Please use this identifier to cite or link to this item: http://hdl.handle.net/1893/27453
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dc.contributor.authorThomson, Patriciaen_UK
dc.contributor.authorNiven, Catherine Aen_UK
dc.contributor.authorPeck, David Fen_UK
dc.contributor.authorHowie, Kateen_UK
dc.date.accessioned2018-06-29T00:04:54Z-
dc.date.available2018-06-29T00:04:54Z-
dc.date.issued2013-11en_UK
dc.identifier.urihttp://hdl.handle.net/1893/27453-
dc.description.abstractBackground: Coronary heart disease (CHD) risk factor reduction is required to maximize the benefits to be gained from coronary artery bypass grafting. Risk factor reduction after surgery, however, is often incomplete and adherence rates are poor. The health behaviors of the cardiac partner can be supportive or can act to undermine the patient's motivation for change in risk factors. Concordance in health behaviors in couples can make it more difficult for patients to engage in positive lifestyle changes. Objectives: The aims of this study were to increase understanding of the role of concordance in CHD risk factors and common medical conditions in patients and partners before and 4 months after bypass grafting and to examine changes in the pattern of concordance over time. Methods: A prospective study of patients' and partners' CHD risk factors was conducted in the outpatient clinic before and at home 4 months after bypass grafting. Results: There was significant concordance for preoperative physical activity, body mass index, and diabetes mellitus, and postoperatively, there was significant concordance for smoking status, physical activity, body mass index, cholesterol, and diabetes mellitus. There were significant associations between patients' preoperative and postoperative physical activity and cholesterol and between the partners' preoperative and postoperative physical activity. There was a significant change in the pattern of concordance for physical activity from preoperation to postoperation, with more patients but not partners increasing their physical activity levels. Conclusions: Results revealed significant concordance in CHD risk factors and common medical conditions in patients and partners before and 4 months after coronary artery bypass grafting. This indicates that the behaviors of some couples can make it more difficult for patients to change their lifestyle. The health professionals involved in educating patients before and after bypass grafting need to target the patient and partner as a couple to help achieve more successful risk factor reduction.en_UK
dc.language.isoenen_UK
dc.publisherWolters Kluwer Health/Lippincott Williams & Wilkinsen_UK
dc.relationThomson P, Niven CA, Peck DF & Howie K (2013) Coronary Heart Disease Risk Factors: Concordance Between Patients and Partners Before and After Bypass Grafting Surgery, Journal of Cardiovascular Nursing, 28 (6), pp. 550-562. https://doi.org/10.1097/JCN.0b013e31826341ae.en_UK
dc.rightsThe publisher does not allow this work to be made publicly available in this Repository. Please use the Request a Copy feature at the foot of the Repository record to request a copy directly from the author. You can only request a copy if you wish to use this work for your own research or private study.en_UK
dc.subjectadherenceen_UK
dc.subjectconcordanceen_UK
dc.subjectcoronary artery bypass surgeryen_UK
dc.subjectcouplesen_UK
dc.subjectrisk factorsen_UK
dc.titleCoronary Heart Disease Risk Factors: Concordance Between Patients and Partners Before and After Bypass Grafting Surgeryen_UK
dc.typeJournal Articleen_UK
dc.rights.embargodate2999-12-31en_UK
dc.rights.embargoreason[Thomson et al 2013 CHD RFs Concordance Pts Partners CABG.pdf] The publisher does not allow this work to be made publicly available in this Repository therefore there is an embargo on the full text of the work.en_UK
dc.identifier.doi10.1097/JCN.0b013e31826341aeen_UK
dc.citation.jtitleJournal of Cardiovascular Nursingen_UK
dc.citation.issn1550-5049en_UK
dc.citation.issn0889-4655en_UK
dc.citation.volume28en_UK
dc.citation.issue6en_UK
dc.citation.spage550en_UK
dc.citation.epage562en_UK
dc.citation.publicationstatusPublisheden_UK
dc.citation.peerreviewedRefereeden_UK
dc.type.statusVoR - Version of Recorden_UK
dc.author.emailpatricia.thomson@stir.ac.uken_UK
dc.contributor.affiliationHealth Sciences Research - Stirling - LEGACYen_UK
dc.contributor.affiliationNMAHPen_UK
dc.contributor.affiliationUniversity of Stirlingen_UK
dc.contributor.affiliationMathematicsen_UK
dc.identifier.isi000326593800018en_UK
dc.identifier.scopusid2-s2.0-84886599120en_UK
dc.identifier.wtid765404en_UK
dc.date.accepted2012-03-30en_UK
Appears in Collections:Faculty of Health Sciences and Sport Journal Articles

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