Heart & Lung: The Journal of Acute and Critical Care
Volume 39, Issue 2 , Pages 105-115 , March 2010

Living with heart disease after angioplasty: A qualitative study of patients who have been successful or unsuccessful in multiple behavior change

  • Janey C. Peterson, EdD, MS, RN

      Affiliations

    • Center for Complementary and Integrative Medicine, Weill Cornell Medical College, New York, New York
    • Corresponding Author InformationCorresponding author: Janey C. Peterson, EdD, MS, RN, Center for Complementary and Integrative Medicine, Weill Cornell Medical College, 1300 York Ave, Box 46, New York, NY 10065.
  • ,
  • John P. Allegrante, PhD

      Affiliations

    • Department of Health and Behavior Studies, Teachers College, New York, New York and Department of Sociomedical Sciences, Mailman School of Public Health, Columbia University, New York; New York
  • ,
  • Paul A. Pirraglia, MD, MPH

      Affiliations

    • Program to Integrate Psychosocial and Health Services in Chronic Diseases and Disability, Providence Veterans Administration Medical Center, Providence, Rhode Island and Brown University, Providence, Rhode Island
  • ,
  • Laura Robbins, DSW

      Affiliations

    • Education Division, Hospital for Special Surgery, New York, New York
  • ,
  • K. Patrick Lane, BA

      Affiliations

    • Center for Complementary and Integrative Medicine, Weill Cornell Medical College, New York, New York
  • ,
  • Kathryn A. Boschert, MS

      Affiliations

    • Center for Complementary and Integrative Medicine, Weill Cornell Medical College, New York, New York
  • ,
  • Mary E. Charlson, MD

      Affiliations

    • Center for Complementary and Integrative Medicine, Weill Cornell Medical College, New York, New York

