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An evidence-based guideline of using music therapy for patients undergoing cardiac catheterisation吳石光, Ng, Shek-kong, Sandor January 2013 (has links)
Coronary artery disease (CAD) is known as the second killer in Hong Kong. The Hong Kong Hospital Authority reported nearly 7000 patients suffered from acute myocardial infarction (AMI) in year 2010 to 2011. Percutaneous transluminal coronary angioplasty (PTCA) is a minimal access surgical treatment for coronary artery disease but studies have shown that patients experienced different levels of anxiety before and during PTCA which led negative impact to the patients. Music can be regarded as a safe, cost-effective therapy to reduce one’s anxiety level. It can be carried out by nurses without any specific technique. However, there was no systemic review for using music therapy to patients undergoing PTCA. Therefore, this dissertation aims to evaluate the best available evidence on using music therapy for patients undergoing PTCA.
Four electronic databases, Medline, CINAHL, Embase & PsycINFO, were searched for studies to investigate the efficacy of music therapy in patients undergoing PTCA. There were seven studies were eligible with data extracted and quality assessment performed by the critical appraisal skill programme (CASP) checklist. Four studies were graded as high quality, which consistently demonstrated a statistically significant more reduction in the anxiety level of patients who received music therapy either before and/or during PTCA than those who had no music therapy.
Consequently, an evidence-based guideline of using music therapy for patients undergoing PTCA was developed according to the guideline development process of SIGN (2010). The use of music therapy is transferable and feasibly in the local setting with little manpower concern. The total cost estimated for running the innovation for a year was HKD 83,775 which was considered as cost-effective to reduce patients’ anxiety level and avoid associated adverse events.
A 14-months programme including communication with the stakeholders, pilot testing, staff training and clinical application of the proposed music therapy was designed. Qualitative and quantitative data on patient, healthcare provider and system outcomes would be accounted throughout the programme. The effectiveness of the guideline would be determined by the reduction of patient’s anxiety level by using the Chinese version of State-Trait Anxiety Inventory (STAI) (Shek, 1993). Moreover, healthcare provider outcome would be evaluated by questionnaire and the expenditure of the proposed music therapy would be monitored closely. / published_or_final_version / Nursing Studies / Master / Master of Nursing
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Having a parent with cancer: an examination of the ways children cope and how the family system is affectedBeard, Lucinda Michelle 28 August 2008 (has links)
Not available / text
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The relationship of illness representation and self-care behaviors to health-related quality of life in older individuals with heart failureVoelmeck, Wayne Francis 28 August 2008 (has links)
Not available / text
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Nurse-delivered stage-matched smoking cessation intervention for cardiac patients: a randomized controlledtrialChan, Chung-Chi, Sabrina., 陳頌慈. January 2004 (has links)
published_or_final_version / abstract / toc / Nursing Studies / Master / Master of Philosophy
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The qualitative generation of wellness motivation theoryDerenowski, Julie Margaret January 1990 (has links)
No description available.
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Coping with ischaemic heart disease : views and experiences of key participants, their partners and medical practitioners.Vahed, Roxana Ismail. 02 December 2013 (has links)
Ischaemic heart disease (IHD), which is a Chronic Disease of Lifestyle, has been
rated as one of the key illnesses that have progressively materialised as a threat
across the wide demographic spectrum of South Africa’s population. Internationally,
literature is relatively scarce on the psychosocial consequences of the disease for
the ill person, but limited information does exist on these consequences as they
affect South African individuals and their families. This study sought firstly to
understand the experience of persons with IHD, their partners and medical
practitioners and secondly how they coped with the illness. Participants were
selected with the assistance of cardiologists at a private hospital in KwaZulu-Natal.
Theoretical sampling determined the number of persons who participated in the
study. Data was collected using in-depth interviews in accordance with the qualitative
descriptive design and narrative inquiry that underpinned the research. Participants
(13) were determined once data-saturation was reached. The data revealed that
spousal support and religion/spirituality played important roles in helping people
manage the illness. Genetics and lifestyle choices contributed to participants’ IHD.
Not recognising their symptoms, owing to misinformation by the medical fraternity,
contributed to participants not realising they were having a heart attack.
