January 1, 1989Advances in Nursing Science21 citations
Social support and psychological adjustment to chronic coronary heart disease
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Key Result
A literature review suggests that the quality of social support is the major factor predicting dependency and cardiac crippled behaviors following myocardial infarction.
Structured PICO
Does social support improve psychological adjustment and reduce dependency in patients with chronic coronary heart disease?
P
Population
Patients with chronic coronary heart disease (CHD) or following myocardial infarction (MI)
E
Exposure
Social support or nurturing
O
Outcome
Psychological adjustment and dependency (cardiac crippled behaviors)patient reported
This review highlights the critical role of social support in predicting psychological adjustment and preventing dependency behaviors following myocardial infarction.
Abstract
No comprehensive theory of social support and psychological adjustment to chronic illness such as coronary heart disease (CHD) exists. This article reviews the literature on social support and adjustment to CHD from the perspective of Johnson's behavioral system model. It is argued that the quality of social support or nurturing is the major factor predicting cardiac crippled behaviors or dependency following myocardial infarction (MI). The variables of self-esteem, anxiety, depression, and perceptions of functional capacity are identified as variables affecting choices such as return to work and adherence to the treatment regimen and the behavioral outcome of dependency following MI.