The Experiences of Coronary Heart Disease Patients: Biopsychosocial Perspective
Biological, psychological and social experiences and
perceptions of healthcare services in patients medically diagnosed of
coronary heart disease were investigated using a sample of 10
participants whose responses to the in-depth interview questions
were analyzed based on inter-and-intra-case analyses. The results
obtained revealed that advancing age, single status, divorce and/or
death of spouse and the issue of single parenting negatively impacted
patients- biopsychosocial experiences. The patients- experiences of
physical signs and symptoms, anxiety and depression, past serious
medical conditions, use of self-prescribed medications, family
history of poor mental/medical or physical health, nutritional
problems and insufficient physical activities heightened their risk of
coronary attack. Collectivist culture served as a big source of relieve
to the patients. Patients- temperament, experience of different
chronic life stresses/challenges, mood alteration, regular drinking,
smoking/gambling, and family/social impairments compounded their
health situation. Patients were satisfied with the biomedical services
rendered by the healthcare personnel, whereas their psychological
and social needs were not attended to. Effective procedural treatment
model, a holistic and multidimensional approach to the treatment of
heart disease patients was proposed.
[1] World Health Organization, "Report on cardiovascular disease," 2005.
Accessed April 6, 2008, from
http://www.who.int/cardiovascular_diseases
[2] American Heart Association, "Report on risk factors and coronary heart
disease," 1998. Accessed April 6, 2008, from
http://www.americanheart.org
[3] American Heart Association, "Heart attack and angina statistics report,"
2004. Accessed April 6, 2008, from http://www.americanheart.org
[4] American Heart Association, "Report on coronary heart disease," 2008.
Accessed April 6, 2008, from http://www.americanheart.org
[5] Office of the National Statistics, "Case-oriented paper." Journal of the
operational Research Society, 2005. Accessed April 10, 2008, from
www.palgrave.journals.com
[6] N. P. Paynter, "Improving and assessing coronary heart disease risk
prediction at the individual and population levels." (Ph.D. dissertation,
John Hopkins University, United States - Maryland), 2007. Accessed
April 8, 2008, from ProQuest Digital Dissertations database (Publication
No. AAT 3262486).
[7] P. A. Bradley, "The lived experience of wives & husbands with coronary
heart disease." (Ph.D. Dissertation, University of San Diego, United
States - California), 2007. Accessed April 8, 2008, from ProQuest
Digital Disertations database (Publication No. AAT 3266734).
[8] R. Baranyai, "Biopsychosocial and behavioral correlates of coronary
heart disease," 2006. Accessed April 7, 2008, from
http://proquest.umi.com/pqdweb
[9] World Health Organization, "Thailand: Health and development," 2006.
Accessed May 1, 2008, from
http://www.who.int/countryfocus/cooperation_strategy/ccsbrief_tha_en.
pdf
[10] D. Bradshaw, P. Groenewald, and R. Laubscher, "Initial burden of
disease estimates for South Africa 2000." South African Medical
Journal; 2004, Vol. 92, pp.682-688.
[11] R. Norman, D. Bradshaw, M. Schneider, D. Pieterse, and P. Groenwald,
"Revised burden of disease estimates for the comparative risk factor
assessment, South Africa 2000." Cape Town: Medical Research
Council, 2006.
[12] A. R. Walker, and P. Sareli, "Coronary heart disease: Outlook for
Africa." Journal of Royal Society of Medicine; 1997, Vol. 90, no. 1, pp.
23-27.
[13] F. G. Yanowitz, Coronary heart disease prevention (Fundamental &
Clinical Cardiology, No 9). Informa HealthCare, August 13th, 1992.
[14] M. Q. Patton, Qualitative research and evaluation methods, (3rd ed.).
Thousand Oaks, CA: Sage, 2002.
[15] C. Robson, Real world research, (2nd ed.). Oxford: Blackwell, 2002.
[16] World Health Organization, "Cardiovascular disease risk factors," 2002.