References 

  1. Rosamond W, Flegal K, Furie K, et al. Heart disease and stroke statistics—2008 update: a report from the American Heart Association Statistics Committee and Stroke Statistics Subcommittee. Circulation. 2008;117:e25–e146
  2. Heart Disease and Stroke Statistics—2005 Update. American Heart Association, 2005. Available at: http://www.americanheart.org/downloadable/heart/1105390918119HDSStats2005Update.pdf. Accessed January 15, 2005.
  3. Agren B, Olin C, Castenfors J, Nilsson-Ehle P. Improvements of the lipoprotein profile after coronary bypass surgery: additional effects of an exercise training program. Eur Heart J. 1989;10:451–458
  4. Wright J, Strang JR. Reducing the risk after coronary artery bypass surgery: documentation of risk factors and communication between hospital and general practice. Public Health. 1997;111:157–160
  5. Smith SC, Dove JT, Jacobs AK, et al. American College of Cardiology/American Heart Association Guidelines for Percutaneous Coronary Intervention (Revision of the 1993 PTCA Guidelines)—Executive Summary: A Report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Committee to Revise the 1993 Guidelines for Percutaneous Transluminal Coronary Angioplasty) Endorsed by the Society for Cardiac Angiography and Interventions. Circulation. 2001;103:3019–3041
  6. Moore SM, Ruland CM, Pashkow FJ, Blackburn GG. Women's patterns of exercise following cardiac rehabilitation. Nurs Res. 1998;47:318–324
  7. Witt BJ, Jacobsen SJ, Weston SA, et al. Cardiac rehabilitation after myocardial infarction in the community. J Am Coll Cardiol. 2004;44:988–996
  8. Jensen BO, Petersson K. The illness experiences of patients after a first time myocardial infarction. Patient Educ Couns. 2003;51:123–131
  9. Karner A, Goransson A, Bergdahl B. Conceptions on treatment and lifestyle in patients with coronary heart disease—a phenomenographic analysis. Patient education and counseling. 2002;47:137–143
  10. Mosca L, Appel LJ, Benjamin EJ, et al. Summary of the American Heart Association's evidence-based guidelines for cardiovascular disease prevention in women. Arterioscler Thromb Vasc Biol. 2004;24:394–396
  11. Fleury J, Sedikides C, Lunsford V. Women's experience following a cardiac event: the role of the self in healing. J Cardiovasc Nurs. 2001;15:71–82
  12. Bergman E, Bertero C. You can do it if you set your mind to it: a qualitative study of patients with coronary artery disease. J Adv Nurs. 2001;36:733–741
  13. Clark AM, Barbour RS, White M, MacIntyre PD. Promoting participation in cardiac rehabilitation: patient choices and experiences. J Adv Nurs. 2004;47:5–14
  14. Hildingh C, Fridlund B, Lidell E. Access to the world after myocardial infarction: experiences of the recovery process. Rehabil Nurs. 2006;31:63–69
  15. Karner A, Goransson A, Bergdahl B. Patients' conceptions of coronary heart disease—a phenomenographic analysis. Scand J Caring Sci. 2003;17:43–50
  16. Keaton KA, Pierce LL. Cardiac therapy for men with coronary artery disease. The lived experience. J Holist Nurs. 2000;18:63–85
  17. Pier C, Shandley KA, Fisher JL, Burstein F, Nelson MR, Piterman L. Identifying the health and mental health information needs of people with coronary heart disease, with and without depression. Med J Aust. 2008;188(12 Suppl):S142–S144
  18. Rosenfeld AG, Gilkeson J. Meaning of illness for women with coronary heart disease. Heart Lung. 2000;29:105–112
  19. Tolmie EP, Lindsay GM, Belcher PR. Coronary artery bypass graft operation: patients' experience of health and well-being over time. Eur J Cardiovasc Nurs. 2006;5:228–236
  20. Gaw BL. Motivation to change life-style following PTCA. Dimens Crit Care Nurs. 1992;11:68–74
  21. Gulanick M, Bliley A, Perino B, Keough V. Patients' responses to the angioplasty experience: a qualitative study. Am J Crit Care. 1997;6:25–32
  22. Gulanick M, Bliley A, Perino B, Keough V. Recovery patterns and lifestyle changes after coronary angioplasty: the patient's perspective. Heart Lung. 1998;27:253–262
  23. Charlson ME, Peterson JC, Boutin-Foster C, et al. Changing health behaviors to improve health outcomes after angioplasty: a randomized trial of net present value versus future value risk communication. Health Educ Res. 2008;23:826–839Epub 2007 Nov 19
  24. Charlson ME, Allegrante JP, McKinley PS, et al. Improving health behaviors and outcomes after angioplasty: using economic theory to inform intervention. Health Educ Res. 2002;17:606–618
  25. Patton M. Qualitative evaluation and research methods 2nd ed. Newbury Park: Sage Publications; 1990;
  26. DiClemente C, Prochaska J. Processes and stages of change: coping and competence in smoking behavior change. In:  Willis T editors. Coping and substance abuse. New York: Academic Press; 1985;p. 319–342
