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Author: P RaJa Sekhar Publisher: Cerebrate ISBN: 9781805452270 Category : Languages : en Pages : 0
Book Description
ABSTRACT Coronary artery bypass graft (CABG) surgery is among the most common procedures performed in the world and it is one of the possible treatments for a chronic cardio-vascular condition. The present study was conducted to examine the psychological status of the patients' prior to CABG and its influence of the patients' wellbeing before and after CABG. Psychological status of the patients in this study refers to their quality of life and social support (perceived and available). The study was conducted on a sample of 74 patients who underwent first-time elective CABG surgery. The major findings of the present study indicate that the psychological status (quality of life and social support) prior to surgery significantly influences the well being (depression, anxiety, energy and positive well being) of the patients. Gender differences in well being, quality of life and social support are noticed prior to the surgery, with the male patients being more energetic and reporting better well being. The male patients also report better quality of life. Further, patients whose spouses were homemakers reported better well being. The depression and anxiety scores of the patients reduced after the surgery with the reduction more for male patients.
Author: P RaJa Sekhar Publisher: Cerebrate ISBN: 9781805452270 Category : Languages : en Pages : 0
Book Description
ABSTRACT Coronary artery bypass graft (CABG) surgery is among the most common procedures performed in the world and it is one of the possible treatments for a chronic cardio-vascular condition. The present study was conducted to examine the psychological status of the patients' prior to CABG and its influence of the patients' wellbeing before and after CABG. Psychological status of the patients in this study refers to their quality of life and social support (perceived and available). The study was conducted on a sample of 74 patients who underwent first-time elective CABG surgery. The major findings of the present study indicate that the psychological status (quality of life and social support) prior to surgery significantly influences the well being (depression, anxiety, energy and positive well being) of the patients. Gender differences in well being, quality of life and social support are noticed prior to the surgery, with the male patients being more energetic and reporting better well being. The male patients also report better quality of life. Further, patients whose spouses were homemakers reported better well being. The depression and anxiety scores of the patients reduced after the surgery with the reduction more for male patients.
Author: Raja Sekhar Padala Publisher: LAP Lambert Academic Publishing ISBN: 9783659619113 Category : Languages : en Pages : 148
Book Description
This book provides valuable insights into the psychological aspects of coronary artery bypass graft.Chronic diseases are multidimensional and have the potential to affect many aspects of the individual's life. Cardiovascular diseases take the person and family through various phases of instability, with hospital admissions for complex inpatient procedures such as angioplasty and surgery. These experiences are part of the adaptation of the individual to the chronic condition of the disease, affecting his or her quality of life. Finally, life styles and stress plays a crucial role in maintaining good health.
Author: Friederike Kendel Publisher: Springer Science & Business Media ISBN: 3798518564 Category : Medical Languages : en Pages : 106
Book Description
Progress in coronary artery bypass graft surgery has irrefutably improved the quality of life of many patients. However, we are confronted with the finding that women - hibit a higher mortality rate than men. In part, this difference can be explained by clinical parameters such as age, disease severity, or comorbidity – factors that have been well studied, but which do not fully explain the observed differences. This is one reason why, in recent years, psychosocial variables have attracted special atten- on in this context. In fact, women and men having undergone a bypass operation - ry a great deal with respect to, e. g. , depression, partner status, and socio-economic status. Moreover, psychological well-being, on the one hand, and social isolation, on the other hand, definitely influence the recovery process, particularly when consi- red under the gender aspect. The Deutsches Herzzentrum Berlin has been actively supporting gender-specific research for many years. In this context, a large prospective study on gender dif- rences in recovery after bypass surgery, carried out by the Competence Network of Heart Failure, was started at our Department for Cardiothoracic and Vascular Sur- ry. From the beginning of the study, psychosocial variables were included as being substantial contributors. The starting point of the study presented here* by psychologist Dr. Friederike Kendel are recent empirical investigations about gender differences in coronary heart disease and the course of recovery after bypass surgery.
