Lifestyle adaptations of patients with coronary artery disease who underwent coronary artery bypass graph surgery, percutaneous transluminal coronary angioplasty or insertion of a coronary stent
- Authors: Engelbrecht, Karien
- Date: 2008-07-14T11:21:55Z
- Subjects: Coronary heart disease treatment , Coronary heart disease patients rehabilitation , Alternative lifestyles , Lifestyles
- Type: Thesis
- Identifier: http://ujcontent.uj.ac.za8080/10210/390518 , uj:10479 , http://hdl.handle.net/10210/795
- Description: Coronary Artery Disease (CAD) is one of the most common cardiovascular disorder in adults. CAD often results in myocardial infarction or angina (Wilson, 2003:21). It is an accepted fact that the incidence of CAD has reached endemic proportions in South Africa (Venter, 1993:15). Coronary Artery Bypass Graft (CABG) surgery, Percutaneous Transluminal Coronary Angioplasty (PTCA) and insertion of a coronary stent are major therapeutic approaches to the treatment of CAD. However, these procedures do nothing to correct the underlying disease process (Hunt, Hendrata, Myles, 2000:389; Venter, 1993:15). Due to physiological changes patients suffering from CAD are expected to make lifestyle adaptations, in order to improve quality of life and prevent further damage to coronary arteries (Gotto, 1987:29). It is suspected that patients do not always adapt their lifestyle when they suffer from CAD, or if they do, do not maintain these adaptations. The following question emerges: • Do patients with coronary artery disease adapt their lifestyle and if they do, do they maintain these adaptations? The purpose of this study is to explore and describe the extent to which patients with CAD who underwent CABG, PTCA or insertion of a coronary stent adapt their lifestyles and to what extent they maintain these adaptations. Secondly, the purpose is to set guidelines to help with the improvement of lifestyle adaptations and contingency of adaptations. The objectives of the study is to explore and describe the extent to which patients with CAD adapt their lifestyles following CABG surgery, PTCA or insertion of a i coronary stent, the comparison of the extent of these lifestyle adaptations after two and four months and to set guidelines to improve the extent and contingency of lifestyle adaptations. An explorative and descriptive study was done in order to explore and describe the extent to which patients with CAD, who underwent CABG surgery, PTCA or insertion of coronary a stent, adapted their lifestyle, and to determine the maintenance of these lifestyle adaptations. For the purpose of this study questionnaires, based on a conceptual framework, were designed. The questionnaires enabled the researcher to explore and describe the lifestyle adaptations that patients with CAD underwent. The study was conducted in five private hospitals in Gauteng. The data obtained confirmed that patients suffering from CAD do adapt their lifestyle after having CABG surgery, PTCA or insertion of a coronary stent. Data also showed that the presence of a cardiac rehabilitation centre at the hospital where participants were treated, has a significant influence on patients’ ability to adapt their lifestyle and to maintain this new lifestyle. , Dr. W.O.J. Nel Ms. W. Jacobs
- Full Text:
- Authors: Engelbrecht, Karien
- Date: 2008-07-14T11:21:55Z
- Subjects: Coronary heart disease treatment , Coronary heart disease patients rehabilitation , Alternative lifestyles , Lifestyles
- Type: Thesis
- Identifier: http://ujcontent.uj.ac.za8080/10210/390518 , uj:10479 , http://hdl.handle.net/10210/795
- Description: Coronary Artery Disease (CAD) is one of the most common cardiovascular disorder in adults. CAD often results in myocardial infarction or angina (Wilson, 2003:21). It is an accepted fact that the incidence of CAD has reached endemic proportions in South Africa (Venter, 1993:15). Coronary Artery Bypass Graft (CABG) surgery, Percutaneous Transluminal Coronary Angioplasty (PTCA) and insertion of a coronary stent are major therapeutic approaches to the treatment of CAD. However, these procedures do nothing to correct the underlying disease process (Hunt, Hendrata, Myles, 2000:389; Venter, 1993:15). Due to physiological changes patients suffering from CAD are expected to make lifestyle adaptations, in order to improve quality of life and prevent further damage to coronary arteries (Gotto, 1987:29). It is suspected that patients do not always adapt their lifestyle when they suffer from CAD, or if they do, do not maintain these adaptations. The following question emerges: • Do patients with coronary artery disease adapt their lifestyle and if they do, do they maintain these adaptations? The purpose of this study is to explore and describe the extent to which patients with CAD who underwent