Changes in family patterns six months after a myocardial infarction

Hilgenberg, Cheryl; Liddy, Kathleen Gallagher; Standerfer, Julie; Schraeder, Cheryl

doi:10.1097/00005082-199206020-00009

Cited by 4 publications

(5 citation statements)

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“…Few investigators have addressed the impact of cardiac arrest and ICD implantation on intimate partners and family members. What little is known about caregiving after a cardiac illness has been focused on the experiences of spouses following acute myocardial infarction or coronary artery bypass surgery (Gortner et al, 1988;Hilgenberg, Liddy, Standerfer, & Schraeder, 1992;Miller, Wikoff, Garrett, McMahon, & Smith, 1990). Attending to the needs of the family after a cardiac illness is important because patients' psychological adjustment has been linked to family function (Miller & Wikoff, 1989); patient adherence to risk factor modification has been linked to spousal anxiety and marital function (Miller et al, 1990); and caregiver strain and marital quality have been linked to increased mortality in older caregivers (Coyne et al, 2001;Schulz & Beach, 1999).…”

Section: Langloismentioning

confidence: 99%

Intimate partner physical and mental health after sudden cardiac arrest and receipt of an implantable cardioverter defibrillator

Dougherty

Thompson

2009

Research in Nursing & Health

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The purpose of this study was to describe the physical and mental health of the intimate partners of persons receiving an implantable cardioverter defibrillator (ICD). A prospective longitudinal repeated measures design was used, with data collected at hospital discharge, and at 1, 3, 6, and 12 months after implantation. Intimate partners' physical health, symptoms, and depression significantly declined over the first year. Although anxiety was significantly reduced over time, it remained elevated in partners after 1 year. The impact of implantation of the ICD on the intimate relationship and care demands was most dramatic at hospital discharge. Health care use was low throughout the year. Intimate partners could benefit from an intervention that would assist in their psychological adjustment and provide strategies for dealing with caregiving demands at home. Keywordssudden cardiac death; ICD; partner; psychological; physical health; description The shift of health care to the ambulatory care setting has resulted in a dramatic increase in the amount of care that is provided by families in the home. The responsibilities of caregiving or caregiver burden after a cardiac illness, specifically after receipt of an implantable cardioverter defibrillator (ICD), have not been well described. Caregiving affects caregivers' physical and mental health, family relationships, employment, and financial circumstances (Gaugler, Kane, & Langlois, 2000;Pearlin, Mullan, Semple, & Skaff, 1990). Family members often accept responsibility for the care of those with health needs. Typically they do so for emotional or economic reasons, not because they are proficient at or feel comfortable with the care required (Kasuya, Polgar-Bailey, & Takeuchi, 2000).Family members often are expected to assume the role of caregiver without regard for the possible consequences to themselves. The needs of caregivers do not come to the attention of health care providers until the caregiver begins to experience burnout. Investigators focusing on other cardiac conditions have suggested that recovery from life-threatening illness occurs within a family context in which the intimate partners' experience influences Corresponding author and reprint requests: Cynthia M. Dougherty. NIH Public Access Author ManuscriptRes Nurs Health. Author manuscript; available in PMC 2010 August 1. NIH-PA Author ManuscriptNIH-PA Author Manuscript NIH-PA Author Manuscript those of recovering patients (Brecht, Dracup, Moser, & Riegel, 1994). The current health status of the intimate partner at the time of a patient's life threatening event will influence the partner's ability to offer the support needed for the patient's recovery (Carlson, Bultz, Speca, & St. Pierre, 2000).Few investigators have addressed the impact of cardiac arrest and ICD implantation on intimate partners and family members. What little is known about caregiving after a cardiac illness has been focused on the experiences of spouses following acute myocardial infarction or coronary artery bypass surg...

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Section: Langloismentioning

confidence: 99%

Intimate partner physical and mental health after sudden cardiac arrest and receipt of an implantable cardioverter defibrillator

Dougherty

Thompson

2009

Research in Nursing & Health

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“…The support needs of families at times of acute illness have been highly investigated. Hilgenberg, Liddy, Standerfer, and Schraeder (1992) reported that following a spouse's myocardial infarction, positive changes in family closeness and communication may be underreported. Effects on children by the lifestyle changes needed following acute illness of parents need to be included in assessments and interventions (Hilgenberg et al, 1992;Tapp, 1995).…”

Section: Literature Reviewmentioning

confidence: 99%

“…Hilgenberg, Liddy, Standerfer, and Schraeder (1992) reported that following a spouse's myocardial infarction, positive changes in family closeness and communication may be underreported. Effects on children by the lifestyle changes needed following acute illness of parents need to be included in assessments and interventions (Hilgenberg et al, 1992;Tapp, 1995). Gilliss (1984) found that spouses experienced more stress than patients, Artinian (1989) identified that spouses are more stressed than adult children, Allen, Becker, and Swank (1991) discovered that spouses had greater difficulties with psychological adjustment 1 month following the procedure, and Gilliss, Neuhaus, and Hauck (1990) noted that interventions post-coronary artery bypass graft (CABG) surgery showed the greatest effects 8 weeks after but returned to usual patterns at 6 months.…”

Section: Literature Reviewmentioning

confidence: 99%

“…Patients and spouses found information most helpful during the acute cardiac illness events (McRae, 1991;Moser, Dracup, & Marsden, 1993;Orzeck & Staniloff, 1987). Stress related to cardiac conditions often resulted from altered family household roles and caregiving responsibilities (Artinian, 1989;Gilliss, 1984;Hilgenberg et al, 1992;McRae, 1991). Responses to stress and needs for support during acute illness episodes may differ for member and by time.…”

Section: Literature Reviewmentioning

confidence: 99%

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Part 2: Family Health During and After Death of a Family Member

Denham

1999

J Fam Nurs

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An ethnographic study of families who used hospice services was conducted to identify how families defined and practiced family health during a time of family transition. Eight families (N = 29) who recently experienced the death of a family member participated in three interviews. Key findings were: (a) family health is a complex construct with dynamic intergenerational linked patterns, (b) mothers continue to have roles related to family health when children are adults, (c) household context influences family health, and (d) health routines changed during caregiving and loss. Hospice care was a valued family health support during caregiving and following death. Family members deconstructed, reconstructed, and established some new health routines during the terminal phase and bereavement. Future family research should consider transgenerational influences, mothers' roles related to the health of adult children, contextual influences most predictive of family health, and interventions most supportive of families during change and transition.Health care providers often meet families when an individual has identified an illness or medical problem. Although medical encounters may be brief times, the impact of these visits often means that some aspect of family life needs to be altered. Although medical interactions occur thousands of times daily, little is known about the ways Special thanks to the American Nurses Foundation who provided funding for this study, the Hospice of Southern Ohio, Portsmouth, Ohio, who provided access to the study participants, and the hospice families who were willing to tell their stories.

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“…The physical, psychological and social impact of critical illness on family members of the patient has been recognized in the nursing literature (Beach et al 1992, Hilgenberg et al 1992, Thompson et al 1995, Van Horn et al 2002 and the benefit of clinicians' preventative actions proposed (Hankoff et al 1974, Aguilera 1990, Cross et al 1996, Blank et al 2002, Gavaghan & Carroll 2002. However, little progress has been made to bridge the gap between such theory and specific practical applications (Somerfield & McCrae 2000).…”

Section: Introductionmentioning

confidence: 99%