Health Promotion for Chief Complaint of Chest Pain, Annotated Bibliography Example

Kimble, L. P., Dunbar, S. B., Weintraub, W. S., McGuire, D. B., Manzo, S. F., & Strickland, O. (2011). Symptom clusters and health?related quality of life in people with chronic stable angina.Journal of advanced nursing,67(5), 1000-1011.

This article addresses the significance of chronic stable angina and how different symptoms impact those persons affected by this health concern and to determine what is required to manage these symptoms effectively. The authors utilized the Symptom International Framework in order to introduce different concerns regarding symptoms that are related to behavioral, psychological, physical, and social conditions (Kimble et.al, 2011). The manner in which symptoms interact with each other to disrupt quality of life and to make it difficult for patients must be addressed, as this reflects a need to further develop the conditions under which patients are able to manage their symptoms more effectively to improve quality of life (Kimble et.al, 2011). Symptom clusters are a common phenomenon for patients with chronic stable angina; therefore, they must be addressed more closely in the context of care and treatment. A descriptive, correlational study design was used in order to identify cross-sectional data at baseline that was comprised of the symptoms related to chronic stable angina (Kimble et.al, 2011). Study participants were identified as patients from outpatient cardiology clinics and were identified as having angina through the Rose Questionnaire (Kimble et.al 2011). Upon statistical analysis of the results, it was determined that 134 participants, primarily white males around 63.4 years of age, experienced symptom clusters that were associated with a number of limitations, including but not limited to physical issues, mental health concerns, and other issues that impact quality of life within this patient population and require further investigation and focus for these patients (Kimble et.al, 2011).

Kohn, C. G., Parker, M. W., Limone, B. L., & Coleman, C. I. (2014). Impact of angina frequency on health utility values of patients with chronic stable angina. Health and quality of life outcomes, 12(1), 39.

This article addresses the relationship between the frequency of angina symptoms for this patient population and an overall understanding of health utility in these patients. Patients who were enrolled in the Efficacy of Ranolazine in Chronic Angina (ERICA) trial were evaluated, and the frequency of angina-related symptoms were scored using the Seattle Angina Questionnaire (Kohn et.al, 2014). Patients with a higher frequency of angina-related symptoms are likely to experience a greater number of difficulties related to these symptoms, thereby likely reducing their utility scores (Kohn et.al, 2014). In addition, this information may be useful in evaluating the cost of treatments for angina and in determining what is required to ensure that patient care outcomes are likely to improve over time, particularly when symptoms are reduced or minimized through the use of different treatments to improve quality of life and overall symptom reduction (Kohn et.al, 2014). The study utilized a post-hoc analysis approach in using the data from the ERICA study and reflected a need to evaluate the conditions under which its 565 enrolled patients were scored using the SAQAF approach (Kohn et.al, 2014). Two specific mapping equations were used in order to analyze the study results and to demonstrate the impact of symptoms on quality of life for these patients (Kohn et.al, 2014). The study results indicate that utility scores have a greater tendency to decrease when angina-related symptoms increase; therefore, this process requires an examination of cost effective measures that must be used to impact patient care and treatment, as well as the wellbeing of this group of patients over time (Kohn et.al, 2014). These factors will indicate the overall development of a strategy to accommodate patients and to recognize the value of treatments for this group.

Nelson, P., Cox, H., Furze, G., Lewin, R. J., Morton, V., Norris, H., … & Carty, R. (2013). Participants’ experiences of care during a randomized controlled trial comparing a lay?facilitated angina management programme with usual care: a qualitative study using focus groups. Journal of advanced nursing,69(4), 840-850.

This article addresses a comparison of care for patients with angina, using a management program versus a usual care approach. This was a qualitative study that was included in a randomized controlled trial in order to identify the effectiveness of a lay-facilitated program for angina management and the differences between this program and usual care for patients (Nelson et.al, 2013). This qualitative approach was based upon patient experiences, beliefs, and attitudes regarding the care and treatment that they received under usual care versus that which was received during the lay management program (Nelson et.al, 2013). Four participant groups were established, and three were part of the intervention, while one was part of the control group (Nelson et.al, 2013). Interviews included questions regarding different focus areas, such as the beliefs regarding the angina management plan, whether or not changes were effective using the lay facilitator component, the potential for expansion of the program, how information was disseminated and ether or not this was effective, whether or not patient care was effective, and whether or not the nursing care that was provided was effective (Nelson et.al, 2013). These factors reflect a need to better understand the potential impact of the lay management program for individual patients with angina and to recognize how to best approach these issues more effectively in order to meet the required needs of this patient population (Nelson et.al, 2013). The study results indicated that the lay management plan is effective in meeting the needs of this patient population and that other factors must also be considered that will have an impact on patient care and treatment, such as traditional clinical care for this patient population, as this remains essential to the process and to the overall development of new perspectives to facilitate effective patient outcomes and quality of life (Nelson et.al, 2013).