  27. DiClemente C, Velasquez M. Motivational interviewing and the stages of change. In:  Miller W,  Rollnick S editor. Motivational interviewing, preparing people for change. 2nd ed. New York: Guilford; 2002;p. 201–216
  28. Strauss A, Corbin J. Basics of qualitative research: techniques and procedures for developing grounded theory. 2nd ed. Thousand Oaks, CA: Sage; 1998;
  29. Goldman L, Hashimoto B, Cook EF, Loscalzo A. Comparative reproducibility and validity of systems for assessing cardiovascular functional class: advantages of a new specific activity scale. Circulation. 1981;64:1227–1234
  30. Charlson ME, Pompei P, Ales KL, MacKenzie CR. A new method of classifying prognostic comorbidity in longitudinal studies: development and validation. J Chronic Dis. 1987;40:373–383
  31. Denzin NK, Lincoln YS, editors. The Sage Handbook of Qualitative Research. 3rd ed. Thousand Oaks, CA: Sage Publications; 2005.
  32. Strauss A, Corbin J. Basics of qualitative research: techniques and procedures for developing grounded theory. 2nd ed.. Thousand Oaks: Sage Publications; 1998;
  33. Patton M. Qualitative evaluation and research methods. 2nd ed.. Newbury Park: Sage Publications; 1990;
  34. Polit DF, Tatano Beck C. Nursing research: principles and methods. Philadelphia: Lippincott Williams & Wilkins; 2003;
  35. Klugherz BD, DeAngelo DL, Kim BK, Herrmann HC, Hirshfeld JW, Kolansky DM. Three-year clinical follow-up after Palmaz-Schatz stenting. J Am Coll Cardiol. 1996;27:1185–1191
  36. Laham RJ, Carrozza JP, Berger C, Cohen DJ, Kuntz RE, Baim DS. Long-term (4- to 6-year) outcome of Palmaz-Schatz stenting: paucity of late clinical stent-related problems. J Am Coll Cardiol. 1996;28:820–826
  37. Alderman EL, Kip KE, Whitlow PL, et al. Native coronary disease progression exceeds failed revascularization as cause of angina after five years in the Bypass Angioplasty Revascularization Investigation (BARI). J Am Coll Cardiol. 2004;44:766–774
  38. Fletcher GF. Rehabilitation after coronary angioplasty—is it effective?. Arch Phys Med Rehabil. 1986;67:517–519
  39. Hanson VL. Compliance with risk factor reduction among post-coronary-bypass surgery and post-coronary angioplasty patients. Appl Nurs Res. 1988;1:94
  40. Faris JA, Stotts NA. The effect of percutaneous transluminal coronary angioplasty on quality of life. Prog Cardiovasc Nurs. 1990;5:132–140
  41. Oldenburg B, Pierce J, Sicree R, Ross D. Coronary risk factor outcomes following coronary artery bypass surgery. Aust N Z J Med. 1989;19:234–240
  42. King G, Cathers T, Brown E, et al. Turning points and protective processes in the lives of people with chronic disabilities. Qual Health Res. 2003;13:184–206
  43. Arora RR, Konrad K, Badhwar K, Hollman J. Restenosis after transluminal coronary angioplasty: a risk factor analysis. Cathet Cardiovasc Diagn. 1990;19:17–22
  44. Benchimol D, Benchimol H, Bonnet J, Dartigues JF, Couffinhal T, Bricaud H. Risk factors for progression of atherosclerosis six months after balloon angioplasty of coronary stenosis. Am J Cardiol. 1990;65:980–985
  45. Benchimol D, Bonnet J, Benchimol H, et al. Biological risk factors for restenosis after percutaneous transluminal coronary angioplasty. Int J Cardiol. 1993;38:7–18
  46. Hollman J, Badhwar K, Beck GJ, Franco I, Simpfendorfer C. Risk factors for recurrent stenosis following successful coronary angioplasty. Cleve Clin J Med. 1989;56:517–523
  47. Belardinelli R, Paolini I, Cianci G, Piva R, Georgiou D, Purcaro A. Exercise training intervention after coronary angioplasty: the ETICA trial. J Am Coll Cardiol. 2001;37:1891–1900
  48. Lisspers J, Hofman-Bang C, Nordlander R, et al. Multifactorial evaluation of a program for lifestyle behavior change in rehabilitation and secondary prevention of coronary artery disease. Scand Cardiovasc J. 1999;33:9–16
  49. Lisspers J, Sundin O, Hofman-Bang C, et al. Behavioral effects of a comprehensive, multifactorial program for lifestyle change after percutaneous transluminal coronary angioplasty: a prospective, randomized controlled study. J Psychosom Res. 1999;46:143–154
  50. Pasquali SK, Alexander KP, Coombs LP, Lytle BL, Peterson ED. Effect of cardiac rehabilitation on functional outcomes after coronary revascularization. Am Heart J. 2003;145:445–451
  51. Lisspers J, Sundin O, Ohman A, Hofman-Bang C, Ryden L, Nygren A. Long-term effects of lifestyle behavior change in coronary artery disease: effects on recurrent coronary events after percutaneous coronary intervention. Health Psychol. 2005;24:41–48

 Supported by contract N01-HC-25196 from the National Institutes of Health and National Heart, Lung, and Blood Institute, Bethesda, Maryland.

PII: S0147-9563(09)00162-9

doi: 10.1016/j.hrtlng.2009.06.017

Heart & Lung: The Journal of Acute and Critical Care
Volume 39, Issue 2 , Pages 105-115 , March 2010