Abstract：
BACKGROUND:Patients can report positive effects of myocardial infarction. It is unknown whether these effects are sustained or what factors influence adaptation. OBJECTIVES:To explore primary care patients' perceptions of the effect of coronary heart disease and to identify possible modifiable predictors of adaptation. DESIGN AND SETTING:Cross-sectional, sub-study of UPBEAT cohort participants. Patients were recruited from coronary heart disease Registers in South London General Practices. METHOD:548 participants were asked "Has having heart disease changed your life? If so, was that change for the better, worse, both or neither?" Participants were asked to explain their response; explanations were subjected to content analysis. Associations between response and lifestyle, demographic, mood and coronary heart disease variables were tested. RESULTS:Respondents (394 male, 72%) were aged 27-98 years and had had heart disease for a mean of 12.4 SD ± 8.4 years. 120 (22%) reported that life was better and 200 (37%) said it was worse. The explanations of those who said 'better' were categorised as 'Healthier Living', 'Recognised Mortality' and 'Stress Reduction'. For those saying 'worse', categories were 'Restricted Lifestyle', 'Recognised Mortality', 'Loss and Burden'. More anxiety symptoms (RRR 1.56, 95% CI 1.12, 2.17), lower functional status (RRR 2.46, 95% CI 1.21, 4.98) and self-reported chest pain (RRR 2.24, 95% CI 1.34, 3.77) were associated with saying 'worse'. CONCLUSIONS:Many primary care patients are ambivalent to the effects of coronary heart disease, but some report positive effects. Negative perceptions are associated with reported functional impairment, chest pain and anxiety, but not illness severity or patient characteristics. Future work will track the implications of these perceptions, but nurses managing patients with coronary heart disease should consider these effects as they may be modifiable predictors of adaptation.
journal_name
Int J Nurs Studjournal_title
International journal of nursing studiesauthors
Smith A,Fortune Z,Phillips R,Walters P,Lee GA,Mann A,Tylee A,Barley EAdoi
10.1016/j.ijnurstu.2014.04.006subject
Has Abstractpub_date
2014-11-01 00:00:00pages
1500-6issue
11eissn
0020-7489issn
1873-491Xpii
S0020-7489(14)00082-0journal_volume
51pub_type
杂志文章abstract：BACKGROUND:It is generally assumed that integrated care has a cost-saving potential in comparison with traditional care. However, there is little evidence on this potential with respect to integrated nursing home care. AIMS AND OBJECTIVES:DESIGN/METHODS/SETTINGS/PARTICIPANTS: Between 1999 and 2003, formal and informal...
journal_title：International journal of nursing studies
pub_type： 杂志文章
doi：10.1016/j.ijnurstu.2008.05.005
更新日期：2008-12-01 00:00:00
abstract：UNLABELLED:Home health care services are expanding at a rapid pace in order to meet the needs of the growing population of older adults and those with chronic illnesses. Because of current restrictions on home health care as an insured service in some countries, individuals may be required to pay for some or all of the...
journal_title：International journal of nursing studies
pub_type： 杂志文章,评审
doi：10.1016/j.ijnurstu.2012.01.002
更新日期：2012-10-01 00:00:00
abstract：:The measurement of pulmonary artery pressure (PAP) is a common nursing practice in hemodynamic monitoring of patients in the emergency room and intensive care unit. Several researchers have proposed that PAP should be measured with the patient in a supine position with legs horizontal in order to promote a relaxed sta...
journal_title：International journal of nursing studies
pub_type： 杂志文章,评审
doi：10.1016/s0020-7489(99)00033-4
更新日期：1999-12-01 00:00:00
abstract：BACKGROUND:Clinicians hand position and advised pushing techniques may impact on rates of perineal injury. OBJECTIVE:To assess the association of four techniques used in management of second stage with risk of moderate and severe perineal injury. DESIGN:Retrospective cross-sectional study. SETTING:A metropolitan mat...
journal_title：International journal of nursing studies
pub_type： 杂志文章
doi：10.1016/j.ijnurstu.2018.04.002
更新日期：2018-07-01 00:00:00
abstract：OBJECTIVE:Aging societies will bring an increase in the number of long-term care residents with mental-physical multimorbidity. To optimize care for these residents, it is important to study their care needs, since unmet needs lower quality of life. To date, knowledge about care needs of residents with mental-physical ...
journal_title：International journal of nursing studies
pub_type： 杂志文章
doi：10.1016/j.ijnurstu.2018.02.008
更新日期：2018-05-01 00:00:00
abstract：OBJECTIVES:To investigate the effectiveness of a risk assessment system in reducing the risk of violence in an acute care hospital in the Canadian province of British Columbia. METHODS:Hospital violence incident rates (number of incidents/100,000 work hours) were calculated and compared pre, during and post implementa...