Will, J. C., Yuan, K., & Ford, E. (2014). National Trends in the Prevalence and Medical History of Angina: 1988 to 2012. Circulation: Cardiovascular Quality and Outcomes, 7(3), 407-413.

This study addresses the importance of understanding changes regarding angina rates and whether or not patient rates have stabilized between 1988 and 2012. The study utilized the National Health and Nutrition Examination Survey in regards to angina in order to determine the burden of this condition on specific demographic populations (Will et.al, 2014). It is known that angina symptoms often carry a significant burden for patients and create new levels of need for patients who experience these conditions; therefore, this requires a number of critical elements in order to effectively meet the needs of this patient population over time (Will et.al, 2014). It is known that “Declines in the prevalence of both angina symptoms and medical history have declined for whites aged ?40 years but not for their black counterparts” (Will et.al, 2014). Under these conditions, the discrepancies among different population groups in regards to angina must be further explored because they require an examination of how diagnoses are made and whether or not this has an impact on patients suffering from angina (Will et.al, 2014). Under these conditions, it is possible that there will be additional frameworks in place in order to effectively manage the conditions related to patient care and treatment for the population groups most affected by angina (Will et.al, 2014). Since these discrepancies are rather significant, they must be addressed more closely and provide further evidence of the need to evaluate why some populations are more prone to angina and related symptoms than others (Will et.al, 2014).

Ziaeirad, M., Ziaei, G. R., Sadeghi, N., Motaghi, M., & Torkan, B. (2012). The effects of enhanced external counterpulsation on health-related quality of life in patients with angina pectoris. Iranian journal of nursing and midwifery research, 17(1), 41

This article addresses the significance of quality of life in patients who have been diagnosed with angina pectoris. Specifically, a quasi-experimental approach was used in the study in order to determine quality of life in patients suffering from the condition at two hospitals in Isfahan (Ziaeirad et.al, 2012). A convenient method of sampling was used for the study and data was derived from a questionnaire instrument comprised of 36 items that emphasized clinical and socio-demographic data (Ziaeirad et.al, 2012). A three-stage process was used in order to communicate with participants, including interviews and phone calls at several intervals (Ziaeirad et.al, 2012). Descriptive statistics were used to analyze the results, including mean, frequency, and standard deviation, as well as analytical statistics such as the paired t-test (Ziaeirad et.al, 2012). Study participants were primarily male between the ages of 56 and 71, many of whom suffered from hypertension and/or hyperlipidemia (Ziaeirad et.al, 2012). It was also determined that over 70 percent of patients had a prior myocardial infarction, while 73.4 percent identified coronary artery disease within the family (Ziaeirad et.al, 2012). The study results indicated that for patients who received external counterpulsation (EECP), there is a greater opportunity to improve quality of life and even for lengthy periods of time (Ziaeirad et.al, 2012). This process supports the growth and expansion of resources for nurses, as well as opportunities to examine patients with angina more closely in order to achieve the intended treatment outcomes in an effective manner (Ziaeirad et.al, 2012). Quality of life, therefore, is a critical priority for patients and requires their full input and understanding in order to effectively promote a means of expanding knowledge and resources to improve the lives of patients, using continuous improvement as a guide in this process.

References

Kimble, L. P., Dunbar, S. B., Weintraub, W. S., McGuire, D. B., Manzo, S. F., & Strickland, O.

1011. (2011). Symptom clusters and health?related quality of life in people with chronic stable angina.Journal of advanced nursing,67(5), 1000-1011.

Kohn, C. G., Parker, M. W., Limone, B. L., & Coleman, C. I. (2014). Impact of angina

frequency on health utility values of patients with chronic stable angina. Health and quality of life outcomes, 12(1), 39.

Nelson, P., Cox, H., Furze, G., Lewin, R. J., Morton, V., Norris, H., … & Carty, R. (2013).

Participants’ experiences of care during a randomized controlled trial comparing a lay?facilitated angina management programme with usual care: a qualitative study using focus groups. Journal of advanced nursing,69(4), 840-850.

Will, J. C., Yuan, K., & Ford, E. (2014). National Trends in the Prevalence and Medical History

of Angina: 1988 to 2012. Circulation: Cardiovascular Quality and Outcomes, 7(3), 407-413.

Ziaeirad, M., Ziaei, G. R., Sadeghi, N., Motaghi, M., & Torkan, B. (2012). The effects of

enhanced external counterpulsation on health-related quality of life in patients with angina pectoris. Iranian journal of nursing and midwifery research, 17(1), 41