Does Methodological Triangulation Help Nurses Understand the Complex Reality of Daily Activity in Women Recovering from a Cardiac Event?

2.50
Hdl Handle:
http://hdl.handle.net/10755/154538
Type:
Presentation
Title:
Does Methodological Triangulation Help Nurses Understand the Complex Reality of Daily Activity in Women Recovering from a Cardiac Event?
Abstract:
Does Methodological Triangulation Help Nurses Understand the Complex Reality of Daily Activity in Women Recovering from a Cardiac Event?
Conference Sponsor:Sigma Theta Tau International
Conference Year:2006
Author:Furukawa, Fumiko, PhD, RN
P.I. Institution Name:Tokai University
Title:Professor
Co-Authors:Masayo Toume, PhD, RN; Yoko Miyatake, RN, PHN, MN, MS
Background and purpose: The complex lifestyle changes imposed on women by ischemic heart disease (IHD) are not well understood. In such phenomena, triangulation may be a useful method of gaining overview and insight. By utilizing this method, this study aimed to explore meanings of findings about daily activity in such women. Method: We used between-method, objectively measured data from quantitative studies and subjective data from qualitative studies. Subjects were women admitted to a hospital with IHD. Consent was obtained after discharge was scheduled, applying the selection criteria. For quantitative studies, exercise energy expenditure (EEE) for walking-based activity by a pedometer and resting energy expenditure (REE) by a potable calorimeter were measured at 4 time-points during one year. Using a semi-structured interview for qualitative studies, living experiences during the first year after discharge were analyzed. Results: Data were analyzed for 12 of 13 subjects (aged 66.3 ± 6.5 years). Mean ejection fraction (LVEF) was 68.4 ± 10.4%. Mean EEE/kcal/kg/day at 1 month, 3 months, and 12 months were 1.35 ± 0.72, 1.23 ± 0.82, and 1.73 ± 0.53; mean REE was 17.2 ± 3.6 at discharge, 19.0 ± 4.7 at 1 month, 17.1 ± 4.7 at 3 months, and 20.5 ± 4.0 at 12 months. For 7 subjects, two core-categories from 13 categories were identified: anxiety regarding possible future cardiac events, and self-protective behavior limiting daily activities. Conclusions: Despite good LVEF, EEE was limited in the early period. EEE changes at one year indicated a small increase, as did REE. The qualitative analysis described protective behavior prompted by anxiety regarding triggering cardiac events by increasing activity. Such behavior is considered motivated by wanting to minimize the risk of life-threatening events during the rehabilitation phase. EEE changes may be rationalized by the core-categories. Thus, between-triangulation method is helpful to understand the reality.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleDoes Methodological Triangulation Help Nurses Understand the Complex Reality of Daily Activity in Women Recovering from a Cardiac Event?en_GB
dc.identifier.urihttp://hdl.handle.net/10755/154538-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Does Methodological Triangulation Help Nurses Understand the Complex Reality of Daily Activity in Women Recovering from a Cardiac Event?</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2006</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Furukawa, Fumiko, PhD, RN</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Tokai University</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Professor</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">ffurukaw@kms.ac.jp</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Masayo Toume, PhD, RN; Yoko Miyatake, RN, PHN, MN, MS</td></tr><tr><td colspan="2" class="item-abstract">Background and purpose: The complex lifestyle changes imposed on women by ischemic heart disease (IHD) are not well understood. In such phenomena, triangulation may be a useful method of gaining overview and insight. By utilizing this method, this study aimed to explore meanings of findings about daily activity in such women. Method: We used between-method, objectively measured data from quantitative studies and subjective data from qualitative studies. Subjects were women admitted to a hospital with IHD. Consent was obtained after discharge was scheduled, applying the selection criteria. For quantitative studies, exercise energy expenditure (EEE) for walking-based activity by a pedometer and resting energy expenditure (REE) by a potable calorimeter were measured at 4 time-points during one year. Using a semi-structured interview for qualitative studies, living experiences during the first year after discharge were analyzed. Results: Data were analyzed for 12 of 13 subjects (aged 66.3 &plusmn; 6.5 years). Mean ejection fraction (LVEF) was 68.4 &plusmn; 10.4%. Mean EEE/kcal/kg/day at 1 month, 3 months, and 12 months were 1.35 &plusmn; 0.72, 1.23 &plusmn; 0.82, and 1.73 &plusmn; 0.53; mean REE was 17.2 &plusmn; 3.6 at discharge, 19.0 &plusmn; 4.7 at 1 month, 17.1 &plusmn; 4.7 at 3 months, and 20.5 &plusmn; 4.0 at 12 months. For 7 subjects, two core-categories from 13 categories were identified: anxiety regarding possible future cardiac events, and self-protective behavior limiting daily activities. Conclusions: Despite good LVEF, EEE was limited in the early period. EEE changes at one year indicated a small increase, as did REE. The qualitative analysis described protective behavior prompted by anxiety regarding triggering cardiac events by increasing activity. Such behavior is considered motivated by wanting to minimize the risk of life-threatening events during the rehabilitation phase. EEE changes may be rationalized by the core-categories. Thus, between-triangulation method is helpful to understand the reality.</td></tr></table>en_GB
dc.date.available2011-10-26T13:04:42Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T13:04:42Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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