journal_title：International journal of nursing studies
pub_type： 杂志文章
doi：10.1016/j.ijnurstu.2010.10.006
更新日期：2011-05-01 00:00:00
abstract：BACKGROUND:Parents who are connected into strong family and community networks are said to have high social capital enabling them to provide a positive context where their children's social, emotional and educational needs are met. OBJECTIVES:To identify parent satisfaction with, strengths and weaknesses of, opportuni...
journal_title：International journal of nursing studies
pub_type： 杂志文章,多中心研究
doi：10.1016/j.ijnurstu.2006.09.008
更新日期：2008-03-01 00:00:00
abstract：BACKGROUND:It is well established that people with schizophrenia and related serious mental illnesses die prematurely and have significantly higher medical co-morbidity compared with the general population. Mental health nurses have a key role in improving the physical health of patients but their attitudes to this asp...
journal_title：International journal of nursing studies
pub_type： 杂志文章
doi：10.1016/j.ijnurstu.2011.07.011
更新日期：2012-01-01 00:00:00
abstract：AIMS AND OBJECTIVES:To examine the effectiveness of psychosocial interventions on depressive symptoms and glycaemic control of adults with Type 1 or 2 diabetes and co-morbid depression. BACKGROUND:Diabetes is a chronic disease that affects as many as 382 million people in the world. Diabetes management is a challengin...
journal_title：International journal of nursing studies
pub_type： 杂志文章,评审
doi：10.1016/j.ijnurstu.2015.05.012
更新日期：2015-10-01 00:00:00
abstract：BACKGROUND:Stress in nursing students may be related to attrition from nursing programmes and lead to a shortage of nurses entering clinical careers. In addition, stress leads to psychological morbidity which may have profound adverse consequences for individual nursing students. OBJECTIVES:To follow a cohort of nursi...
journal_title：International journal of nursing studies
pub_type： 杂志文章
doi：10.1016/j.ijnurstu.2007.11.003
更新日期：2008-10-01 00:00:00
abstract：:The underlying philosophical assumptions associated with the current vogue for humanistic and holistic approaches to nursing have not been subjected to systematic scrutiny, laying nursing open to the charge of being anti-scientific and even irrational. This paper outlines some of these assumptions and their origins, a...
journal_title：International journal of nursing studies
pub_type： 杂志文章,评审
doi：10.1016/0020-7489(90)90034-g
更新日期：1990-01-01 00:00:00
abstract：BACKGROUND:Low-value care provides little or no benefit to the patient, causes harm and wastes limited resources. Reducing it is therefore important for safer and more sustainable care. OBJECTIVES:We systematically assessed nursing low-value care practices in Dutch clinical practice guidelines with the aim to facilita...
journal_title：International journal of nursing studies
pub_type： 杂志文章
doi：10.1016/j.ijnurstu.2018.07.002
更新日期：2018-11-01 00:00:00
abstract：BACKGROUND:Canadian foster homes for adults with serious mental illness are operated by non-professional caregivers, usually women, whose mandate is to support residents and reintegrate them into the community. While mental health professionals recognize that adult foster homes are an important service for this populat...
journal_title：International journal of nursing studies
pub_type： 杂志文章
doi：10.1016/j.ijnurstu.2007.06.001
更新日期：2007-11-01 00:00:00
abstract：BACKGROUND:Stress urinary incontinence is a distressing and burdensome condition affecting approximately one third of pregnant women and pelvic floor muscle training is recommended as the first-line treatment. Convenient and cost-effective regimen of pelvic floor muscle training is required to facilitate the treatment ...
journal_title：International journal of nursing studies
pub_type： 杂志文章
doi：10.1016/j.ijnurstu.2020.103527
更新日期：2020-04-01 00:00:00
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journal_title：International journal of nursing studies
pub_type： 杂志文章
doi：10.1016/j.ijnurstu.2004.06.008
更新日期：2005-03-01 00:00:00
abstract：BACKGROUND:Cultural competence is a key component of culturally congruent nursing care. In order to reduce healthcare inequalities and to identify potentials for improvement in nursing practice, researchers need to be able to assess cultural competence properly. Although many instruments for the assessment of cultural ...
journal_title：International journal of nursing studies
pub_type： 杂志文章,评审
doi：10.1016/j.ijnurstu.2020.103789
更新日期：2021-01-01 00:00:00
abstract：:The purpose of this study was to estimate the variance components associated with individual differences and various sources of measurement error of Caregiver Strain Index (CSI). A two-facet (item and occasion) crossed design generalizability study (G study) was conducted using a sample of 14 caregivers of cancer pati...
journal_title：International journal of nursing studies
pub_type： 杂志文章
doi：10.1016/s0020-7489(02)00021-4
更新日期：2002-11-01 00:00:00
abstract：:This paper describes the psychometric analysis of the alcohol use disorders identification test (AUDIT) after it was modified for use in Hong Kong and administered to examine the patterns of hazardous and harmful drinking. The modified version of AUDIT was an 18-item instrument in which 10 items were completely adopte...
