Living with angina pectoris—a phenomenological study

MacDermott, Aidan

doi:10.1016/s1474-5151(02)00047-6

Cited by 24 publications

(19 citation statements)

References 15 publications

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“…Some studies have reported that patients did appear to be taking their medicines as prescribed, [74][75][76] whilst other studies found that some patients had stopped taking some or all their medicines. [77][78][79][80] Other studies reported a tendency towards taking medicines, but did not account for the views of patients who deviated from this tendency, by reporting that most of the patients seemed to be taking their medicines 81 or used phrases such as "good adherence was generally found".…”

Section: Patient Perspectives On Taking Prescribed Medicinesmentioning

confidence: 99%

“…[78][79][80]83 In contrast, MacDermott found that stable angina patients took their medicines despite experiencing side effects. 74 Other studies have reported patient concerns about medicines without relating this to compliance. This includes concern about side effects, 81,[84][85][86][87] as well as patients perceiving medicines to be an "intrusion on their daily life" and concern about having to take them for the rest of their lives 84 or that some patients disliked taking medicines.…”

Section: Patient Perspectives On Taking Prescribed Medicinesmentioning

confidence: 99%

“…This includes concern about side effects, 81,[84][85][86][87] as well as patients perceiving medicines to be an "intrusion on their daily life" and concern about having to take them for the rest of their lives 84 or that some patients disliked taking medicines. 83,84,87 Studies have reported that some patients view medicines in terms of preventing another heart attack, 74,82,84 delaying progression of CVD, 88 or as an aid to recovery. 85 However, studies have also found that either some or many patients did not know what medicines they were taking or how the medicines work.…”

Section: Patient Perspectives On Taking Prescribed Medicinesmentioning

confidence: 99%

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Effectiveness of public health and education programs for creating awareness of and managing cardiovascular disease

White¹

2011

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This paper reviews the effectiveness of public health and education programs for creating awareness of, preventing and managing cardiovascular disease (CVD), with a particular focus on their impact on people's behavior. Evidence-based guidance recommends that such programs, eg, cardiac rehabilitation, should include risk assessment, modification of lifestyle risk factors and, where appropriate, medication. However, despite substantial evidence of cardiac rehabilitation being beneficial, a significant proportion of eligible patients fail to receive cardiac rehabilitation and numerous barriers to attendance remain, particularly because cardiac rehabilitation service provision continues to be patchy and of variable quality. Evidence suggests that educational programs to prevent CVD may achieve favorable reductions in mortality and overall CVD risk. However, whilst people tend to have significant knowledge of the modifiable risk factors for CVD, this does not necessarily lead to action to reduce risk, because lay epidemiology appears to play a significant role in sophisticated determinations of CVD causation, amongst other factors. Some people, but not all, make and maintain some lifestyle changes, but not necessarily all of the changes recommended, because they may only change aspects of lifestyle that are perceived to have been likely causes of their CVD. In addition, many people experience difficulty in making and maintaining lifestyle changes. There appears to be considerable disquiet among patients about taking medicines prescribed for CVD, particularly concerning side effects, which in some instances may affect medicine-taking. New developments and patient approaches recognize the wider societal issues that influence the lifestyle choices people make. Initiatives to increase attendance and widen access to cardiac rehabilitation have included home-based and technological innovations as alternatives to hospital-based cardiac rehabilitation programs. Effective future approaches are likely to build on these developments, and offer even greater choice in accessing preventative services.

