Helping Patients Cope with the Stress of Myocardial Infarction

Lawrence, Sally A.; Lawrence, Rena M.

doi:10.1111/j.1744-6198.1988.tb01118.x

Cited by 3 publications

(1 citation statement)

References 9 publications

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“…Anxiety manifested during hospitalization may reflect anxiety proneness, which may interfere with implementing the suggested changes in self-care patterns following hospital discharge. Lawrence and Lawrence (1987) found that patients must face and learn to deal with anxiety throughout their hospital stay or face a prolonged period of being a "cardiac cripple." Anxiety during hospitalization can have negative consequences on recovery from the acute MI.…”

Section: Selected Literature Reviewmentioning

confidence: 98%

Anxiety and Self-Care Following Myocardial Infarction

Rose

Conn

Rodeman

1994

Issues in Mental Health Nursing

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The purpose of this study was to examine the relationship between trait and state anxiety experienced during hospitalization for an acute myocardial infarction and self-care behaviors several weeks after the infarction. Sixty-two male (n = 39) and female (n = 23) subjects were interviewed during their hospital stay and again 3 months after discharge. State and trait anxiety were measured by the Spielberger State-Trait Anxiety Inventory Test. Medication, exercise, smoking, diet, and stress management self-care were measured by Miller's Health Behavior Scale. The findings revealed low correlations between trait anxiety and exercise performance, medication administration, stress management, and smoking cessation behavior, and between state anxiety and smoking behavior. The findings were interpreted in light of the conceptual differences between state and trait anxiety, and suggest that mental health interventions during hospitalization should emphasize teaching patients to manage their own anxiety instead of directly intervening to reduce current levels of anxiety among this population.

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Section: Selected Literature Reviewmentioning

confidence: 98%

Anxiety and Self-Care Following Myocardial Infarction

Rose

Conn

Rodeman

1994

Issues in Mental Health Nursing

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A framework for reducing stress in early cardiac rehabilitation: implementing Mayou's directives into nursing practice using the transactional theory of stress

Clark

1997

Coronary Health Care

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Affairs of the heart: patients’ personal constructions of a cardiac event and their effect on lifestyle change

Wilson

2001

curationis

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The issue of why people do not always make appropriate lifestyle changes in response to a cardiac event has and continues to be of central importance to health practitioners. This paper addresses this issue from the perspective of the lived experience of persons who have suffered an acute myocardial infarction (AMI). The experiences of 10 persons admitted to the coronary care unit (CCU) of a South African clinic were richly described, making use of the grounded theory methodology. These descriptions were then used as a basis for the development of a contextualist theory of the experience of heart attacks. A central feature of the results was that the disease was mainly attributed to stress by the participants. This was in contrast to the explanations offered by the medical profession, who attribute this more to other modifiable risk factors such as smoking, high blood cholesterol, high blood pressure, and lack of exercise. This tension between lay and professional constructions of the aetiology of the condition is deemed to be of import in the recovery process. The paper further alludes to the goodness of fit which exists between the proposed grounded theory and the personal construct theory of George Kelly. The importance of personal constructions of the event is then used as the basis for a proposed intervention process aimed at addressing the difficulties AMI patients’ experience in making and sustaining lifestyle changes.

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Helping Patients Cope with the Stress of Myocardial Infarction

Cited by 3 publications

References 9 publications

Anxiety and Self-Care Following Myocardial Infarction

Anxiety and Self-Care Following Myocardial Infarction

A framework for reducing stress in early cardiac rehabilitation: implementing Mayou's directives into nursing practice using the transactional theory of stress

Affairs of the heart: patients’ personal constructions of a cardiac event and their effect on lifestyle change

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