Health‐related quality of life, sense of coherence and leisure‐time physical activity in women after an acute myocardial infarction

Løvlien, RN Mona; Mundal, Liv; Hall‐Lord, Marie‐Louise

doi:10.1111/jocn.13411

Cited by 14 publications

(10 citation statements)

References 24 publications

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“…In comparisons with previous Norwegian studies, the mean SOC-13 score found in this study was slightly lower than in a population of women after myocardial infarction 46 and higher than in a sample of patients with musculoskeletal pain, 47 consistent with the lower SOC-13 scores for patients with Abbreviation: B, unstandardized estimated regression coefficient. * Adjusted for sex, age groups, multimorbidity, rehabilitation urgency, marital status, education, smoking, urbanity, pain/discomfort, depressive symptoms, and anxiety symptoms.…”

Section: Discussionsupporting

confidence: 82%

Sense of Coherence, Disability, and Health-Related Quality of Life: A Cross-Sectional Study of Rehabilitation Patients in Norway

Moen

Eide

Drageset

et al. 2019

Archives of Physical Medicine and Rehabilitation

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To study relations between sense of coherence (SOC), disability, and mental and physical components of health-related quality of life (HRQOL) among rehabilitation patients. Design: Survey. Setting: Rehabilitation centers in secondary care. Participants: Patients (NZ975) from the Western Norway Health Region consented to participate and had valid data of the main outcome measures. Interventions: Not applicable. Main Outcome Measures: SOC was measured with the sense of coherence questionnaire (13-item SOC scale [SOC-13]), disability with the World Health Organization Disability Assessment Schedule 2.0 (WHODAS 2.0), and HRQOL with the Medical Outcomes Study 36-Item Short-Form Health Survey (SF-36). Results: Mean scores AE SD were 62.9AE12.3 for SOC-13, 30.8AE16.2 for WHODAS 2.0, 32.8AE9.6 for SF-36 physical component score, and 43.6AE11.8 for SF-36 mental component score. Linear regression analysis showed that increased SOC score was associated with reduced disability scores in the following domains with estimated regression coefficients (95% confidence interval) cognition e0.20 (e0.32 to e0.08), getting along e0.36 (e0.52 to e0.25), and participation e0.23 (e0.36 to e0.11). The fit of 2 structural models with the association from SOC to HRQOL and disability or with disability as a mediator was better for the mental versus the physical component of HRQOL. High SOC increased the mental component of HRQOL, consistent for all diagnostic groups. For both models, good fit was reported for circulatory and less good fit for musculoskeletal diseases. Conclusions: The results indicate that higher SOC decreases disability in mental domains. The effect of SOC on disability and HRQOL might vary between diagnostic groups. SOC could be a target in rehabilitation, especially among patients with circulatory diseases, but prospective studies are needed.

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Section: Discussionsupporting

confidence: 82%

Sense of Coherence, Disability, and Health-Related Quality of Life: A Cross-Sectional Study of Rehabilitation Patients in Norway

Moen

Eide

Drageset

et al. 2019

Archives of Physical Medicine and Rehabilitation

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“…In the last decade, some observational and survey studies [9][10][11][12][13][14][15], randomized clinical trials [16][17][18] and evaluations of cardiac rehabilitation programs [19][20][21] reported a positive association between HRQL and physical activity in patients with ischemic heart disease (IHD). Nine reports identified the recruited patients as having coronary heart disease [9,10,[12][13][14][16][17][18][19], one meta-analysis included IHD patients who also had a myocardial infarction (MI) or angina [20], and the others included patients having a specific diagnosis like MI [11,15] or ischemic heart failure [21]. These studies used 50-50 generic [10-13, 18, 19] and IHD-specific HRQL questionnaires [9,[14][15][16][17]21], applied different strategies to measure physical activity: instruments with validation [11,[16][17][18][19], without validation [9,10,13,15], both [12,14] or with objective parameters …”

Section: Introductionmentioning

confidence: 99%

“…Nine reports identified the recruited patients as having coronary heart disease [9,10,[12][13][14][16][17][18][19], one meta-analysis included IHD patients who also had a myocardial infarction (MI) or angina [20], and the others included patients having a specific diagnosis like MI [11,15] or ischemic heart failure [21]. These studies used 50-50 generic [10-13, 18, 19] and IHD-specific HRQL questionnaires [9,[14][15][16][17]21], applied different strategies to measure physical activity: instruments with validation [11,[16][17][18][19], without validation [9,10,13,15], both [12,14] or with objective parameters [21], and included mostly cardiac patients in general. Therefore, the robustness of the evidence for a physical activity and HRQL dose-response gradient in patients with IHD is limited.…”

