Incentives for lifestyle changes in patients with coronary heart disease

Kärner, Anita; Tingström, Pia; Abrandt-Dahlgren, Madeleine; Bergdahl, Björn

doi:10.1111/j.1365-2648.2005.03467.x

Cited by 33 publications

(46 citation statements)

References 29 publications

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“…It may be that patients and family members are shocked and numb both emotionally and cognitively in the first two weeks following the myocardial infarction. 17 This reasoning is supported by the fact that family network was reported to have increased among those cohabiting as well as among both men and women, although these facts are not supported by other studies with a shorttime follow-up. 2,24 In line with our finding, there is some evidence to suggest that social network, comprising strong emotional reliance, is present in families with a low educational level and low prestige work.…”

Section: Discussionmentioning

confidence: 77%

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Sense of coherence as well as social support and network as perceived by patients with a suspected or manifest myocardial infarction: a short-term follow-up study

et al. 2008

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Sociodemographic variables have no influence on sense of coherence but do affect social support (i.e. practical support and social network, family). Ischaemic heart disease patients' short stay in hospital implies that the network outside the hospital has to assume responsibility, but at the same time it is important for health care professionals to have sufficient knowledge to be able to support the specific needs of patients and their family members.

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Section: Discussionmentioning

confidence: 77%

“…12,16 The first month after hospital discharge is one of the most crucial for the patient's future life. 7,15,17 The patient's sense of coherence as well as support from a social network is vital for the positive development of the rehabilitation (i.e. the ability to cope with physical and mental distress as well as lifestyle changes).…”

Section: Introductionmentioning

confidence: 99%

Sense of coherence as well as social support and network as perceived by patients with a suspected or manifest myocardial infarction: a short-term follow-up study

et al. 2008

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“…It is important to identify and understand potential barriers thereby enabling effective solution-planning before barriers arise. For example, if a specific barrier such as lack of access to facilities is identified among older populations, a cardiac rehabilitation referral could be made or a list of potential venues could be generated in collaboration with the patient (Karner et al, 2005;Roitman & LaFontaine, 2001;Taylor et al, 1998).…”

Section: Psychosocial and Environmental Correlates Of Exercise Patternsmentioning

confidence: 99%

A Prospective Examination of Patterns and Correlates of Exercise Maintenance in Coronary Artery Disease Patients

et al. 2007

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This longitudinal study examined exercise behavior patterns (i.e., maintainers, irregular, and inactive) in cardiac patients, and investigate the sociodemographic, clinical, psychosocial, and environmental correlates of exercise patterns. 661 cardiac in-patients from 3 hospitals consented to participate (75% response rate) and were re-assessed 9 and 18 (81% retention) months postdischarge. Exercise patterns were assessed via the Health-Promoting Lifestyle Profile II subscale using a median split. Of 417 participants (mean age 63.1 ± 10.2) with complete data, 42.2% were classified as Exercise Maintainers, 21.3% as Irregular Exercisers, and 26.1% as Inactive. Multinomial logistic regression revealed that Exercise Maintainers were more likely to be male, have exercised prior to their diagnosis, attend cardiac rehabilitation, perceive fewer exercise barriers, and were less likely to be current-smokers, past-smokers, or attribute the cause of their disease to their own behavior. Patients more likely to maintain exercise have positive perceptions and utilize cardiac rehabilitation.

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“…Efter en första bearbetning och preliminär kategorisering av författaren har innebörd och benämningar diskuterats i relation till empiriska data tillsammans med gruppen handledare tills en slutlig kategorisering och benämning uppnåtts. Detta sätt att gå tillväga för att pröva trovärdighet har i fenomenografisk forskning benämnts som att förhandla konsensus (negotiating consensus) (Kärner et al, 2005;Wahlström et al, 1997). De preliminära kategoriseringarna har också prövats i forskningsseminarier i form av dataworkshops.…”

Section: Lärandet Under Förberedelseskedetunclassified

Militär akutsjukvård i fält : när den övade verkligheten blir verklig

Andersson¹

2014

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Aims: Governing for the Armed Forces health care is respect for human dignity and the view of each individual as irreplaceable. The quality of the military care will be at a level equivalent to that of today's civil peace healthcare, which requires that the training is of high quality. Casualty care in the military environment is a complex, challenging and dangerous task. Today there is a lack of knowledge about how to learn these skills. The purpose of the research was to identify the knowledge area pre-hospital care in the military environment by examining what doctors, nurses, paramedics and officers learn about military health care during preparation and exercise. Method: A phenomenographic approach was used in all sub-studies, and empirical data were collected by means of semi-structured interviews. Study I‐III are cross-sectional studies and study IV is a longitudinal study. Twelve registered nurses who had served in Bosnia were interviewed for study I, and 24 conscript paramedics were interviewed for study II. Study III included 20 officers in their pre-deployment training for service in Afghanistan and Liberia, and Study IV included 7 doctors and twenty nurses who previously had served in Afghanistan, Bosnia, Kosovo and Liberia. Results: Learning military health care by training and gaining experience can be seen as different abilities; interaction, action and reflection. In-depth analysis at a meta--‐level revealed that the integration between the military and military medical fields of knowledge was missing. The results indicate that participants' understanding of their respective fields of knowledge is inadequate and needs to be integrated in education in a clearer way. Implications: To create opportunities for better education and integration in these fields of knowledge are proposed (1) that the findings of the thesis could be utilised to develop the design of the curriculum (2) the inter-professional learning is introduced as a part of creating a safer and more effective pre-hospital care, (3) the clinical competence becomes part of the development of pre-hospital emergency care in the field, and (4) that the training is built according to the principle of "train as you fight" with emphasis on the requirements in the combat zone

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Incentives for lifestyle changes in patients with coronary heart disease

Abstract: The results illustrate important incentives that should be considered in contacts with patients and their families to improve the prospects of positively affecting co-operation with suggested treatment and lifestyle changes.

Cited by 33 publications

References 29 publications

Sense of coherence as well as social support and network as perceived by patients with a suspected or manifest myocardial infarction: a short-term follow-up study

Sense of coherence as well as social support and network as perceived by patients with a suspected or manifest myocardial infarction: a short-term follow-up study

A Prospective Examination of Patterns and Correlates of Exercise Maintenance in Coronary Artery Disease Patients

Militär akutsjukvård i fält : när den övade verkligheten blir verklig

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