In the eye of both patient and spouse: memory is poor 1 to 2 years after coronary bypass and angioplasty.
Postoperative Complications: psychology
Coronary Artery Bypass: psychology
Coronary Artery Bypass: adverse effects
Percutaneous Coronary: psychology
Percutaneous Coronary: adverse effects
Activities of Daily Living: psychology
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AbstractBACKGROUND: The study aimed to investigate patient and spouse perception of cognitive functioning 1 to 2 years after coronary artery bypass grafting. METHODS: Seventy-six married patients who had undergone coronary artery bypass grafting were selected and sex- and age-matched with 75 concurrent married patients who had undergone percutaneous transluminal coronary angioplasty. Couples received a letter of explanation and then completed telephone interviews. Forty-seven questions assessed memory, concentration, general health, social functioning, and emotional state. Response choices were: improved, unchanged, or deteriorated function after coronary artery bypass grafting/percutaneous transluminal coronary angioplasty. RESULTS: Patients who had undergone coronary artery bypass grafting did not differ in subjective ratings on any measure from patients who had undergone percutaneous transluminal coronary angioplasty. There were no differences between spouses in the respective groups; spouse ratings also did not differ from patient ratings. Only in memory function did patients and spouses report a postprocedural decline. CONCLUSIONS: No subjective differences were found in patients who had undergone either coronary artery bypass grafting or percutaneous transluminal coronary angioplasty. Spouse ratings agreed with each other and with patient ratings. Positive correlations were found between the questionnaire factors, suggesting that perceived health and well-being are associated with subjective cognition.
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Mujeres y enfermedad cardiovascular: Género y subjetividad en la construcción del riesgo en enfermedades cardiovasculares en mujeres jóvenes Women and coronary heart disease: Gender and subjectivity in coronary heart risk in young womenDébora Tajer (Facultad de Psicología Universidad de Buenos Aires, 2006-12-01)Este trabajo plantea el modo en el cual las características de la construcción de las subjetividades de género de las mujeres con cardiopatía isquémica (infarto agudo de miocardio y angina inestable), aportadas desde la Salud Mental y los Estudios de Género, colabora a la explicación de la construcción del riesgo en mujeres adultas jóvenes. Revisa críticamente los estudios que explican la menor incidencia de esta patología en las mujeres jóvenes y que privilegian el punto de vista de las diferencias biológicas, resituándo a éstos dentro de una visión más abarcativa que considera al proceso salud-enfermedadatención de un/a sujeto/a como un precipitado del interjuego de los aspectos biológicos, psicológicos y sociales. El aporte específico de este trabajo, consiste en el abordaje psicosocial del estudio de la conformación de la subjetividad de género de las mujeres afectadas de esta patología donde la diferencial por sexos, fundamentalmente a edad temprana, es tan pronunciada. Y para la cual la causa que afecta a la población femenina desde una perspectiva psicosocial, es comúnmente entendida como causada por la "masculinización" de la población afectada o por el mayor peso de los factores biológicos de la causación por sobre los factores psicosociales.<br>This work aims to identify how gender subjetivation process in women with coronary heart disease, can collaborate in understanding women's particular risk in this disease. Has a critical point of view related to the explanation of young women less incidence linked to biological factors, expanding the framework to a more comprenhensive point of view. By the same token, this framework considers the health-disease-care process of a person produced by biological, phychological and social determinants. The specific collaboration of this work consists in focusing on the psychosocial approach to the conformation of women gender subjetivation in orden to understand this part of women's own way of getting in risk. Taking in account that former studies had understood it as a "masculinization" process of the affected population or an increased of biological risk factors in the cause, more than and increase of women's particular psychosocial risk factors.
Psychological factors and coronary heart diseaseHadži-Pešić Marina; Todorović Jelisaveta; Brajović-Car Kristina (Drustvo Psihologa Srbije, 2007-01-01)Coronary heart disease (CAD) results from an interaction of different somatic, environmental and behavioral risk factors. Commonly, development of CAD is associated with arterial hypertension, dyslipidemia, diabetes mellitus, smoking, sedentary life style and the like. Psychological factors in their own sake or in combination with other risk factors are also important for genesis of CAD. In this study, 170 people that were diagnosed with CAD and 170 healthy controls of corresponding sex and age were compared for anxiety, aggressiveness and Eysenck's two personality dimension. The data indicate that patients with CAD have very low level of anxiety and aggressiveness and very high level of neuroticism relative to the controls. .
Religiosity and Patient Engagement in their Healthcare Among Hospital Survivors of an Acute Coronary SyndromeAbu, Hawa Ozien; McManus, David D.; Kiefe, Catarina I.; Goldberg, Robert J. (eScholarship@UMMS, 2019-03-22)Background: Optimum management after an Acute Coronary Syndrome (ACS) requires considerable patient engagement/activation. Religious practices permeate people's lives and may influence engagement in their healthcare. Little is known about the relationship between religiosity and patient activation in hospital survivors of an ACS. Methods: We recruited patients hospitalized for an ACS at six medical centers in Central Massachusetts and Georgia (2011-2013). Participants self-reported three measures of religiosity - strength and comfort from religion, making petition prayers, and awareness of intercessory prayers for health. Patient activation was assessed using the 6-item Patient Activation Measure (PAM-6). We categorized participants as either having low (levels 1 and 2) or high (levels 3 and 4) activation in examining the association between religiosity and patient activation while adjusting for sociodemographic, psychosocial, and clinical variables. Results: Patients (n=2,067) were on average, 61 years old, 34% were women, and 81% were non-Hispanic White. Approximately 85% reported deriving strength and comfort from religion, two-thirds prayed for their health, and 89% received intercessions for their health. Overall, 57.5% had low activation. Reports of a great deal (aOR: 2.02; 95% CI: 1.44-2.84), and little/some (aOR: 1.45; 95% CI: 1.07-1.98) strength and comfort from religion were associated with high activation respectively, as was the receipt of intercessions (aOR: 1.48; 95% CI: 1.07-2.05). Praying for one's health was associated with low activation (aOR: 0.78; 95% CI: 0.61-0.99). Conclusion and Clinical Practice Implications: Patient activation was associated with religiosity, suggesting that healthcare providers may use this knowledge to enhance patient engagement in their care.