Section: Introductionmentioning

confidence: 99%

A little is better than none: the biggest gain of physical activity in patients with ischemic heart disease

Huber

Höfer

Saner

et al. 2020

Wien Klin Wochenschr

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Summary Background: There is a relationship between physical activity and health-related quality of life (HRQL) in healthy people and in patients with ischemic heart disease (IHD). The purpose of this study was to determine whether this relationship between sports or recreational physical activity levels and HRQL has a dose-response gradient in patients with IHD. Methods: Using one generic and three IHD-specific HRQL questionnaires, differences in HRQL scores (adjusted for confounders) were determined for physically a) inactive vs. active patients and b) inactive vs. patients being active 1–2, 3–5, or >5 times per week. Results: Data were provided by 6143 IHD-patients (angina: N = 2033; myocardial infarction: N = 2266; ischemic heart failure: N = 1844). Regardless of diagnosis or instrument used, when patients were dichotomized as either inactive or active, the latter reported throughout higher physical and emotional HRQL (all p < 0.001; d = 0.25–0.70). When categorized by physical activity levels, there was a positive HRQL dose-response gradient by increasing levels of physical activity that was most marked between inactive patients and those being active 1–2 times per week (63 82%). Conclusions: Using generic and IHD-specific HRQL questionnaires, there seems to be an overall dose-dependent gradient betweenincreasing levels of sports or recreational physical activity and higher HRQL in patients with angina, myocardial infarction, and ischemic heart failure. The greatest bang for the public health buck still lies on putting all the effort in changing sedentary lifestyle to at least a moderate active one (1–2 times per week), in particular in cardiac rehabilitation settings.

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“…Walking regularly is one strategy for continuing to be active late in life (Guell, Shefer, Griffin, & Ogilvie, ). Among other cardiac patients, leisure‐time physical activity even at a low level can improve health‐related quality of life (Lovlien, Mundal, & Hall‐Lord, ). As a result, going for walks is an aspect that clearly became apparent and that was remarkably important for the patients in this study.…”

Section: Discussionmentioning

confidence: 99%

Transforming the experience of aortic valve disease in older patients: A qualitative study

Kirk

Missel

2019

Journal of Clinical Nursing

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Aim and objectives:To explore patients' lived experiences of daily life and coping with recovery after transcatheter aortic valve implantation (TAVI).Background: Transcatheter aortic valve implantation is increasingly used to treat older patients with severe aortic stenosis with high surgical risk. This novel treatment has been shown to be effective in relieving symptoms, improving survival and prognosis, but its impact on patients' daily life has been sparsely explored. Design: Qualitative design.Methods: Qualitative interviews were conducted in a purposeful sample of ten patients three-four months after TAVI. A phenomenological hermeneutical approach comprised an epistemological stance and Ricoeur's work inspired the qualitative methodological foundation. The study adhered to the COREQ guidelines.Results: This study is illuminating patients' perception of recovery after TAVI. The patients experienced a transformation of bodily sensations, a changed bodily attention and enhanced physical possibilities to cope with life. Undergoing TAVI changed the pre-treatment symptoms that limited daily activities, allowing the patients to resume or participate in activities that were previously impossible. TAVI gives patients the feeling that they can do more than before, which strengthens their faith in the body's possibilities and means that they can live a more self-reliant and independent life. Conclusion:For older patients, TAVI can serve to bolster a sense of trusting their own body again. A clear distinction between pre-and post-TAVI is recognised.Patients may be able to resume everyday activities following TAVI. The recovery process, however, must take into account the individual patient's own resources.Relevance to clinical practice: The impact of TAVI on daily life activities should be communicated to the patient in decision-making. Recovery depends on the patient's own effort, why identification of the patients who need support for recovery after TAVI as well as differentiated rehabilitation is required. Walking as a parameter should be integrated in the recovery trajectory. K E Y W O R D S aged, aortic stenosis, patient experience, qualitative research, recovery, Ricoeur, transcatheter aortic valve implantation (TAVI) SUPPORTING INFORMATION Additional supporting information may be found online in the Supporting Information section at the end of the article. How to cite this article: Kirk BH, De Backer O, Missel M.Transforming the experience of aortic valve disease in older patients: A qualitative study.

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Health‐related quality of life, sense of coherence and leisure‐time physical activity in women after an acute myocardial infarction

Cited by 14 publications

References 24 publications

Sense of Coherence, Disability, and Health-Related Quality of Life: A Cross-Sectional Study of Rehabilitation Patients in Norway

Sense of Coherence, Disability, and Health-Related Quality of Life: A Cross-Sectional Study of Rehabilitation Patients in Norway

A little is better than none: the biggest gain of physical activity in patients with ischemic heart disease

Transforming the experience of aortic valve disease in older patients: A qualitative study

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