PMID- 17449324
OWN - NLM
STAT- MEDLINE
DCOM- 20080221
LR  - 20151119
IS  - 1474-5151 (Print)
IS  - 1474-5151 (Linking)
VI  - 6
IP  - 4
DP  - 2007 Dec
TI  - Perceived disability and lifestyle modification following hospitalization for 
      non-ST elevation versus ST elevation acute coronary syndromes: the patients' 
      point of view.
PG  - 287-92
AB  - BACKGROUND AND AIMS: Medical personnel generally believe that non-ST elevation 
      (NSTE) acute coronary syndromes (ACS) are less damaging than ST elevation 
      myocardial infarction (STEMI), in keeping with the lower morbidity and mortality 
      attributed to these subgroups in randomized clinical trials. We examined whether 
      this concept translates into a difference from the patients' point of view 
      regarding lifestyle modification and return to work following hospitalization for 
      ACS. METHODS: A structured anonymous self-completed questionnaire was mailed and 
      returned by 160 consecutive patients (age 64+/-11 years; 125 (78%) men) 3-12 
      months after hospitalization for ACS. In 49 patients, the diagnosis was unstable 
      angina pectoris (UAP), in 34 non-ST elevation myocardial infarction (NSTEMI) and 
      in 73, ST elevation myocardial infarction (STEMI). The questionnaire addressed 
      issues relating to demographic data, medical history, occupation, employment and 
      income before the acute event, changes following hospitalization for ACS and 
      questions relating to current perceived health status and return to work. 
      RESULTS: Most (98/159, 62%) patients saw themselves as "heart patients" after 
      hospitalization for ACS. Quality of life was perceived to have decreased in 70 
      (44%), self-image in 85 (53%), self-confidence in 78 (49%) and sexual function in 
      75 (48%), with no differences according to ACS type. Anxiety was reported by 85 
      (54%) patients and anxiety level (1.47+/-1.25 on the Brief Symptom Inventory 
      scale) was high. Only 38 (49%) of 77 patients who were working prior to the acute 
      event returned to full- or part-time gainful employment. By multivariate 
      analysis, return to work was associated with 3 variables: younger age (p=0.015), 
      shorter duration of hospitalization (p=0.036) and higher income bracket prior to 
      the acute event (p=0.0001), with no relation to gender, in-hospitalization 
      revascularization strategy, rehabilitation program or to underlying cardiac 
      diagnosis (UAP, NSTEMI or STEMI). CONCLUSIONS: Hospitalization for ACS had a 
      major negative impact on patient lifestyle and return to work, irrespective of 
      the underlying cardiac diagnosis. The experience of hospitalization for an acute 
      heart condition was uniformly traumatic with in many instances a prolonged 
      adverse effect on patient function.
FAU - Yuval, Rita
AU  - Yuval R
AD  - Cardiovascular Clinical Research Unit, Department of Cardiovascular Medicine, 
      Lady Davis Carmel Medical Center and the Ruth and Bruce Rappaport School of 
      Medicine, Technion-IIT, Haifa, Israel.
FAU - Halon, David A
AU  - Halon DA
FAU - Lewis, Basil S
AU  - Lewis BS
LA  - eng
PT  - Comparative Study
PT  - Journal Article
DEP - 20070420
PL  - England
TA  - Eur J Cardiovasc Nurs
JT  - European journal of cardiovascular nursing
JID - 101128793
SB  - IM
MH  - Activities of Daily Living/psychology
MH  - Acute Coronary Syndrome/diagnosis/prevention & control/*psychology
MH  - Adaptation, Psychological
MH  - Adult
MH  - Aged
MH  - Aged, 80 and over
MH  - Angina, Unstable/diagnosis/prevention & control/psychology
MH  - *Attitude to Health
MH  - Disabled Persons/*psychology
MH  - Employment/psychology
MH  - Female
MH  - *Hospitalization
MH  - Humans
MH  - *Life Style
MH  - Male
MH  - Middle Aged
MH  - Multivariate Analysis
MH  - Myocardial Infarction/diagnosis/prevention & control/*psychology
MH  - Nursing Methodology Research
MH  - Quality of Life/psychology
MH  - Risk Reduction Behavior
MH  - Self Care/methods/psychology
MH  - Self Efficacy
MH  - Surveys and Questionnaires
EDAT- 2007/04/24 09:00
MHDA- 2008/02/22 09:00
CRDT- 2007/04/24 09:00
PHST- 2006/05/21 00:00 [received]
PHST- 2007/02/06 00:00 [revised]
PHST- 2007/02/16 00:00 [accepted]
PHST- 2007/04/24 09:00 [pubmed]
PHST- 2008/02/22 09:00 [medline]
PHST- 2007/04/24 09:00 [entrez]
AID - S1474-5151(07)00122-3 [pii]
AID - 10.1016/j.ejcnurse.2007.02.002 [doi]
PST - ppublish
SO  - Eur J Cardiovasc Nurs. 2007 Dec;6(4):287-92. doi: 10.1016/j.ejcnurse.2007.02.002. 
      Epub 2007 Apr 20.