by Meleis and collaborators, helps to frame the theoretical aspects in nursing practice. Nursing approaches to the person with CHD, are often focused on transmitting knowledge and teaching abilities, regardless of the perception the person may have of the need to pursue changes in his/her life. Purpose This study aimed at gathering information on how a person perceives, has knowledge, and recognises an acute coronary event as a moment of transition. It is intended to evaluate the level of awareness the person has of his/her situation in this health-illness transition, as to incorporate an approach based upon the transition’s theory. Methods The study was conducted on a Cardiology ward and Intensive Care Unit of a tertiary hospital in Northern Portugal, on the second half of September 2020. All patients admitted with an ACS were eligible. A qualitative research framework was adopted, using the semi-structured interview. When phrasing some questions, the phenomenological approach was adopted. Results Four patients were included. Their interviews showed a wide variability of knowledge about the motive for admission or what caused it; there was an uneven perception of the severity of the event; in general, they did not recognize the need to make changes in their lives or externalized the responsibilities for it. This study was limited by a reduced number of interviews conducted, limiting the generalization of the findings and conclusions, though it was not the purpose of this exercise. Also, the interviews were performed in different moments after admission, so some of the patients had already been approached by the nursing staff in moments of health education, which may lead to information bias. Conclusions The traditional health education approach based on teaching the patients a set number of items needed to achieve a healthier lifestyle after an ACS, seem to produce very variable effects on how the person recognizes, perceives, and knows about his/her condition. The transition theory framework may be useful to engage patients in the process and, considering the reduced length of stay in the hospital, it is necessary the transition of care to the community. Awareness is a central concept in the patient"s adaptive process and, therefore, a major theme for nursing practice. Considering the apparent scarcity of evidence about it, it reveals to be an area of future investment.

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