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Cardiac rehabilitation in hospital and at home: a long-term study from the perspective of women who have suffered their first myocardial infarction
Linköping University, Department of Medicine and Care, Nursing Science. Linköping University, Faculty of Health Sciences.
2004 (English)Licentiate thesis, comprehensive summary (Other academic)
Abstract [en]

The general aim of this licentiate thesis was to describe and compare, from a longitudinal perspective, the extent of cardiac rehabilitation efforts as well as changes in social support and social network in women who have suffered their first myocardial infarction (MI). The studies had a descriptive, comparative and longitudinal design. Data were collected from healthcare professionals at 18 acute hospitals, who on two occasions answered a questionnaire dealing with cardiac rehabilitation efforts. From these 18 hospitals, 240 women who had suffered a first MI were consecutively chosen to answer a questionnaire on three occasions on the subject of social support and social network. Descriptive and inferential statistics were used to analyse data over time. The result showed that patients with different ischaemic heart disease diagnoses and their next-of-kin were offered different cardiac rehabilitation programmes (CRPs). None of the hospitals offered a CRP that was specifically designed for women. The women experienced that the extent of general support, support from relatives, and professional support changed positively over time. The women who participated in a CRP reported less need for professional support over time compared to non participants. This licentiate thesis provides knowledge about social support and social network that can be used to develop CROPs based on the special needs of women with MI and their relatives.

Place, publisher, year, edition, pages
2004. , 52 p.
Series
Linköping Studies in Health Sciences. Thesis, ISSN 1100-6013 ; 68
Series
Omvårdnadsforskning vid Hälsouniversitetet i Linköping, 14
Keyword [en]
cardiac rehabilitation programme, coronary heart disease, myocardial infarction, social network, social support, women
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:liu:diva-24167Local ID: 3753ISBN: 91-7373-845-X (print)OAI: oai:DiVA.org:liu-24167DiVA: diva2:244484
Available from: 2009-10-07 Created: 2009-10-07 Last updated: 2013-09-10
List of papers
1. Cardiac rehabilitation efforts for patients with ischaemic heart disease: a 5-year comparative review in five counties in western Sweden
Open this publication in new window or tab >>Cardiac rehabilitation efforts for patients with ischaemic heart disease: a 5-year comparative review in five counties in western Sweden
2001 (English)In: Coronary Health Care, ISSN 1362-3265, E-ISSN 1532-2025, Vol. 5, no 1, 16-24 p.Article in journal (Refereed) Published
Abstract [en]

Today’s cardiac rehabilitation programmes are multiphase and interdisciplinary. The aim of the study was to compare different cardiac rehabilitation approaches available to patients with ischaemic heart disease and their next-of-kin during a 5-year period in five counties in western Sweden. Questionnaires were answered on two occasions, in 1993 and 1998, dealing with the cardiac rehabilitation organization, the target groups invited, rehabilitation efforts, and the health-care professionals involved in the cardiac rehabilitation. The results show that patients with myocardial infarction and their next-of-kin were offered a well-functioning cardiac rehabilitation, both in 1993 and in 1998, at the university, county and district county hospitals. For patients who had undergone bypass surgery and their next-of-kin, cardiac rehabilitation was only available to a lesser extent. Patients with angina pectoris and their next-of-kin had the least possibility of receiving cardiac rehabilitation during the 5-year period. No cardiac rehabilitation programmes were specially designed for women, and an age limit existed in some cases. The most developed cardiac rehabilitation effort was the stress management education. The health-care professionals most frequently included in the cardiac rehabilitation teams at the university and district county hospitals were dieticians, cardiologists, physiotherapists and nurses, both in 1993 and in 1998. The corresponding health-care professionals at the county hospitals were cardiologists, social workers, clergymen, physiotherapists and nurses. A research implication can be to identify who the next-of-kin are, what their experiences are of participating in a cardiac rehabilitation programme and how important they are to these patients.

National Category
Natural Sciences
Identifiers
urn:nbn:se:liu:diva-47228 (URN)10.1054/chec.2000.0106 (DOI)
Available from: 2009-10-11 Created: 2009-10-11 Last updated: 2017-12-13
2. Women's social support and social network after their first myocardial infarction: a 4-year follow-up with focus on cardiac rehabilitation
Open this publication in new window or tab >>Women's social support and social network after their first myocardial infarction: a 4-year follow-up with focus on cardiac rehabilitation
2005 (English)In: European Journal of Cardiovascular Nursing, ISSN 1474-5151, E-ISSN 1873-1953, Vol. 4, no 4, 278-285 p.Article in journal (Refereed) Published
Abstract [en]

Background: Knowledge about women's recovery following a myocardial infarction (MI) with focus on how their social support and network change over time as a result of participation in a cardiac rehabilitation programme (CRP) is not well established.

Aim: The aim of this study was to describe and compare social support and network changes over a 4-year period in women with a first MI, based on socio-demographic and situational data.

Method: A longitudinal, comparative study with a non-randomised design including pre- and post-tests (1 and 4 years after MI) was carried out in 18 hospitals in Sweden. Consecutively chosen women (N = 240) answered a questionnaire on the subject of social support and network.

Results: The women who participated in a CRP were mainly dependent upon professional support during the first year after MI (p < 0.0001), while those who declined to participate in a CRP needed professional support throughout the whole 4-year period (p = 0.001). Participation in CRP was dependent on the women's age, those under 60 years (p = 0.050).

Conclusion: There is a need to develop CRPs that are specifically designed for women based on their age and family relationships. Nurses' training programmes should place greater emphasis on cardiac rehabilitation from the perspective of women with focus on professional support.

Keyword
Cardiac rehabilitation programme, Coronary heart disease, Myocardial infarction, Social support and network, Women
National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:liu:diva-50350 (URN)10.1016/j.ejcnurse.2005.06.004 (DOI)
Available from: 2009-10-11 Created: 2009-10-11 Last updated: 2017-12-12

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