Religious/spiritual coping mechanisms were among those mentioned by participants,
and depression (not clinically assessed), anxiety and sadness were noted among the
consequences for them. Two of the cardiologists did not acknowledge depression;
nevertheless research studies have linked depression with major cardiac attacks and
to surgery following cardiac problems. The data points to the lack of communication
between participants and their health practitioners and the belief held by participants
that the medical personnel were not particularly interested in their psychosocial
wellbeing. This seems to be borne out by the limited data obtained from health
practitioners. Social workers can play important roles in the health team by ensuring
that the psychosocial needs of persons experiencing IHD and their families are
attended to. Social workers can publish in health journals to make the medical
fraternity aware of the contribution that social workers skills can make to persons who are ill. / Thesis (M.A.)-University of KwaZulu-Natal, Durban, 2012.
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The effects of knowledge and attitude toward computer assisted instruction on patient education of cardiac risk factorsRoyce-Richmond, Judy Elaine January 1990 (has links)
This study assessed differences in the knowledge of cardiac risk factors and the attitude toward computer assisted instruction (CAI) in cardiac rehabilitation patients instructed by lecture and transparencies or CAI. The quasi-experimental two-group posttest design used a convenience sample of 30 volunteers enrolled in a cardiac rehabilitation program. After randomization, cardiac risk factor instruction was conducted via lecture or the investigator developed CAI. The subjects completed a knowledge instrument which demonstrated content validity and a Kuder-Richardson formula 20 reliability coefficient of .0 and the Attitude Toward CAI scale which demonstrated content validity and a Cronbach's alpha .853 and .759. The data were analyzed by the two-sample t-test utilizing the .05 probability level. The results indicated a nonsignificant t value of .00 (df 28, p = 1.00) in the knowledge scores and a nonsignificant t value of 2.00 (df 28, p = .05) in attitude scores therefore the results failed to reject both null hypotheses. The conclusions drawn from this study are that CAI was as effective as lecture for patient education and that attitudes toward CAI were favorable. / School of Nursing
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The effect of a self-directed lifestyle change programme on cardiac patientsVenter, Hendrik J. 11 February 2014 (has links)
D.Litt. et Phil. (Psychology) / Over the past four decades we have witnessed the emergence of amazingly sophisticated means of cardiovascular diagnosis and therapy. For the first time in many years, some Western countries could report a decline in cardiovascular deaths. During this same span of years we have witnessed the remarkable development of an array of technological achievements that include the means for invasive diagnostic procedure such as cardiac catherization, and non-invasive methods of echocardiography, magnetic, radio-isotopic and positron imagery which provide detailed diagnostic and prognostic information. This innovations along with synthetic grafts have permitted surgical interventions that would not have been conceivable at the outset of this cardiovascular odyssey. Another major advance has been the appearance of new pharmacological modalities; the diuretics, the beta-adrenergic receptors and angiotension converting enzyme inhibitors, the calcium antagonists and other anti-hypersensitive agents, a spectrum of antiarrhythmic compounds, anticoagulants and fibrinolytic therapy, and the promise of still more innovative and novel modes of therapy which will appear via genetic engineering. Over the past years there has been equally significant development in the area of cardiovascular epidemiology. These advances include the demonstration of validity and the efficacy of various therapeutic programmes by the unique development of complex multi-center trials, as well as long-term population-based studies. Through this endeavours specific risk factors that impart independent risk ofpremature cardiovascular morbidity and mortality has been identified. Some of these risk factors are clearly not modifiable such as advancing years, male gender and race. Others are at least partly modifiable: predisposition to diabetes myelitis and increased body mass. By virtue of multi-center trials we have clear evidence that cigarette smoking, rising systolic and diastolic arterial pressures, serum cholesterol levels, and diabetes are modifiable. It is a known fact that not all individuals with coronary artery disease are cured by medication or by means of a surgical intervention. In addition to this, the reduction of traditional biomedical risk factors have been shown to be insufficient in averting the reocclusion and the further occlusion of coronary arteries in patient populations.
