Couples, patient functioning, and coronary heart disease. [refereed abstract]
McDowell, Jan K., Oldenburg, Brian F., Edwards, Helen E., & Battistutta, Diana (2000) Couples, patient functioning, and coronary heart disease. [refereed abstract]. International Journal of Behavioral Medicine, 7(s1), p. 189.
For married males recovery from myocardial infarction (MI) takes place within the context of the couple's relationship, and the way in which patients and their spouses perceive the patient's functioning is likely to be important to patients' quality of life. Our study examined patient and spouse perspectives of patients' physical functioning, self-efficacy in relation to recovery from MI, and the degree to which that self-efficacy depended upon the spouse, in a consecutive series of 104 married males (M = 56.9 years of age; SD = 10.2) who were recruited while hospitalised with a first MI. Additionally, we investigated perceptions of their sexual relationship. Participants completed self-report instruments during an interview following the patients’ discharge from hospital (M = 35.9 days post-MI; SD = 10.5). An analysis of response agreement showed that spouses, as a group, rated patient physical functioning, self-efficacy, and dependence on spouse for self-efficacy at a lower level than did patients themselves (56.7%, 61.5%, and 52.9% respectively). Patients and spouses tended to disagree (45.2%) on the level of change in their sexual relationship since the MI. Given that self-efficacy is known to be an important determinant of patient recovery, and that patients’ self-efficacy may be influenced by others, health professionals need to consider including spouses of post-MI patients in cardiac rehabilitation programs that address the concerns of both partners.
Corresponding Author: Jan McDowell, Centre for Public Health Research, Queensland University of Technology, Australia.
Impact and interest:
Citation countsare sourced monthly fromand citation databases.
These databases contain citations from different subsets of available publications and different time periods and thus the citation count from each is usually different. Some works are not in either database and no count is displayed. Scopus includes citations from articles published in 1996 onwards, and Web of Science® generally from 1980 onwards.
Citations counts from theindexing service can be viewed at the linked Google Scholar™ search.
Full-text downloadsdisplays the total number of times this work’s files (e.g., a PDF) have been downloaded from QUT ePrints as well as the number of downloads in the previous 365 days. The count includes downloads for all files if a work has more than one.
|Item Type:||Journal Article|
|Subjects:||Australian and New Zealand Standard Research Classification > MEDICAL AND HEALTH SCIENCES (110000) > NURSING (111000) > Clinical Nursing - Tertiary (Rehabilitative) (111004)|
|Divisions:||Current > QUT Faculties and Divisions > Faculty of Health|
Current > Institutes > Institute of Health and Biomedical Innovation
|Copyright Owner:||Copyright 2000 Taylor & Francis|
|Deposited On:||13 Oct 2005|
|Last Modified:||09 Jun 2010 22:25|
Repository Staff Only: item control page