Visa enkel post

dc.contributor.authorAnnika, Odell
dc.date.accessioned2014-09-15T10:24:48Z
dc.date.available2014-09-15T10:24:48Z
dc.date.issued2014-09-15
dc.identifier.isbn978-91-628-9079-7(print)
dc.identifier.isbn978-91-628-9080-3 (pdf)
dc.identifier.urihttp://hdl.handle.net/2077/35952
dc.description.abstractBackground: Balloon dilatation with related techniques (PCI) is well established for treatment of angina pectoris. New techniques, that may increase costs, have been developed with the aim of reducing the risk of recurrent stenosis and symptoms, restenosis. It has, however, not been defined what a restenosis means to the patient or what expectations patients in general have prior to investigation and treatment of coronary artery disease. Aims: To evaluate the effects increased usage of stents in association with PCI, what it means to the patient to have a restenosis and to collect patients´ expectations, perceptions and attitudes in connection to investigation for suspect coronary artery disease. Results: Increased use of stents in association with PCI resulted in fewer new revascularizations without influencing subsequent mortality or risk for acute myocardial infarction. The initial in-hospital costs increased but were unchanged in the long term, as were sick leaves. The patients´ perception of restenosis was dominated by the experience of “living with uncertainty”. With a newly developed questionnaire patients´ expectations, perceptions and attitudes prior to and after a planned coronary angiography were collected and compared with quality of life measured with established instruments. The majority of patients had high expectations before the health care process and a positive attitude to treatment, life style changes and to be involved in the health care process. The expectations were, however, six months later fulfilled to a lower degree. Those who had their expectations fulfilled had higher quality of life and improvement in quality of life than those who did not have their expectations fulfilled.sv
dc.language.isoengsv
dc.relation.haspartI. Odell A, et al. One-Year Outcome After Percutaneous Coronary Intervention for Stable and Unstable Angina Pectoris With or Without Application of General Usage of Stents in Unselected European Patient Groups Am J Cardiol. 2002 Jul 15;90(2):112-8. ::PMID::12106838sv
dc.relation.haspartII. Odell A, et al. The impact of general usage of stents on short-and long-term health care costs following Percutaneous coronary intervention. Cardiology 2008;109:85–92. ::PMID::17664872sv
dc.relation.haspartIII. Odell A, et al. Restenosis after Percutaneous Coronary Intrevention (PCI): Experiences from the patients ´ perspective. Eur J Cardiovasc Nurs. 2006 Jun; 5(2):150-7. Epub 2005 Nov 16.::PMID::16297663sv
dc.relation.haspartIV. Odell A, et al. Gender and Age Aspects of Patient Expectations and Health-Related Quality of Life before and after Coronary Angiography for suspected Coronary Artery Disease. (Submitted).sv
dc.subjectCoronary artery diseasesv
dc.subjectExpectationssv
dc.subjectGrounded theorysv
dc.subjectPCIsv
dc.subjectQuality of Lifesv
dc.subjectRestenosissv
dc.titleAspects on Revascularization for Coronary Artery Disease -From a Patient, Health Care Provider and Societal Perspectivesv
dc.typetexteng
dc.type.svepDoctoral thesiseng
dc.gup.mailannika.odell@vgregion.sesv
dc.type.degreeDoctor of Philosophy (Medicine)sv
dc.gup.originUniversity of Gothenburg. Sahlgrenska Academysv
dc.gup.departmentInstitute of Medicine. Department of Molecular and Clinical Medicinesv
dc.gup.defenceplaceFredagen den 3 oktober 2014, kl. 9.00, Hörsal Arvid Carlsson, Academicum, Medicinaregatan3.sv
dc.gup.defencedate2014-10-03
dc.gup.dissdb-fakultetSA


Filer under denna titel

Thumbnail
Thumbnail
Thumbnail

Dokumentet tillhör följande samling(ar)

Visa enkel post