Health locus of control in patients undergoing coronary artery surgery – changes and associated outcomes: a seven-year cohort study

Rideout, A., Tolmie, E. and Lindsay, G. (2017) Health locus of control in patients undergoing coronary artery surgery – changes and associated outcomes: a seven-year cohort study. European Journal of Cardiovascular Nursing, 16(1), pp. 46-56. (doi: 10.1177/1474515116636501) (PMID:26957513)

151763.pdf - Accepted Version



Introduction: Health locus of control is a measure of an individual’s beliefs in factors that are thought to determine health experiences. Scores are generated and form a graduated linear scale from external to internal control, with respect to their views on health causality. Health locus of control has been considered to be a relatively stable entity. However, it is not clear if this status changes in the advent of serious health challenges, such as coronary artery bypass graft surgery. The aim of this study is to explore the variability of health locus of control and its association with postoperative health in this context. Methods: In a longitudinal cohort study of patients undergoing coronary artery bypass graft surgery, a purposive sample (n=215) were recruited from the waiting list and followed up postoperatively, at approximately one year and seven years later. Results: Patients undergoing coronary artery bypass graft surgery demonstrated marked fluctuations in health locus of control in their peri-operative and rehabilitative phases. Mean health locus of control became more external (often associated with poorer outcomes) peri-operatively, and more internal (generally associated with better health outcomes) in the rehabilitative period. Conclusions: Health locus of control scores were shown to be changeable during a major health care intervention, with possible consequences for patient outcomes and care needs. The significant health belief upheaval demonstrated in this cohort should be considered in assessing patients preoperatively, and managed as part of the patients’ clinical journey by both acute and rehabilitation staff. It is likely to have particular importance in individualised assessment and management of future prevention advice for patients.

Item Type:Articles
Glasgow Author(s) Enlighten ID:Tolmie, Dr Elizabeth
Authors: Rideout, A., Tolmie, E., and Lindsay, G.
College/School:College of Medical Veterinary and Life Sciences > School of Medicine, Dentistry & Nursing > Nursing and Health Care
Journal Name:European Journal of Cardiovascular Nursing
Publisher:SAGE Publications
ISSN (Online):1873-1953
Published Online:08 March 2016
Copyright Holders:Copyright © 2016 The European Society of Cardiology
First Published:First published in European Journal of Cardiovascular Nursing 16(1): 46-56
Publisher Policy:Reproduced in accordance with the publisher copyright policy

University Staff: Request a correction | Enlighten Editors: Update this record