Angina pectoris (AP) is an important manifestation of chronic coronary heart disease, estimated to affect more than 10% of people aged over 60 years. Typically, AP is experienced as chest pain, induced by exertion and relieved by rest or medication. Despite contemporary medical management, people with chronic AP may experience symptoms during everyday activities. Accordingly, AP has significant potential to limit people's daily activities and participation in life roles. Yet there is a limited literature reporting the impact of AP on activities. The aim of this program of research was to describe the relationship between AP and limitation in people's activities and participation in life roles. The research comprised three studies. The first two studies were undertaken by secondary analysis of data from a large population study, the Australian Longitudinal Study of Ageing (ALSA). These studies answered research questions about the relationship between AP and activity limitation in a large sample of older Australians. The third study involved the collection of new data to explore how people of various ages perceive and manage the impact of AP on their activities and life roles. / PhD Doctorate

Ulm, Univ. Diss., 2006.

Thesis (doctoral)--Malmö, 1982.

Thesis (M.S.)--University of Wisconsin-Madison. / Typescript. eContent provider-neutral record in process. Description based on print version record. Includes bibliographical references (leaves 52-56).

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The purpose of this study was to determine how angina pectoris patients experience and cope with their chronic illness following diagnosis. Qualitative methodology, using phenomenological theory, was used to guide the study. The study was conducted with a convenience sample of six male angina patients, ranging in age from 42 to 72 years, with recency of diagnosis from two to thirty-four months. None of these subjects were known to have had a myocardial infarction (MI). Using a semi-structured interview guide with open-ended questions, the investigator interviewed each subject at home, on two occasions. Data coding and analysis were approached using the constant comparative method developed by Glaser and Strauss (1967). The findings of the study revealed angina patients progressing through four phases of coping experience as they adjusted to their illness and its concomitant need for risk modification. These phases were identified as: (1) Initial Coping Response; (2) Managing Specific Adjustment Areas; (3) Secondary Coping Response; and (4) Awareness of Resulting Changes. The findings supported the use of a chronic illness framework adapted from Strauss et al. (1984) for identifying some of the adjustment areas encountered and coping strategies utilized by the angina patients investigated. Nurses and other health professionals are angina patients investigated. Nurses and other health professionals are in a critical position to assist angina patients in coping with their illness. The phases of coping experience identified in this study may serve as a useful guide to help these health professionals assess the nature of problems and concerns related to coping with angina so that better adjustment in daily life will ensue. / Applied Science, Faculty of / Nursing, School of / Graduate

Introdução. A necessidade de melhorar a acurácia do teste de esforço determinou o desenvolvimento de escores, cuja aplicabilidade já foi amplamente reconhecida. Objetivo. Avaliação prognóstica do coronariopata estável por meio de um novo escore simplificado ao ser comparado com o escore de Hubbard. Métodos. Um novo escore foi aplicado em 372 coronariopatas bi ou triarteriais, 71,8% homens com idade média de 59,5+9,07 anos, randomizados para angioplastia, revascularização cirúrgica e tratamento clínico, com seguimento de cinco anos. O óbito cardiovascular foi o desfecho primário. O infarto do miocárdio não-fatal, e o óbito e re-intervenção formaram o desfecho combinado secundário. O escore baseou-se em uma equação previamente validada, resultante da soma de um ponto para: gênero masculino, história de infarto, angina, diabetes, uso de insulina e ainda um ponto para cada década de vida a partir dos 40 anos. Para o teste positivo foi adicionado um ponto. Resultados. Ocorreram 36 óbitos (10 no grupo angioplastia, 15 no grupo revascularização e 11 no grupo clínico), p=0,61. Observou-se 93 eventos combinados: 37 no grupo angioplastia, 23 no grupo revascularização e 33 no grupo clínico (p=0,058). Duzentos e quarenta e sete pacientes apresentaram escore clínico 5 pontos e 216 pacientes 6 pontos. O valor de corte >5 ou >6 pontos identificou maior risco, com p=0,015 e p=0,012, respectivamente. A curva de sobrevida mostrou uma incidência de óbito após a randomização diferente daquela com escore 6 pontos (p=0,07), e uma incidência de eventos combinados diferente entre pacientes com escore <6 e 6 pontos (p=0,02). Conclusão. O novo escore demonstrou consistência na avaliação prognóstica do coronariopata estável multiarterial / Introduction. The need to improve the exercise testing accuracy, lead the development of scores, which applicability were already widely recognized. Objective. Prognostic evaluation of stable coronary disease throughout a new simplified score. Methods. A new score was applied in 372 bi or triarterial coronary patients, 71,8% men mean age 59,5+9,07 years, randomized for percutaneous coronary intervention (PCI), coronary artery bypass graft surgery (CABG) and clinical treatment, with 5 years follow-up. Cardiovascular death was considered the primary outcome. Non-fatal myocardial infarction, death and re-intervention were considered the combined secondary outcome. The score was based on a previously validated equation, resulting from a sum of one point score for: male gender, infarction history, angina, diabetes, use of insulin and one point score for each decade of life after the age of 40 years. Positive exercise testing summed one additional point score. Results. There were 36 deaths (10 in the PCI group, 15 in the CABG group and 11 in the clinical group), p=0.61. There were 93 combined events: 37 in the PCI group, 23 in CABG group and 33 in the clinical group (p=0.058). Two hundred and forty-seven patients presented a clinical score 5 points and 216 patients 6 points. The cut-off point 5 or 6 identified an increased risk, p=0.015 and p=0.012, respectively. The survival curve showed a different death incidence after the randomization when the score reached 6 points or more (p=0.07), and a distinct incidence of combined events between the patients with points score <6 and 6 (p=0.02). Conclusion. The new score showed to be consistent in the prognostic evaluation of stable multivessel coronary artery disease

Ett stort antal personer insjuknar varje år i kranskärlssjukdom, vilket inkluderar angina pectoris. Sjuksköterskan behöver ha goda kunskaper om hur patienter med angina pectoris erfar olika symptom relaterat till sjukdomsbilden, samt hur patienter anterar och lever med sin sjukdom. Detta för att kunna ge bästa stöd och arbeta på ett personcentrerat sätt. Syftet var att beskriva patienters erfarenheter av att leva med angina pectoris. Metoden som användes var litteraturstudie vilken grundades på tolv vetenskapliga artiklar vilka analyserades och sammanställdes. Resultatet visade att patienter med angina pectoris har olika erfarenheter av sjukdomen. Tre teman framkom i resultatet; Patienters erfarenheter av smärta och obehag, Patienters erfarenheter av stress och oro samt Patienters erfarenheter av stöd. Då befintlig forskning mer generellt inriktas på patienter med kranskärlssjukdomar, behövs mer specifik forskning där situationen för patienter med angina pectoris belyses.