Couples’ thoughts about and expectations of their future life after the patient’s hospital discharge following acute myocardial infarction

Eriksson, Monica; Asplund, Kenneth; Svedlund, Marianne

doi:10.1111/j.1365-2702.2010.03292.x

Cited by 23 publications

(22 citation statements)

References 43 publications

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“…The chronicity and unpredictability of CHF can be particularly burdensome for families [45], especially if relationships are already troubled [46]. Many family caregivers feel overwhelmed, isolated, and stifled by their responsibility for CHF patient care and rehabilitation [47].…”

Section: Social Supportmentioning

confidence: 99%

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Towards Optimal Heart Failure Care: Couples-Oriented Strategies to Improve Patient Adherence and Health Outcomes

Toukhsati

Hare²

2016

CCR

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Psychosocial factors play an important role in the development and progression of cardiovascular diseases (CVD), such as chronic heart failure (CHF). In particular, psycho-cognitive disturbance is common in CHF, which presents additional challenges to secondary prevention and management strategies. This review provides a summary of the contemporary psycho-cardiology literature, including coverage of common mood and cognitive symptoms, and explores some of the pathophysiologic evidence linking psycho-cognition to CHF, with particular emphasis on sympathetic nervous system activation and neuroendocrine functioning. Social support is identified as a strategy by which to reduce depressive symptoms, manage cognitive impairment and to, potentially, improve health outcomes through improved patient self care and adherence. Recent research outcomes suggest that the integration of family caregivers into CHF psycho-educational disease management programs, as providers and recipients of support, may achieve best outcomes. In this regard, couples-oriented strategies that promote communication, emotional attachment and support may enhance health-promoting behaviours in patients and their partners.

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Section: Social Supportmentioning

confidence: 99%

“…Informal family caregivers, such as spouses, may be particularly influential drivers of patient health behaviours and outcomes [40], possibly via their involvement in practical aspects of patient care [65, 66] and/or relationship factors [46, 61, 67]. Happ et al .…”

Section: Social Supportmentioning

confidence: 99%

Towards Optimal Heart Failure Care: Couples-Oriented Strategies to Improve Patient Adherence and Health Outcomes

Toukhsati

Hare²

2016

CCR

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“…In addition to partner variables, relationship factors such as emotional support, intimacy, conflict, criticism, and solicitous behaviors have also been linked with change in a variety of patient physical and mental health outcomes (Joekes, Maes, & Warrens, ; Martire, Lustig, Schulz, Miller, & Helgeson, ; Vilchinsky et al., ). Finally, relationship communication has specifically been identified as having an important impact on health outcomes, specifically, how couples discuss major life events, their perception of the future, and their medical outcomes (Eriksson, Asplund, & Svedlund, ).…”

Section: Couples and Healthmentioning

confidence: 99%

The Partners for Life Program: A Couples Approach to Cardiac Risk Reduction

et al. 2014

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Morbidity and mortality are reliably lower for the married compared with the unmarried across a variety of illnesses. What is less well understood is how a couple uses their relationship for recommended lifestyle changes associated with decreased risk for illness. Partners for Life compared a patient and partner approach to behavior change with a patient only approach on such factors as exercise, nutrition and medication adherence. Ninety-three patients and their spouses/partners consented to participate (26% of those eligible) and were randomized into either the individual or couples conditon. However, only 80 couples, distributed across conditions, contributed data to the analyses, due to missing data and missing data points. For exercise, there was a significant effect of couples treatment on the increase in activity and a significant effect of couples treatment on the acceleration of treatment over time. Additionally, there was an interaction between marital satisfaction and treatment condition such that patients who reported higher levels of marital distress in the individuals condition did not maintain their physical activity gains by the end of treatment, while both distressed and non-distressed patients in the couples treatment exhibited accelerating gains throughout treatment. In terms of medication adherence, patients in the couples treatment exhibited virtually no change in medication adherence over time, while patients in the individuals treatment showed a 9% relative decrease across time. There were no condition or time effects for nutritional outcomes. Finally, there was an interaction between baseline marital satisfaction and treatment condition such that patients in the individuals condition who reported lower levels of initial marital satisfaction showed deterioration in marital satisfaction, while non- satisfied patients in the couples treatment showed improvement over time.

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“…a psychological disruption) . Some afflicted think about their future post‐AMI as ‘active’; others adopt a ‘wait‐and‐see’ approach and are insecure about the future .…”

Section: Introductionmentioning

confidence: 99%

Perceptions of illness, lifestyle and support after an acute myocardial infarction

Junehag

Asplund

Svedlund

2013

Scandinavian Caring Sciences

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After an acute myocardial infarction (AMI), people are encouraged to adopt a healthy lifestyle. But they are not always motivated to maintain the necessary lifestyle changes and need the right support to do it. In sparsely populated areas, people afflicted by an AMI have difficulty in finding standard rehabilitation programmes near their homes during the recovery, so they need alternative forms of support. The aim was to describe individual perceptions of their lifestyle and support, 1 year after an AMI, with or without mentorship. This study has a qualitative, descriptive design with data collected in individual interviews. Twenty men and women were interviewed 1 year after their first AMI, and 11 had been offered contact with mentors who had had an AMI. Content analysis was used to analyse the data. Those with and without mentors had similarities and tendencies to variation in their perceptions, with both a positive and negative view of life. The participants were aware of the necessity of living a healthy lifestyle but some resisted doing so. They wished to live as before, and all saw the future positively. Having a mentor with the same experience could be valuable for some people, but more research is needed to understand the lack of motivation to make beneficial lifestyle changes after a serious health event as AMI.

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Couples’ thoughts about and expectations of their future life after the patient’s hospital discharge following acute myocardial infarction

Cited by 23 publications

References 43 publications

Towards Optimal Heart Failure Care: Couples-Oriented Strategies to Improve Patient Adherence and Health Outcomes

Towards Optimal Heart Failure Care: Couples-Oriented Strategies to Improve Patient Adherence and Health Outcomes

The Partners for Life Program: A Couples Approach to Cardiac Risk Reduction

Perceptions of illness, lifestyle and support after an acute myocardial infarction

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