Accessed April 6, 2008, from
http://www.who.int/cardiovascular_diseases/en/cvd_atlas_03_risk_facto
rs.pdf
[17] P. A. Poole-Wilson, "Treatment of chronic stable angina - Clinical
consequences of recent trials." European Cardiology, 2005. Accessed
April 7, 2008, from
http://www.touchcardiology.com/files/article_pdfs/5287.pdf
[18] J. McSweeney, M. Cody, P. O-Sullivan, K. Elberson, D. Moser, and B.
Garvin, "Women-s early warning symptoms of acute myocardial
infarction." Circulation, 2003, Vol. 108, no. 21, pp. 2619-2623.
[19] T. R. Wessel, C. B. Arant, and M. B. Olson, "Relationship of physical
fitness vs body mass index with coronary artery disease and
cardiovascular events in women". JAMA, 2004, Vol. 292, no. 1, pp.
179-1,187.
[20] A. Wolk, J. E. Manson, M. J. Stampfer, G. A. Colditz, F. B. Hu, F. E.
Speizer, C. H. Hennekens, and W. C. Willett, "Long-term intake of
dietary fiber and decreased risk of coronary heart disease among
women." Journal of the American Medical Association, 1999, Vol. 281,
no. 21, pp. 1998 - 2004.
[21] F. B. Hu, and W. C. Willett, "Optimal diets for prevention of coronary
heart disease." Journal of the American Medical Association, 2002, Vol.
288, no. 20, pp. 2569 - 2578.
[22] P. Happonen, S. Voutilainen, and J. T. Salonen, "Coffee drinking is dose
dependently related to the risk of acute coronary events in middle-aged
men." Journal of Nutrition, 2004, Vol. 134, no. 9, pp. 2381 - 2386.
[23] R. Niaura, and D. B. Abrams, "Smoking cessation: Progress, priorities,
and prospectus." Journal of Consulting & Clinical Psychology, 2002,
Vol. 70, no. 3, pp. 494 - 509.
[24] E. D. Eaker, C. M. Sullivan, M. Kelly-Hayes, R. B. D-Agostino, and E.
J. Benjamin, "Anger and hostility predict the development of a trial
fibrillation in men in the Framingham Offspring Study." Circulation,
2004, Vol. 109, no. 10, pp. 1267 - 1271.
[25] K. W. Grothe, "The psychosocial vulnerability model of hostility as a
predictor of coronary heart disease," 2005. Accessed November 1st,
2008, from
http://proquest.umi.com/pqdweb?did=1027491911&sid=10&Fmt=2&cli
entId=58702&RQT=309&VName=PQD
[26] H. Wechsler, J. E. Lee, M. Kuo, M. Seibring, T. F. Nelson, and H. Lee,
(2002). "Trends in college binge drinking during a period of increased
prevention efforts." Journal of American College Health, 2002, Vol. 50,
no. 5, pp. 203 - 217.
[27] W. Weiten, and M. A. Lloyd, Psychology applied to modern life:
Adjustment in the 21st Century, (8th ed.). Canada: Thomson Learning,
Inc., 2006
[28] J. M. Schmitz, and K. A. Delaune, "Nicotine." In Substance abuse: A
comparative textbook, J. H. Lowinson, P. Ruiz, R. B. Millman, and J. G.
Langrod (Eds.). Philadephia: Lippincott/Wilkins, 2005.
[29] K. E. Williams, and M. J. Bond, "The role of self-efficacy, outcome
expectancies and social support in the self-care behaviors of diabetics."
Psychology, Health & Medicine, 2002, Vol. 7, no. 2, pp. 127 - 141.
[30] K. Gardner, and A. Chapple, "Barriers to referral in patients with angina:
Qualitative study." British Medical Journal, 1999, Vol. 319, pp. 418 -
421.
[1] World Health Organization, "Report on cardiovascular disease," 2005.