Author: Patricia Thomson Publisher: ISBN: Category : Languages : en Pages :
Book Description
Background: Coronary heart disease (CHD) remains a major cause of death and ill-health in Scotland. Coronary artery bypass grafting (CABG) aims to relieve CHD symptoms, improve quality of life and increase life expectancy in high-risk groups. Partners may positively or negatively influence patient outcome, and they too may be adversely affected by the experience of CABG. Health care is currently organised around the patient. The partner is seen as merely assisting patient recovery. Their health and well-being is neglected despite them being at an increased risk of CHD. Research has been limited in the partner variables that have been examined. Their health needs and concerns and the influence of the patient on partner outcome have seldom been examined and the effects of CABG on the dyad. The dyad has not previously been examined as an outcome variable of interest. Aim: To explore the complex factors that influence patient and partner and dyad outcome 4 months after CABG surgery. Design and methods: A multifactorial exploratory, prospective study was carried out. A consecutive sample of 80 patient-partner/family pairs were recruited and data were collected on a number of physical and psychosocial variables 2-3 months prior to elective CABG and 4 months after surgery. The outcome measures were perceived health status, quality of life and CHD risk factors. Findings: The patients' CHD risk factors and physical and mental health (SF-12) improved significantly from pre- to post-operatively, but there was no corresponding improvement in the partners. Most patients were free from angina following CABG. Though the partners' quality of life improved it remained sub-optimum post-operatively. The patients' self efficacy beliefs and partners' efficacy judgements about the patient's cardiac capabilities improved significantly at 4 months; treatment beliefs were unchanged. The patients' perceived social support improved post-operatively, but not the partners. Patients' and partners' total number of important need met increased significantly post-operatively, and the number of important needs unmet decreased. There were significant differences between the patient and partner groups over the two time periods (pre- and post-operatively) for CHD risk factors, physical health (SF-12), self-efficacy for maintaining function, affectionate support, positive social interaction and important needs met and unmet. Overall, the recovery patterns indicated a move towards concordance. The patients' poorer pre-operative physical and mental health (SF-12) significantly predicted their poorer post-operative physical health, and lower pre-operative importance need met predicted poorer mental health. Greater pre-operative CHD risk factors and being female predicted higher post-operative risk factors. Partners' poorer pre-operative physical and mental health (SF-12) significantly predicted their poorer post-operative physical and mental health; low pre-operative affectionate support predicted poorer physical and social health (QL-SP); and a greater number of pre-operative CHD risk factors predicted higher post-operative risk factors. The patients' pre-operative beliefs about CABG - mortality risk reduction predicted the partners' poorer post-operative physical health (SF-12) and emotional health (QL-SP); and patients' poorer pre-operative mental health (SF-12) and greater physical limitation (SAQ) predicted the partners' poorer physical and social health (QL-SP). Only the partners' poorer pre-operative physical health predicted patients' poorer post-operative physical health (SF-12). This unidirectional relationship in which the patients' pre-operative factors predominantly influenced partner outcome(s) was also evident when the physical and mental health and CHD risk factors of the dyad (outcomes) were examined. Results highlight the potential that pre-operative rehabilitation and use of interventions, which target the dyad have for the primary and secondary prevention of CHD. Nurses are heavily involved in the pre-operative preparation for CABG and in the post-operative care of patients and could contribute further to improving the outcomes of surgery for patients and partners.
Author: Patricia Demko Sweeney Publisher: ISBN: Category : Languages : en Pages :
Book Description
The issue of quality health care has a renewed focus since the Institute of Medicine's 2000 report and has become a primary concern for patients, providers, and payors. Quality needs to be addressed from the perspective of the patient, incorporating patient-centered preferences in all areas where care is received; with special attention for high frequency, high cost, high-risk populations that evaluates all types of providers. The primary aim of this study is to describe patient perceptions of health related quality of life (HRQOL) and satisfaction for patients hospitalized for coronary artery bypass grafting (CABG) surgery when Nurse Practitioners (NP) are active participants in care. Secondary aims of the study were to: describe the outcomes: adverse events (pulmonary, urinary tract, and wound infections); cost of care; mortality; and hospital re-admissions; and the role of the Nurse Practitioner for patients having CABG surgery. The Quality Health Outcomes Model was used as the foundation for the research. A prospective descriptive multi-site study using a criterion-based sample to select individuals having CABG surgery in mid to large size, non-Magnet community hospitals in northeastern, central, or southeastern Pennsylvania was used. Data was collected from four sources: two surveys, the Short Form-36, version 2 for HRQOL and the Patient Judgment System for patient satisfaction; a Chart Review Tool; and a NP survey. Participants were enrolled (N = 91) at two hospitals, with one NP at each facility. Primary data analysis was descriptive with secondary analyses performed to identify the presence of relationships among the study variables. Findings indicated participants had high satisfaction with all aspects of hospitalization and HRQOL mental health; and low scores for HRQOL physical role and physical component score. Mortality and cost of care were lower than State averages, while adverse events and re-admissions were higher than State averages. NPs were actively involved in patient care and spent 80% of their time in direct patient care activities. Implications include the need for continued research, using quasi-experimental designs to identify a cause and effect relationship between the use of NPs and selected patient outcomes.
Author: Joep Perk Publisher: Springer Science & Business Media ISBN: 9781846289934 Category : Medical Languages : en Pages : 540
Book Description
The aim of this textbook is to give guidance in prevention, lifestyle counselling and rehabilitation for cardiologists, other physicians and many different categories of health professionals in cardiac rehabilitation teams.
Author: P RaJa Sekhar
Author: P RaJa Sekhar
Author: Raja Sekhar Padala
Author: Friederike Kendel
Author: Patricia Thomson
Author: Amy J. Eakin-McClune
Author: Patricia Demko Sweeney
Author: Joep Perk
Author: Patricia C. Klokstad
Author: Cynthia Ann Ceynar
Author: Cheryl Remedios