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Monday, 31 October 2011
Learning Objective 1: The learner will be able to indicate that the need for the enviromental management for family support,cardiac ischemic heart disease.
Learning Objective 2: The learner will be able to indicate that the need for consensus with oneself for women with ischemic heart disease.
The purpose of this study was to identify hardship among Japanese women with ischemic heart disease receiving follow-up treatment on an outpatient basis. The subjects were 52 women in the convalescence/maintenance phase of ischemic heart disease who were 60 – 79 years of age (mean age, 69 years) and who had not undergone cardiac rehabilitation. The data were analyzed using a grounded theory approach. The results were as follows. Twenty-six patients had been diagnosed as having angina (50%), 6 had been diagnosed as having vasospastic angina (12%), and 20 had been diagnosed as having myocardial infarctions (38%). The average hospital visit period was 2 years 3 months in patients. “Painful interpersonal relationships” and “Health care that shifts with expectations” were identified as items of hardship. The contents of “painful interpersonal relationships” were an aversion to disagreement with one’s physician and decisions regarding burial. The contents of “health care that shifts with expectations” were weight loss, a salt-restricted diet, and exercise. The aspects of patients support were one’s money, fortune, bride pals and friends.
These findings indicated the need for environmental management to promote family support, cardiac rehabilitation for women with ischemic heart disease, and self-acceptance.