Accessed April 6, 2008, from
http://www.who.int/cardiovascular_diseases
[2] American Heart Association, "Report on risk factors and coronary heart
disease," 1998. Accessed April 6, 2008, from
http://www.americanheart.org
[3] American Heart Association, "Heart attack and angina statistics report,"
2004. Accessed April 6, 2008, from http://www.americanheart.org
[4] American Heart Association, "Report on coronary heart disease," 2008.
Accessed April 6, 2008, from http://www.americanheart.org
[5] Office of the National Statistics, "Case-oriented paper." Journal of the
operational Research Society, 2005. Accessed April 10, 2008, from
www.palgrave.journals.com
[6] N. P. Paynter, "Improving and assessing coronary heart disease risk
prediction at the individual and population levels." (Ph.D. dissertation,
John Hopkins University, United States - Maryland), 2007. Accessed
April 8, 2008, from ProQuest Digital Dissertations database (Publication
No. AAT 3262486).
[7] P. A. Bradley, "The lived experience of wives & husbands with coronary
heart disease." (Ph.D. Dissertation, University of San Diego, United
States - California), 2007. Accessed April 8, 2008, from ProQuest
Digital Disertations database (Publication No. AAT 3266734).
[8] R. Baranyai, "Biopsychosocial and behavioral correlates of coronary
heart disease," 2006. Accessed April 7, 2008, from
http://proquest.umi.com/pqdweb
[9] World Health Organization, "Thailand: Health and development," 2006.
Accessed May 1, 2008, from
http://www.who.int/countryfocus/cooperation_strategy/ccsbrief_tha_en.
pdf
[10] D. Bradshaw, P. Groenewald, and R. Laubscher, "Initial burden of
disease estimates for South Africa 2000." South African Medical
Journal; 2004, Vol. 92, pp.682-688.
[11] R. Norman, D. Bradshaw, M. Schneider, D. Pieterse, and P. Groenwald,
"Revised burden of disease estimates for the comparative risk factor
assessment, South Africa 2000." Cape Town: Medical Research
Council, 2006.
[12] A. R. Walker, and P. Sareli, "Coronary heart disease: Outlook for
Africa." Journal of Royal Society of Medicine; 1997, Vol. 90, no. 1, pp.
23-27.
[13] F. G. Yanowitz, Coronary heart disease prevention (Fundamental &
Clinical Cardiology, No 9). Informa HealthCare, August 13th, 1992.
[14] M. Q. Patton, Qualitative research and evaluation methods, (3rd ed.).
Thousand Oaks, CA: Sage, 2002.
[15] C. Robson, Real world research, (2nd ed.). Oxford: Blackwell, 2002.
[16] World Health Organization, "Cardiovascular disease risk factors," 2002.
Accessed April 6, 2008, from
http://www.who.int/cardiovascular_diseases/en/cvd_atlas_03_risk_facto
rs.pdf
[17] P. A. Poole-Wilson, "Treatment of chronic stable angina - Clinical
consequences of recent trials." European Cardiology, 2005. Accessed
April 7, 2008, from
http://www.touchcardiology.com/files/article_pdfs/5287.pdf
[18] J. McSweeney, M. Cody, P. O-Sullivan, K. Elberson, D. Moser, and B.
Garvin, "Women-s early warning symptoms of acute myocardial
infarction." Circulation, 2003, Vol. 108, no. 21, pp. 2619-2623.
[19] T. R. Wessel, C. B. Arant, and M. B. Olson, "Relationship of physical
fitness vs body mass index with coronary artery disease and
cardiovascular events in women". JAMA, 2004, Vol. 292, no. 1, pp.
179-1,187.
[20] A. Wolk, J. E. Manson, M. J. Stampfer, G. A. Colditz, F. B. Hu, F. E.
Speizer, C. H. Hennekens, and W. C. Willett, "Long-term intake of
dietary fiber and decreased risk of coronary heart disease among
women." Journal of the American Medical Association, 1999, Vol. 281,
no. 21, pp. 1998 - 2004.