journal_title：International journal of nursing studies
pub_type： 杂志文章
doi：10.1016/s0020-7489(99)00052-8
更新日期：2000-02-01 00:00:00
abstract：BACKGROUND:Patients' responses to acute myocardial infarction symptoms are affected by symptom incongruence, which is the difference between the symptoms they expect to experience and the symptoms they actually experienced during an acute myocardial infarction. OBJECTIVE:To examine the relationship of patients' demogr...
journal_title：International journal of nursing studies
pub_type： 杂志文章
doi：10.1016/j.ijnurstu.2015.06.003
更新日期：2015-10-01 00:00:00
abstract：AIM:This paper reports a study that examined the extent to which nurse researchers internationally disproportionately include females as participants in their research. BACKGROUND:A bias toward predominantly male samples has been well-documented in medical research, but recently a gender bias favoring women in nursing...
journal_title：International journal of nursing studies
pub_type： 杂志文章
doi：10.1016/j.ijnurstu.2009.02.002
更新日期：2009-08-01 00:00:00
abstract：BACKGROUND:Patients with type 2 diabetes mellitus face several emotional and social consequences of their chronic illness in their everyday life. Symptoms of distress and depression are prevalent. For providing psychosocial self-management support, nurses in primary care were trained to identify patients with psychosoc...
journal_title：International journal of nursing studies
pub_type： 杂志文章
doi：10.1016/j.ijnurstu.2016.08.018
更新日期：2016-11-01 00:00:00
abstract：BACKGROUND:Sedation practices in the intensive care unit have evolved from deep sedation and paralysis toward lighter sedation and better pain management. The new paradigm of sedation has enabled early mobilization and optimized mechanical ventilator weaning. Intensive care units in the Nordic countries have been parti...
journal_title：International journal of nursing studies
pub_type： 杂志文章,meta分析
doi：10.1016/j.ijnurstu.2015.04.017
更新日期：2015-08-01 00:00:00
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journal_title：International journal of nursing studies
pub_type： 杂志文章,评审
doi：10.1016/j.ijnurstu.2014.07.003
更新日期：2015-01-01 00:00:00
abstract：:This paper reports on the findings of a pilot study that collated and categorised a range of Welsh-medium chronic pain descriptors and their conceptually equivalent English translations in order to provide a preliminary basis for chronic pain assessment amongst patients in the bilingual community of North West Wales. ...
journal_title：International journal of nursing studies
pub_type： 杂志文章
doi：10.1016/s0020-7489(03)00055-5
更新日期：2003-11-01 00:00:00
abstract：:The project focused on individual experiences, from 45 participants, of living with a fungating wound and the performance of wound dressings in reducing the impact of the wounds on daily living. A case study design was adopted. This posed a key methodological challenge in the form of the contentious epistemological is...
journal_title：International journal of nursing studies
pub_type： 临床试验,杂志文章
doi：10.1016/s0020-7489(00)00098-5
更新日期：2001-10-01 00:00:00
abstract：BACKGROUND:Parents with young children often worry about whether or not to seek medical help for a sick child. Previous research identified parents' anxieties surrounding help seeking from health services but did not explore or explain the underlying psychosocial processes taking place in families at these times. OBJE...
journal_title：International journal of nursing studies
pub_type： 杂志文章
doi：10.1016/j.ijnurstu.2011.11.007
更新日期：2013-06-01 00:00:00
abstract：BACKGROUND:Systematically targeting modifiable risk factors for delirium may reduce its incidence. However, research interventions have not become part of routine clinical practice. Particular approaches to the education of clinical staff may improve their practice and patient outcomes. OBJECTIVES:To evaluate the effe...
journal_title：International journal of nursing studies
pub_type： 杂志文章
doi：10.1016/j.ijnurstu.2013.11.005
更新日期：2014-07-01 00:00:00
abstract：BACKGROUND:Korean adolescents' smoking is currently being considered as a crucial factor determining the health status of adolescents and an important public health and social issue. OBJECTIVES:The purpose of the study was to test the applicability of the Transtheoretical model to gain an understanding of smoking beha...
journal_title：International journal of nursing studies
pub_type： 杂志文章
doi：10.1016/j.ijnurstu.2005.06.008
更新日期：2006-05-01 00:00:00
abstract：:New ways of working in critical care are emerging in response to increasing demands for care in the context of a limited critical care workforce. This review appraised the comparative safety, effectiveness and costs of new ways of working in critical care. All papers published in peer reviewed journals during 1990-200...
journal_title：International journal of nursing studies
pub_type： 杂志文章,评审
doi：10.1016/j.ijnurstu.2006.01.006
更新日期：2007-01-01 00:00:00
abstract：:Restorative proctocolectomy has become increasingly the surgical treatment of choice for ulcerative colitis and familial adenomatous polyposis since its inception in 1978 [Parks and Nicholls, 1978. British Medical Journal 2(6130), 85-88]. As Keighley, Grobler and Bain [1993. Gut 34(6), 680-684] point out it not only e...
journal_title：International journal of nursing studies
pub_type： 杂志文章
doi：10.1016/j.ijnurstu.2005.02.006
更新日期：2006-02-01 00:00:00