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Section: Patient Perspectives On Taking Prescribed Medicinesmentioning

confidence: 99%

Section: Patient Perspectives On Taking Prescribed Medicinesmentioning

confidence: 99%

Section: Patient Perspectives On Taking Prescribed Medicinesmentioning

confidence: 99%

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Effectiveness of public health and education programs for creating awareness of and managing cardiovascular disease

White¹

2011

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“…Aside from physical limitation, CSA also imposes significant psychological impact on health-related quality of life (HRQL). Many patients report heart-focused attention and anxiety, fear of death, depression, impaired role functioning, and poor sense of general health and well-being [7-9]. This high level of symptom burden has major financial consequences both at patient and health care system levels.…”

Section: Introductionmentioning

confidence: 99%

Impact of self-management interventions on stable angina symptoms and health-related quality of life: a meta-analysis

McGillion

O’Keefe-McCarthy

Carroll

et al. 2014

BMC Cardiovasc Disord

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BackgroundChronic stable angina (CSA) has a major negative impact on health-related quality of life (HRQL) including poor general health status, psychological distress, and inability to self-manage.MethodsWe used meta-analysis to assess the effectiveness of self-management interventions for improving stable angina symptoms, HRQL and psychological well-being. Nine trials, involving 1,282 participants in total, were included. We used standard inverse-variance random-effects meta-analysis to combine the trials. Heterogeneity between trials was evaluated using chi-square tests for the tau-squared statistic and quantified using the I2 statistic.ResultsThere was significant improvement in the frequency of angina symptoms (Seattle Angina Questionnaire [SAQ], symptom diary) across trials, standardized mean difference (SMD): 0.30 (95% Confidence interval [CI] 0.14, 0.47), as well as reduction in the use of sublingual (SL) nitrates, SMD: -0.49 (95% CI -0.77, -0.20). Significant improvements for physical limitation (SAQ), SMD: 0.38 (95% CI 0.20, 0.55) and depression scores (Hospital Anxiety and Depression Scale), SMD: -1.38 (95% CI -2.46, -0.30) were also found. The impact of SM on anxiety was uncertain due to statistical heterogeneity across trials for this outcome, I2 = 98%. SM did not improve other HRQL dimensions including angina stability, disease perception, and treatment satisfaction.ConclusionsSM interventions significantly improve angina frequency and physical limitation; they also decrease the use of SL nitrates and improve depression in some cases. Further work is needed to make definitive conclusions about the impact of SM on cardiac-specific anxiety.

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“…In a study by Berlau et al [13] of persons 90+, ADL difficulties and dependency were found to be increasing as age advanced. However, growing older can also be seen as one's purpose in life [14], one's peace of mind [15], and adjustments and adaptation [16].…”

Section: Introductionmentioning

confidence: 99%

A description of resilience for Norwegian home-living chronically ill oldest older persons

Moe¹,

Ekker²,

Enmarker³

2013

OJN

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Background: Despite worsening health the chronically ill oldest older persons have expressed feelings of inner strength, which can be understood as resilience. The objective was to describe and compare the characteristics of resilience in two different age groups of chronically ill oldest older persons living at home and who needed help from home nursing care. Design: Cross-sectional design was used to describe and compare the resilience qualities between the two age groups. Methods: The inclusion criteria were 80 years or older, living at home with chronic disease, receiving help from home nursing care, and with the capacity to be interviewed. A sample of 120 oldest older women (n = 79) and men (n = 41) separated in two age groups, aged 80 -89 and 90+ years, participated in the study. Resilience characteristics were measured by Resilience Scale. Results: The whole group of oldest older people was vulnerable in relation to the characteristics of perseverance, self-reliance, and existential aloneness. Despite reduced physical health they reported a meaningful life, and equanimity. Even if there were no significant differences between the age groups among the oldest older persons in the characteristics of Resilience Scale (RS), in the characteristic of meaning there was a tendency of interaction between age and how much help from home nursing care the participants received. Conclusions: It is important to focus on the individual aging and the risk of developing illness and disabilities rather than focusing on chronologic age. Possessing meaning in life and equanimity may be strengths to meet challenges through illness and growing older.

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Living with angina pectoris—a phenomenological study

Cited by 24 publications

References 15 publications

Effectiveness of public health and education programs for creating awareness of and managing cardiovascular disease

Effectiveness of public health and education programs for creating awareness of and managing cardiovascular disease

Impact of self-management interventions on stable angina symptoms and health-related quality of life: a meta-analysis

A description of resilience for Norwegian home-living chronically ill oldest older persons

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