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Abstract

Which conclusions can be drawn from these clinical observations? One key message is that educating patients and spouses with the purpose of optimizing rehabilitation and secondary prevention is not just a matter of informing about facts. It is a process where professional caregivers must be sensitive to the social and emotional reality of the patient and spouse. Caregivers must also be very aware of the communicative interplay and the fact that both patient and spouse cognitions and interpretations may be very different from those of the professional. To health professionals, cardiological and surgical procedures are relatively routine aspects of their daily work. However, these procedures are not routine to the patient and his or her family — to them, it is a profoundly life-changing experience, and emotionally and spiritually a brush with death.

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References

  1. Kloner RA, Mullin SH, Shook T, et al. Erectile dysfunction in the cardiac patient: how common and should we treat? J Urol 2003;170:2.

    Article  Google Scholar 

  2. Addis IB, Ireland CC, Vittinghof E, Lin F, Stuenkel CA, Hulley S. Sexual activity and function in post-menopausal women with heart disease. Obstet Gynecol 2005;106(1):121–122.

    PubMed  Google Scholar 

  3. Bedell SE, Duperval M, Goldberg R. Cardiologists’ discussions about sexuality with patients with chronic artery disease. Am Heart J 2002;144:2.

    Google Scholar 

  4. Kärner A, Abrandt Dahlgren M, Bergdahl B. Rehabilitation after coronary heart disease: spouses’ views of support. J Adv Nurs 2004;46(2):204–211.

    Article  PubMed  Google Scholar 

  5. Lukkarinen H, Kyngäs H. Experiences of the onset of coronary artery disease in a spouse. Eur J Cardiovasc Nurs 2003;2:189–194.

    Article  PubMed  Google Scholar 

  6. Moser DK, Dracup K. Role of spousal anxiety and depression in patients’ psychosocial recovery after a cardiac event. Psychosom Med 2004;66:527–532.

    Article  PubMed  Google Scholar 

  7. Baker B, Szalai JP, Paquette M, Tobe S. Marital support, spousal contact and the course of mild hypertension. J Psychosom Res 2003;55:229–233.

    Article  PubMed  Google Scholar 

  8. Tsouna-Hadjis E, Vemmos KN, Zakapoulos N, Stamatelopoulos S. First-stroke recovery process: the role of family support. Arch Phys Med Rehabil 2000;81:881–887.

    Article  PubMed  CAS  Google Scholar 

  9. Berkman LF, Leo-Summers L, Horwitz RI. Emotional support and survival after myocardial infarction. A prospective, population-based study of the elderly. Ann Intern Med 1992;117:1003–1009.

    PubMed  CAS  Google Scholar 

  10. Burell G, Granlund B. Women’s hearts need special treatment. J Behav Med 2002;9:228–242.

    Article  Google Scholar 

  11. Orth-Gomer K, Wamala SP, Horsten M, Schenck-Gustafsson K, Schneiderman N, Mittleman MA. Marital stress worsens prognosis in women with coronary heart disease. The Stockholm Female Coronary Risk Study. JAMA 2000;284:3008–3014.

    Article  PubMed  CAS  Google Scholar 

  12. Kristofferzon ML, Löfmark R, Carlsson M. Myocardial infarction: gender differences in coping and social support. J Adv Nurs 2003;44:360–374.

    Article  PubMed  Google Scholar 

  13. Berkhuysen MA, Nieuwland W, Buunk BP, Sanderman R, Rispens P. Change in self-efficacy during cardiac rehabilitation and the role of perceived overprotectiveness. Patient Educ Couns 1999;38:21–32.

    Article  PubMed  CAS  Google Scholar 

  14. Itkowitz NI, Kerns RD, Otis JD. Support and coronary heart disease: the importance of significant other responses. J Behav Med 2003;26:19–30.

    Article  PubMed  Google Scholar 

  15. Frasure-Smith N, Lespérance F, Talajic M. Depression following myocardial infarction: impact on 6-month survival. JAMA 1993;270:1819–1825.

    Article  PubMed  CAS  Google Scholar 

  16. Ades PA, Waldmann ML, Polk DM, Coflesky JT. Referral patterns and exercise response in the rehabilitation of female coronary patients aged greater than or equal to 62 years. Am J Cardiol 1992:69:1422–1425.

    Article  PubMed  CAS  Google Scholar 

  17. Grace SL, Abbey SE, Shnek ZM, Irvine J, France RL, Stewart DE. Cardiac rehabilitation II: referral and participation. Gen Hosp Psychiatr 2002;24:127–134.

    Article  Google Scholar 

  18. Miller WR, Rollnick S. Motivational Interviewing. New York: Guilford Press; 1991.

    Google Scholar 

  19. Cossette S, Frasure-Smith N, Lesperance F. Clinical implications of a reduction in psychological distress on cardiac prognosis in patients participating in a psychosocial intervention program. Psychosom Med 2001;63:257–266.

    PubMed  CAS  Google Scholar 

  20. Stewart DE, Abbey SE, Shnek ZM, Irvine J, Grace SL. Gender differences in health information needs and decisional preferences in patients recovering from an acute ischemic coronary event. Psychosom Med 2004;66:42–48.

    Article  PubMed  Google Scholar 

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© 2007 Springer-Verlag London Limited

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Burell, G. (2007). Educating Cardiac Patients and Relatives. In: Perk, J., et al. Cardiovascular Prevention and Rehabilitation. Springer, London. https://doi.org/10.1007/978-1-84628-502-8_33

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  • DOI: https://doi.org/10.1007/978-1-84628-502-8_33

  • Publisher Name: Springer, London

  • Print ISBN: 978-1-84628-462-5

  • Online ISBN: 978-1-84628-502-8

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