CABG, PTCA or insertion of a coronary stent adapt their lifestyles and to what extent they maintain these adaptations. Secondly, the purpose is to set guidelines to help with the improvement of lifestyle adaptations and contingency of adaptations. The objectives of the study is to explore and describe the extent to which patients with CAD adapt their lifestyles following CABG surgery, PTCA or insertion of a i coronary stent, the comparison of the extent of these lifestyle adaptations after two and four months and to set guidelines to improve the extent and contingency of lifestyle adaptations. An explorative and descriptive study was done in order to explore and describe the extent to which patients with CAD, who underwent CABG surgery, PTCA or insertion of coronary a stent, adapted their lifestyle, and to determine the maintenance of these lifestyle adaptations. For the purpose of this study questionnaires, based on a conceptual framework, were designed. The questionnaires enabled the researcher to explore and describe the lifestyle adaptations that patients with CAD underwent. The study was conducted in five private hospitals in Gauteng. The data obtained confirmed that patients suffering from CAD do adapt their lifestyle after having CABG surgery, PTCA or insertion of a coronary stent. Data also showed that the presence of a cardiac rehabilitation centre at the hospital where participants were treated, has a significant influence on patients’ ability to adapt their lifestyle and to maintain this new lifestyle. , Dr. W.O.J. Nel Ms. W. Jacobs
- Full Text:
Coronary heart disease prevention in healthy coronary-prone individuals
- Authors: Webster, Sharon
- Date: 2012-08-23
- Subjects: Coronary heart disease -- Patients -- Psychology , Type A behavior , Coronary heart disease -- Prevention , Cardiovascular system -- Diseases , Heart -- Diseases , Behavior therapy , Cognitive therapy , Angina pectoris , Myocardial infarction , Heart failure , Lifestyles , Stress (Psychology)
- Type: Thesis
- Identifier: uj:3128 , http://hdl.handle.net/10210/6548
- Description: D.Litt. et Phil. , This research investigated the effectiveness of the treatment programme used by the South African Recurrent Coronary Prevention Project (SARCPP) in reducing the risk of not only recurrent heart disease, but also of original occurrence of heart disease. Heart disease can often be attributed to lifestyle factors such as obesity, high fat content diets and smoking (Friedman & Ulmer, 1995 and Richards & Baker, 1988). Another lifestyle risk factor of heart disease is Type A behaviour, as first discovered by Rosenman and Friedman (1959). Type A behaviour is made up of various components, such as hostility, time urgency and insecurity. The SARCPP has effectively reduced Type A behaviour in past studies (Venter, 1993; Viljoen, 1993; MacLennan, 1994 and Webster, 1994) and it has been found that reducing Type A behaviour through this programme increases high density lipoproteins and decreases total triglycerides, thus decreasing physiological risk factors of heart disease (Wolff, Thoresen, Viljoen, & Venter, 1994). The SARCPP thus far had only been used with Type A persons who had already suffered a form of heart disease, such as myocardial infarction and angina pectoris (here called "unhealthy" Type As). Other interventions have been used to decrease Type A behaviour in subjects who had not yet suffered heart disease (or "healthy" Type As). A leading researcher in this field is Ethel Roskies (1979-1990). Due to ineffective measurement and ineffective treatment programmes, her attempts were not successful, though. This research study applied the treatment used in the SARCPP to both "healthy" and "unhealthy" Type As and it was found that it was as successful in reducing Type A behaviour in both the "healthy" subjects as in the "unhealthy" subjects. Not only was global Type A behaviour as measured by the Videotaped Structured Interview decreased in the treatment groups, but so were the components of Hostility, Time Urgency and Insecurity (although Insecurity was not decreased in the "unhealthy" subjects). The tendency by the subjects to repress angry feelings was reduced in both "unhealthy" and "healthy" subjects, as was cynical hostility in the "healthy" subjects. It was found that the "unhealthy" subjects had significantly more State and Trait anxiety before the treatment took place than the "healthy" subjects and that the treatment reduced that anxiety in the "unhealthy" subjects significantly. Depression was decreased in both "healthy" and "unhealthy" subjects. Thus, the treatment programme of the SARCPP was effective in reducing coronary-prone behavioural factors and can be used as both prevention in recurrence and prevention in original occurrence of heart disease.