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The use of echocardiography in predicting left ventricle thrombus in patients with idiopathic dilated cardiomyopathy at Chris Hani Baragwanath HospitalFerreira Dos Santos, Claudia Marisa Goncalves 21 January 2013 (has links)
Submitted in fulfillment of the requirements for the Degree of Masters in Technology: Cardiology, Durban University of Technology, 2012. / Cardiomyopathies and their resultant heart failure (HF) remain a
major cause of cardiovascular morbidity and mortality (Wood and Picard, 2004).
Idiopathic dilated cardiomyopathy (IDCMO) is a primary myocardial disease of
unknown cause, characterized by left ventricular (LV) or biventricular dilatation
and impaired myocardial contractility. Dilated cardiomyopathy (DCMO), along
with rheumatic heart disease and hypertension (HPT), is one of the leading
causes of HF in Africa. In fact, in an epidemiology study of 884 patients in
Soweto, IDCMO was the second major cause of HF. Thirty five percent of
patients in the study, with HF, had IDCMO (Sliwa, Damasceno, Mayosi, 2005).
Methodology: Patients referred to the cardiomyopathy (CMO) clinic at Chris
Hani Baragwanath hospital, situated in the echocardiographic lab, were recruited,
provided they satisfied the exclusion and inclusion criteria and were enrolled after
obtaining voluntary informed consent. From May 2009 to September 2010, 70
patients with IDCMO were recruited for this trial. Patients with DCMO were
identified by means of echocardiographic criteria which included a left ventricular
ejection fraction (LVEF) of less than 45% and an end diastolic dimension (EDD)
of greater than of 52 mm (2D in long parasternal axis).
Results: In the present study the prevalence of left ventricular (LV) thrombus in
patients with IDCMO was 18.6%. When using Univariate logistic regression, the
only independent predictors of LV thrombus formation was LVEF and age.
However, when multivariate logistic regression analysis was applied to the data,
the only predictor with a significant association was age. The reason for this is
not clear. It is postulated that perhaps younger patients have differences in the
pathophysiology of their disease such as a greater smoldering inflammatory
component which may therefore predispose them to thrombus formation. For
example the presence of IL-6 may be important in the formation of LV clot in
cases of LV dysfunction (Sosin, Bhatia, Davis, Lip, 2003). The association
between LVEF and LV thrombus was borderline significant.
Conclusion: The prevalence of LV thrombus formation in this cohort of patients
with IDCMO was 18.6%. Echocardiographic parameters alone cannot predict
which patients are more likely to develop thrombus formation. / National Research Foundation / M
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An experimental study to evaluate the effect of planned teaching on self-medication practices of older ambulatory cardiac patientsGoodman, Gertrude Warkentin January 1972 (has links)
This experimental study was designed to evaluate the effect of planned teaching on the self-medication practices of ambulatory cardiac patients. The sample was composed of forty male and female cardiac patients who were over the age of forty-five years, who lived at home and were of low socio-economic status. They all lived in a large urban centre and attended an outpatient clinic for medical attention. All were taking digoxin and thirty-six, 18 from each group, were also taking a diuretic. They were randomly assigned to two groups, experimental and control, when they visited the outpatient clinic. The twenty patients in the control group were given the usual routine factual information during their clinic visit. The twenty patients in the experimental group received additional planned teaching over a thirty-minute period by the researcher.
The data were gathered by means of a twenty-item questionnaire designed to elicit information regarding the self-medication behavior of the study population. The questionnaire was administered in the homes of the patients ten to fourteen days following their visit to the outpatient clinic.
Three hypotheses were tested in the study. Analysis of the data in relation to Hypothesis I indicated a statistically significant difference in the number of self-medication errors in digoxin and diuretics made in a twenty-four-hour period by patients in the experimental group as compared with the control group. The experimental group made significantly fewer errors. Although patients in the experimental group made fewer errors of the four types of errors studied with regard to Hypothesis II, there was not a statistically significant difference in errors related to time, dosage and non-prescribed medications made in a twenty-four-hour period by patients in the experimental group as compared with the control group. There was, however, a statistically significant difference in the fourth type of error--that of omission. The testing of Hypothesis III showed a statistically significant difference in the level of knowledge of the two groups of patients. The experimental group had a higher level of knowledge of their medications.
The study concludes with consideration of implications for nursing practice and research. / Applied Science, Faculty of / Nursing, School of / Graduate
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