The Influence of Coronary Bypass Graft Surgery on the Marital Relationship and Family Functioning of the Patient

Poel, A. van der; Greeff, Abraham P.

doi:10.1080/713847098

Cited by 11 publications

(9 citation statements)

References 13 publications

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“…There is limited partner research regarding the impact of an acute cardiac event on marital functioning and the current findings present a mixed picture with studies revealing both low and high levels of marital functioning among cardiac couples, and identifying improvement, stability and deterioration in post event marital functioning (Artinian, 1991(Artinian, , 1992Mayou et al, 1978;Miller & Wikoff, 1989;Rosal, Downing, Littman, & Ahern, 1994;Skelton & Dominian, 1973;Thompson & Cordle, 1988;van der Poel & Greeff, 2003). However, most of these studies are crosssectional utilising unstandardised, study devised and self-report measures which may not accurately capture temporal changes in marital functioning.…”

Section: Key Findingsmentioning

confidence: 86%

The impact of an acute cardiac event on the partners of patients: a systematic review

Randall

Molloy

Steptoe

2009

Health Psychology Review

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Partner support facilitates successful recovery and adjustment following an acute cardiac event (myocardial infarction or coronary revascularisation), but there is limited research examining the partner experience after an acute cardiac event. A computerised literature search was conducted to identify quantitative research investigating the psychosocial impact of an acute cardiac event on the patient's partner. The research base is limited, somewhat methodologically weak and outdated in relation to advances in cardiac care, and little attention has been paid to the experience of non-Caucasian couples, same sex couples or male partners. However, we found that partners are at significant risk of experiencing distress, anxiety and depression that may extend beyond the immediate recovery phase, and may contribute to adverse patient outcomes. Partners contend with significant disruption to their daily functioning and may engage in substantial caregiving responsibilities. Partners describe a lack of social support and information which may contribute to the high levels of distress. Marital and sexual functioning can also be adversely affected. Partner coping strategies and illness perceptions may contribute to adjustment. The findings of this review reveal that partner experience may play an important role in both partner and patient adjustment to an acute cardiac event and there is considerable scope for updating and extending current knowledge of partner experience.

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Section: Key Findingsmentioning

confidence: 86%

The impact of an acute cardiac event on the partners of patients: a systematic review

Randall

Molloy

Steptoe

2009

Health Psychology Review

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“…Where research was done the focus was either on the patient or European / American families. The experience of a chronic illness like CVD has been shown (Penn, 2001;Tarkka, Paavilainen, Lehti & Astedt-Kurki 2002;Van der Poel & Greeff, 2003), to influence not only the patient, but also the family members. As a chronic illness it may be considered as a relationally traumatising experience.…”

Section: Introductionmentioning

confidence: 99%

Resilience in Families that have Experienced Heart-Related Trauma

Greeff

Wentworth

2009

Curr Psychol

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STATEMENT I, the undersigned, hereby declare that the work contained in this assignment is my own original work and that I have not previously in its entirety or in part submitted it at any university for a degree. ……………………….. ……………………… Signature Date ii ABSTRACTThe current study was aimed at expanding on and understanding the adaptation and adjustment mechanisms used by families in the wake of heart-related trauma, as a means of providing information that reveals and supports the family's own abilities, capabilities and resilience. The theoretical framework of this study was the Resiliency Model of Family Stress, Adjustment and Adaptation (McCubbin & Thompson, 1991). The focus of this study is on the existing and new resources (including social support), the situation appraisal (including the family schema) and the problem solving and coping aspects of the family. This focus represents the paradigmatic shift from a pathological view of a family to a salutogenic view.Family resilience factors were collected through the self-report questionnaires and an open ended questionnaire, which were completed by the family member who experienced the heartrelated trauma. Results indicated that family time and routines appeared to be a key process for mediating family adaptation, as well as parent-child togetherness and family chores. Ander sleutelprosesse wat geïdentifiseer is en positief verband hou met gesinsaanpassing, is sosiale ondersteuning, gesinsgehardheid, en die herformulering van probleemsituasies. Die identifisering van kern gesinsprosesse kan bydra tot die herstel en opbou van gesinne in krisisse. In die Suid-Afrikaanse konteks kan hierdie kennis gebruik word om intervensies te beplan vir gesinne met 'n lid wat 'n kardiovaskulêre siekte het.iv CONTENTS

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“…In addition to a negative influence on the emotional bonding with other members of the family. Coping strategies included seeking of spiritual support and the reframing of the problem (van der Poel and Greeff39).…”

Section: Resultsmentioning

confidence: 99%

Experiences of informal caregivers after cardiac surgery: a systematic integrated review of qualitative and quantitative studies

et al. 2019

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ObjectivesTo provide a comprehensive synthesis of informal caregivers’ experiences of caring for a significant other following discharge from cardiac surgery.DesignSystematic integrated review without meta-analysis.Data sourcesA bibliographic search for publications indexed in six databases (Cochrane Library, CINAHL, MEDLINE, EMBASE, AMED and PsycINFO), including a scan of grey literature sources (GreyNet International, Google Scholar, Web of Science, WorldCat and the Clinical Trials Registry) was conducted in October 2018.Eligibility criteria for selecting studiesStudies were included if they described views and perspectives of informal caregivers of cardiac surgery patients (non-intervention studies (qualitative and quantitative)), and the effectiveness of interventions to evaluate support programme for informal caregivers of cardiac surgery patients (intervention studies).ResultsOf the 4912 articles identified in searches, 42 primary research studies were included in a narrative synthesis with 5292 participants, including 3231 (62%) caregivers of whom 2557 (79%) were women. The median sample size across studies was 96 (range 6–734). Three major themes emerged from the qualitative study data: (1) caregiver information needs; (2) caregiver work challenges and (3) caregivers adaption to recovery. Across the observational studies (n=22), similar themes were found. The trend across seven intervention studies focused on caregiver information needs related to patient disease management and symptom monitoring, and support for caregivers to reduce symptoms of emotional distress.ConclusionInformal caregivers want to assist in the care of their significant others after hospital discharge postcardiac surgery. However, caregivers feel insecure and overwhelmed and they lack clear/concise discharge information and follow-up support during the early at-home recovery period. The burden of caregiving has been recognised and reported since the early 1990s, but there remains a limited number of studies that assesses the effectiveness of caregiver interventions.PROSPERO registration numberCRD42018096590.

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The Influence of Coronary Bypass Graft Surgery on the Marital Relationship and Family Functioning of the Patient

Cited by 11 publications

References 13 publications

The impact of an acute cardiac event on the partners of patients: a systematic review

The impact of an acute cardiac event on the partners of patients: a systematic review

Resilience in Families that have Experienced Heart-Related Trauma

Experiences of informal caregivers after cardiac surgery: a systematic integrated review of qualitative and quantitative studies

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