Psychological Interventions for Patients with Coronary Heart Disease and Their Partners: A Systematic Review

Abstract

ObjectivesDespite evidence that patients with coronary heart disease (CHD) and their partners report significant psychological distress, and suggestions that involving partners in interventions alleviates such distress, no systematic reviews have examined this. The objective of this study was to systematically review evidence on the effectiveness of psychological interventions for patients with CHD and their partners.MethodsCENTRAL, Medline, EMBASE, CINAHL and PsycINFO databases were searched through October 2012. Randomized controlled trials evaluating psychological interventions for patients with CHD and their partners were included. Selection of studies, study appraisal, data extraction and analysis were undertaken using standard methods.ResultsSeven studies comprising 673 dyads (patient and partner) were included. Psychological interventions result in modest improvements in patients' health-related quality of life, blood pressure, knowledge of disease and treatment, and satisfaction with care, and in partners' anxiety, knowledge and satisfaction. There was a non-significant trend for improvements in anxiety for patients, and depressive symptoms for both patients and partners. There was no evidence of a significant effect on mortality, morbidity or other cardiovascular risk factors for patients, or social support for patients and partners.ConclusionsPsychological interventions for patients with CHD and their partners were found to improve health-related quality of life, blood pressure, knowledge, and satisfaction with care for patients, and anxiety, knowledge, and satisfaction with care for partners. However, as the overall quality of the evidence was low, these results should be interpreted with caution.

Exploring the effectiveness of couples interventions for adults living with a chronic physical illness: A systematic review

“…Such studies have demonstrated positive effects on physical, interpersonal, and emotional outcomes among couples living with cancer [27,28,29]. Other systematic review work exploring the benefits of couples interventions in coronary heart disease, has shown significant improvements on quality of life and blood pressure in patients, and depression in both patients and partners [30]. Previous research has examined the effectiveness of couples interventions across different chronic physical illnesses.…”

Psychosocial Approach in the Rehabilitation of Heart Patients: Review

“…1, [22][23][24] Üç yıllık multidisipliner bir KR programında, KKH olanların psikososyal ihtiyaçlarını tanımla-mak ve basamaklı bakım yaklaşımı ile hasta sonuç-larını (duygudurum ve hasta memnuniyeti) iyileş-tirmek ve özelleşmiş ihtiyaçlarını karşılayacak girişimler ile hastalara kabul edilebilir ve ulaşılabi-lir bir hizmet geliştirmek hedeflenmiştir (Şekil 3). 17 Child ve ark., davranışsal risk faktörleri üzerine odaklı rehabilitasyon programı içinde multidisipliner ekibin diğer üyelerinin desteği ile iş birliği içinde psikolojik-eğitim oturumlarının, kardiyak sorunlara odaklı kısa bireysel terapi girişimlerinin oluşturulmasının, anksiyete, depresyon ve yaşamı olumsuz etkileyen durumları değerlendirmek ve düzenlemek için bireysel terapilerin ve/veya 3-8 hastadan oluşan küçük gruplarla workshopların planlanmasının yararlı olacağını özellikle vurgulamışlardır.…”

“…21 Özellikle Mİ geçiren hastalar ve aile üyeleri önemli fiziksel, psikolojik ve sosyal yükleri nedeni ile anksiyete ve depresyon yaşar-lar. 24 Depresyonun etkisi akut Mİ'li hastalarda daha güçlü bulunmuştur. 52 Dört hastadan biri Mİ'yi takiben ciddi bir depresyon ya da anksiyete yaşa-maktadır.…”

Caring needs in patient-partner dyads affected by heart failure: An evaluation of the long-term effects of a dyadic psycho-educational intervention

“…Nursing interventions addressing psychological needs in dyads with coronary heart disease have shown only modest improvements in patients' HRQoL, knowledge of disease and treatment, and in partners' anxiety, knowledge and satisfaction with care, and no effect on the dyads' depressive symptoms [18]. However, during the sessions a variety of needs were discussed and the nurses' documentation revealed that the dyads' knowledge and confidence increased during the time of the intervention (III).…”

“…A few intervention studies have targeted the needs of patient-partner dyads with HF, but mostly only short-term results between 4-12 weeks have been reported. Furthermore, the results have been inconclusive and do not give clear guidance on how interventional programs should be designed to improve both patient and partner outcomes [13,[17][18][19]. Therefore, this thesis focuses on a long-term followup of a dyadic psycho-educational intervention, as well as on an exploration of the dyads' perceived caring needs in order to gain a better understanding of how to improve care for dyads affected by HF.…”