The effectiveness and experience of self-management following acute coronary syndrome: A review of the literature

Abstract

Please cite this article as: GUO, P., HARRIS, R.,The effectiveness and experience of self-management following acute coronary syndrome: a review of the literature, International Journal of Nursing Studies (2016), http://dx.doi.org/10. 1016/j.ijnurstu.2016.05.008 This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to our customers we are providing this early version of the manuscript. The manuscript will undergo copyediting, typesetting, and review of the resulting proof before it is published in its final form. Please note that during the production process errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain. Conflicts of interestNone. Funding statementNo external funding.Page 3  Evidence has suggested the effects of self-management interventions on rehabilitation and recovery across a variety of chronic conditions. However, to date less is known about the extent of the literature on self-management for individuals following an acute cardiac event. Despite widespread use of the term 'self-management' and growing interest in the concept, defining how self-management is manifested in terms of observable behaviours remains challenging in the field of health and social care. What this paper adds? Evidence showed varying effects of the self-management interventions among people following acute coronary syndrome when compared with usual care.Most studies in this review were conducted in western countries and quantitative studies were UK centric. Therefore, more research is needed to explore self-management among people following acute coronary syndrome within different health care contexts.

‘Betwixt and between health and illness’ – women's narratives following acute coronary syndrome

“…The tendency many women had to draw on a negative discourse evokes a sense of vulnerability during the period after discharge from hospital. The findings provided evidence to confirm the need outlined by Guo and Harris () for further input from health professionals in self‐management interventions following ACS. Current reductions in hospital lengths of stay due to improved therapeutic interventions and coronary angioplasty also indicate a need for earlier educational interventions for patients (Weibel et al .…”

“…). For most people, ACS is an unexpected event and recovery can be complex, and adjustment following discharge from hospital and adopting lifestyle changes are influenced by individual, sociocultural and environmental contexts (Guo & Harris ). The findings presented in this paper are part of a doctoral research study on women's experiences of ACS.…”

Perceived social support following percutaneous coronary intervention is a crucial factor in patients with coronary heart disease

“…Social support networks should include people who share common experiences, feel a sense of intimate familiarity, are available and reciprocate support (Finfgeld‐Connett ). Peer support is evidently an important part of recovery period after a cardiac event (Guo & Harris ). It is of concern, that support from other cardiac patients was the weakest part of emotional support in this study, especially among patients with a lower level of formal education, which was also reported by Kattainen et al.…”

“Heart disease never entered my head”: Women's understanding of coronary heart disease risk factors

“…It is well established that self‐efficacy is a key component in effective behaviour change and there is evidence that early educational interventions can be successful (Weibel, Massaratto, Hediger, & Mahrer‐Imhof, ). Guo and Harris () suggest that improved input from health professionals in self‐management interventions following acute coronary syndrome (ACS) is needed along with further research to establish the outcomes.…”