[21] F. B. Hu, and W. C. Willett, "Optimal diets for prevention of coronary
heart disease." Journal of the American Medical Association, 2002, Vol.
288, no. 20, pp. 2569 - 2578.
[22] P. Happonen, S. Voutilainen, and J. T. Salonen, "Coffee drinking is dose
dependently related to the risk of acute coronary events in middle-aged
men." Journal of Nutrition, 2004, Vol. 134, no. 9, pp. 2381 - 2386.
[23] R. Niaura, and D. B. Abrams, "Smoking cessation: Progress, priorities,
and prospectus." Journal of Consulting & Clinical Psychology, 2002,
Vol. 70, no. 3, pp. 494 - 509.
[24] E. D. Eaker, C. M. Sullivan, M. Kelly-Hayes, R. B. D-Agostino, and E.
J. Benjamin, "Anger and hostility predict the development of a trial
fibrillation in men in the Framingham Offspring Study." Circulation,
2004, Vol. 109, no. 10, pp. 1267 - 1271.
[25] K. W. Grothe, "The psychosocial vulnerability model of hostility as a
predictor of coronary heart disease," 2005. Accessed November 1st,
2008, from
http://proquest.umi.com/pqdweb?did=1027491911&sid=10&Fmt=2&cli
entId=58702&RQT=309&VName=PQD
[26] H. Wechsler, J. E. Lee, M. Kuo, M. Seibring, T. F. Nelson, and H. Lee,
(2002). "Trends in college binge drinking during a period of increased
prevention efforts." Journal of American College Health, 2002, Vol. 50,
no. 5, pp. 203 - 217.
[27] W. Weiten, and M. A. Lloyd, Psychology applied to modern life:
Adjustment in the 21st Century, (8th ed.). Canada: Thomson Learning,
Inc., 2006
[28] J. M. Schmitz, and K. A. Delaune, "Nicotine." In Substance abuse: A
comparative textbook, J. H. Lowinson, P. Ruiz, R. B. Millman, and J. G.
Langrod (Eds.). Philadephia: Lippincott/Wilkins, 2005.
[29] K. E. Williams, and M. J. Bond, "The role of self-efficacy, outcome
expectancies and social support in the self-care behaviors of diabetics."
Psychology, Health & Medicine, 2002, Vol. 7, no. 2, pp. 127 - 141.
[30] K. Gardner, and A. Chapple, "Barriers to referral in patients with angina:
Qualitative study." British Medical Journal, 1999, Vol. 319, pp. 418 -
421.
@article{"International Journal of Business, Human and Social Sciences:54588", author = "Christopher C. Anyadubalu", title = "The Experiences of Coronary Heart Disease Patients: Biopsychosocial Perspective", abstract = "Biological, psychological and social experiences and
perceptions of healthcare services in patients medically diagnosed of
coronary heart disease were investigated using a sample of 10
participants whose responses to the in-depth interview questions
were analyzed based on inter-and-intra-case analyses. The results
obtained revealed that advancing age, single status, divorce and/or
death of spouse and the issue of single parenting negatively impacted
patients- biopsychosocial experiences. The patients- experiences of
physical signs and symptoms, anxiety and depression, past serious
medical conditions, use of self-prescribed medications, family
history of poor mental/medical or physical health, nutritional
problems and insufficient physical activities heightened their risk of
coronary attack. Collectivist culture served as a big source of relieve
to the patients. Patients- temperament, experience of different
chronic life stresses/challenges, mood alteration, regular drinking,
smoking/gambling, and family/social impairments compounded their
health situation. Patients were satisfied with the biomedical services
rendered by the healthcare personnel, whereas their psychological
and social needs were not attended to. Effective procedural treatment
model, a holistic and multidimensional approach to the treatment of
heart disease patients was proposed.", keywords = "Biopsychosocial, Coronary Heart Disease,Experience, Patients, Perception, Perspective.", volume = "4", number = "7", pages = "1636-8", }
