Recovery and quality of life one year after coronary artery bypass grafting.

In order to study recovery and quality of life after bypass surgery, both objective and subjective data were collected during structured interviews. A total of 56 patients participated in the study. Data were collected during hospital admission and during two home visits at 6 and 12 months after Coronary Artery Bypass Grafting (CABG). Patients reported improved state of health and quality of life. Most of the changes occurred within the first six months after discharge. However, for most patients life had more or less returned to normal one year after CABG. It was also found that few of the patients changed their risk behaviour after surgery.

An analysis of the nursing diagnosis ineffective management of therapeutic regimen compared to noncompliance and Orem's self-care deficit theory of nursing.

The authors compare the nursing diagnosis ineffective management of therapeutic regimen with that of noncompliance and with Orem's concept of self-care deficit. The article describes how the diagnosis of ineffective management of therapeutic regimen is more comprehensive than noncompliance. A question of patient autonomy is raised considering how the patient manages his or her therapeutic regimen. The major conclusion is that the nursing diagnosis of ineffective management of therapeutic regimen is based on continuous interaction between patient and nurse. The authors recommend that noncompliance be eliminated as a nursing diagnosis.

[Information needs and problems of patients with myocardial infarct and coronary bypass. A study of information needs and problems from the viewpoint of Orem's theory]. / Informatiebehoefte en problemen van myocardinfarct- en coronaire-bypass-patiënten. Een onderzoek naar informatiebehoefte en problemen vanuit de theorie van Orem.

Problems and information needs of patients six months after myocardial infarction or after coronary artery bypass surgery were assessed in this study. The theoretical framework was provided by the theory of Orem (1991). Data on problems experienced and need for more or other information were collected by semi-structured interviews. Results show that almost all (81) of the 82 patiënts did experience problems the first six months after discharge. Most (60) of the 82 patients stated they had needed more or other information concerning one or more topics. Most information was needed concerning: knowledge of the disease, convalescence, tiredness, risk factors, medication, emotional reactions en deleterious effects of treatment. The relationship between problems, information needs, health condition and character of the topic (affective or cognitive) was also examined.