- Full Text:
- Authors: Webster, Sharon
- Date: 2012-08-23
- Subjects: Coronary heart disease -- Patients -- Psychology , Type A behavior , Coronary heart disease -- Prevention , Cardiovascular system -- Diseases , Heart -- Diseases , Behavior therapy , Cognitive therapy , Angina pectoris , Myocardial infarction , Heart failure , Lifestyles , Stress (Psychology)
- Type: Thesis
- Identifier: uj:3128 , http://hdl.handle.net/10210/6548
- Description: D.Litt. et Phil. , This research investigated the effectiveness of the treatment programme used by the South African Recurrent Coronary Prevention Project (SARCPP) in reducing the risk of not only recurrent heart disease, but also of original occurrence of heart disease. Heart disease can often be attributed to lifestyle factors such as obesity, high fat content diets and smoking (Friedman & Ulmer, 1995 and Richards & Baker, 1988). Another lifestyle risk factor of heart disease is Type A behaviour, as first discovered by Rosenman and Friedman (1959). Type A behaviour is made up of various components, such as hostility, time urgency and insecurity. The SARCPP has effectively reduced Type A behaviour in past studies (Venter, 1993; Viljoen, 1993; MacLennan, 1994 and Webster, 1994) and it has been found that reducing Type A behaviour through this programme increases high density lipoproteins and decreases total triglycerides, thus decreasing physiological risk factors of heart disease (Wolff, Thoresen, Viljoen, & Venter, 1994). The SARCPP thus far had only been used with Type A persons who had already suffered a form of heart disease, such as myocardial infarction and angina pectoris (here called "unhealthy" Type As). Other interventions have been used to decrease Type A behaviour in subjects who had not yet suffered heart disease (or "healthy" Type As). A leading researcher in this field is Ethel Roskies (1979-1990). Due to ineffective measurement and ineffective treatment programmes, her attempts were not successful, though. This research study applied the treatment used in the SARCPP to both "healthy" and "unhealthy" Type As and it was found that it was as successful in reducing Type A behaviour in both the "healthy" subjects as in the "unhealthy" subjects. Not only was global Type A behaviour as measured by the Videotaped Structured Interview decreased in the treatment groups, but so were the components of Hostility, Time Urgency and Insecurity (although Insecurity was not decreased in the "unhealthy" subjects). The tendency by the subjects to repress angry feelings was reduced in both "unhealthy" and "healthy" subjects, as was cynical hostility in the "healthy" subjects. It was found that the "unhealthy" subjects had significantly more State and Trait anxiety before the treatment took place than the "healthy" subjects and that the treatment reduced that anxiety in the "unhealthy" subjects significantly. Depression was decreased in both "healthy" and "unhealthy" subjects. Thus, the treatment programme of the SARCPP was effective in reducing coronary-prone behavioural factors and can be used as both prevention in recurrence and prevention in original occurrence of heart disease.
- Full Text:
'n Post-modernistiese benadering tot loopbaansielkunde
- Authors: Geldenhuis, Pauli
- Date: 2012-09-07
- Subjects: Postmodernism -- Psychological aspects , Career development -- Psychological aspects , Grounded theory , Self , Lifestyles , Values
- Type: Thesis
- Identifier: uj:9777 , http://hdl.handle.net/10210/7183
- Description: M.A. , South Africa finds itself in the socio-historical transition from the modern to the post-modern era, which influences every South African in all their life roles. One of the most prominent life roles is that of a career, which is also within a post-industrial transition state. It is imperative to develop a post-modern approach to career psychology to provide in the career needs of every individual within the given context of post-industrialisation and multiversalism. The objective of this study is therefore to define the position of career psychology in the post-modern paradigm, and to apply the Grounded Theory in developing an approach to establish career psychology in the post-industrial world of work. The research strategy consists of the Grounded Theory and more specifically the paradigm model. The post-modern approach to career psychology can be summarised as the narration of a life story, with the purpose to achieve a realistic and pro-active career choice within the context of st-industrialisation and multiversalism. The self takes a central position in the subjective and objective career contexts, and is influenced by the self s interpretation of its current and anticipated values, roles and life style. This pro-active process is future orientated, occurs in the present, and has its roots in the past. The post-modern approach to career psychology is flexible enough to integrate new or existing theories or approaches in career psychology or related disciplines.
- Full Text:
- Authors: Geldenhuis, Pauli
- Date: 2012-09-07
- Subjects: Postmodernism -- Psychological aspects , Career development -- Psychological aspects , Grounded theory , Self , Lifestyles , Values
- Type: Thesis
- Identifier: uj:9777 , http://hdl.handle.net/10210/7183
- Description: M.A. , South Africa finds itself in the socio-historical transition from the modern to the post-modern era, which influences every South African in all their life roles. One of the most prominent life roles is that of a career, which is also within a post-industrial transition state. It is imperative to develop a post-modern approach to career psychology to provide in the career needs of every individual within the given context of post-industrialisation and multiversalism. The objective of this study is therefore to define the position of career psychology in the post-modern paradigm, and to apply the Grounded Theory in developing an approach to establish career psychology in the post-industrial world of work. The research strategy consists of the Grounded Theory and more specifically the paradigm model. The post-modern approach to career psychology can be summarised as the narration of a life story, with the purpose to achieve a realistic and pro-active career choice within the context of st-industrialisation and multiversalism. The self takes a central position in the subjective and objective career contexts, and is influenced by the self s interpretation of its current and anticipated values, roles and life style. This pro-active process is future orientated, occurs in the present, and has its roots in the past. The post-modern approach to career psychology is flexible enough to integrate new or existing theories or approaches in career psychology or related disciplines.
- Full Text:
- «
- ‹
- 1
- ›
- »