Family involvement in rehabilitation: Coronary artery disease—patients' perspectives

Sonja Tuomisto, Meeri Koivula, Päivi Åstedt‐Kurki and Mika Helminen

Journal of Clinical Nursing, 2018, vol. 27, issue 15-16, 3020-3031

Abstract: Aims and objectives To describe coronary artery disease patients' perceptions of family involvement in rehabilitation and the connection between background factors and family involvement. Background Coronary artery disease patients' hospital stays can be very concise. Family members can support rehabilitation, but many challenges can emerge. There is a need to nurture patients and family members in an individual way and to recognise their concerns. More accurate patient education should be available for patients and their family members. Design This study is a descriptive cross‐sectional study. Methods Data were collected from patients with coronary artery disease at least 6 weeks after discharge from hospital (n = 169) with a postal questionnaire. The Family Involvement in Rehabilitation (FIRE) scale measures family members' promotion of patients' rehabilitation and issues encumbering rehabilitation in family. The data have been analysed with statistical methods. Both parametric and nonparametric tests were used to evaluate group differences. Results Patients with coronary artery disease perceived that family promotes their rehabilitation significantly. Respondents also perceived challenges at home. Family relations before hospitalisation were related to all subareas of family promoting rehabilitation and one subarea of issues encumbering rehabilitation in family. Patients with symptoms at rest also had more encumbrance on their rehabilitation. Patients who had undergone coronary artery bypass surgery perceived more challenges than percutaneous coronary intervention (PCI) patients in many subareas of issues encumbering rehabilitation in family. Conclusions Family relations prior to illness and the rigour of heart symptoms are significantly relevant to challenges that can occur between patient and their family members. Relevance to clinical practice Healthcare staff need to pay attention to coronary artery disease patients' individual situation, and patient education should be more family‐centred. In the future, it would be noteworthy to collect more data from family members of patients with coronary artery disease and to find out their perceptions of family involvement.

Date: 2018
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https://doi.org/10.1111/jocn.14494

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Persistent link: https://EconPapers.repec.org/RePEc:wly:jocnur:v:27:y:2018:i:15-16:p:3020-3031

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