Climate Change As a Significant Factor to the Aggravation of Coronary Artery Disease Among Elderly: A Basis for Emphasizing Community-based Self-care Measures
Background: This research study explored the lived experience of the elderly with coronary artery disease (CAD) relevant to the effects of climate change as a basis for enhanced and strengthened community-based self-care measures.
Methods: A descriptive phenomenological design was employed in the study. Consented face-to-face interview sessions with audio recordings were conducted to gather rich information. The data collected from 28 participants were analyzed using the modified Stevick-Colaizzi-Keen method.
Results: Three themes emerged upon a thorough analysis of the results: (1) elucidating the elderly’s perception of climate change; (2) unveiling the effects of climate change on CAD; and (3) managing health-related behaviors in a changing environment. Evidence has revealed that climate change causes and aggravates this disease. CAD manifestations worsen when an elderly person is exposed to sudden changes in weather conditions, where various signs and symptoms are evident.
Conclusion: In conclusion, elderly clients have an awareness of the concept of climate change and its physiologic effects on CAD; hence, employment of practical self-care measures and practices in managing manifestations, significantly helps them adapt and cope with the adverse effects climate change brings.
climate change, coronary artery disease, elderly, phenomenology, adaptation, coping, geriatric nursing, self-care, community-based interventions
 De Blois, J., Kjellstrom, T., Agewall, S., Ezekowitz, J. A., Armstrong, P. W., & Atar, D. (2015). The effects of climate change on cardiac health. Cardiology, 131(4), 209-217.
 Li, X., Luo, J. Y., Zhang, L., Yang, Y. N., Xie, X., Liu, F., Chen, B. D., & Ma, Y. T. (2015). Variant of PAI-2 gene is associated with coronary artery disease and recurrent coronary event risk in Chinese Han population. Lipids in Health and Disease, 14(1), 1-6.
 Lineman, M., Do, Y., Kim, J. Y., & Joo, G. J. (2015). Talking about climate change and global warming. PloS One, 10(9), e0138996.
 Akerlof, K. L., Delamater, P. L., Boules, C. R., Upperman, C. R., & Mitchell, C. S. (2015). Vulnerable populations perceive their health as at risk from climate change. International Journal of Environmental Research and Public Health, 12(12), 15419- 15433.
 Cardwell, F. S., & Elliott, S. J. (2013). Making the links: do we connect climate change with health? A qualitative case study from Canada. BMC Public Health, 13(1), 1-12.
 Toan, D. T. T., Kien, V. D., Giang, K. B., Minh, H. V., & Wright, P. (2014). Perceptions of climate change and its impact on human health: An integrated quantitative and qualitative approach. Global Health Action, 7(1), 23025.
 Dhara, V. R., Schramm, P. J., & Luber, G. (2013). Climate change & infectious diseases in India: Implications for health care providers. The Indian Journal of Medical Research, 138(6), 847.
 Madhavan, M. V., Gersh, B. J., Alexander, K. P., Granger, C. B., & Stone, G. W. (2018). Coronary artery disease in patients ≥ 80 years of age. Journal of the American College of Cardiology, 71(18), 2015-2040.
 Choi, G., Bae, H. J., & Lim, Y. H. (2017). Estimation of abnormal temperature effects on elderly mortality in South Korea using the temperature deviation index. International Journal of Biometeorology, 61(7), 1291-1298.
 Roy, C. (2011). Extending the Roy adaptation model to meet changing global needs. Nursing Science Quarterly, 24(4), 345-351.
 Ingham-Broomfield, R. (2015). A nurses’ guide to qualitative research. Australian Journal of Advanced Nursing, 32(3), 34-40.
 Boswell, C., & Cannon, S. (2022). Introduction to nursing research: Incorporating evidence-based practice. Jones & Bartlett Learning.
 Sarif, S. M., Zainudinb, D., & Ismaila, Y. (2020, December). Sejahtera, ulū al-albāb and competing paradigms in qualitative research. In Proceedings of the 4th UUM International Qualitative Research Conference (QRC 2020) (Vol. 1, p. 3).
 Houghton, C., Casey, D., Shaw, D., & Murphy, K. (2013). Rigour in qualitative casestudy research. Nurse Researcher, 20(4).
 Dekking, S. A., van der Graaf, R., & van Delden, J. J. (2014). Strengths and weaknesses of guideline approaches to safeguard voluntary informed consent of patients within a dependent relationship. BMC Medicine, 12(1), 1-11.
 Nigatu, A. S., Asamoah, B. O., & Kloos, H. (2014). Knowledge and perceptions about the health impact of climate change among health sciences students in Ethiopia: A cross-sectional study. BMC Public Health, 14(1), 1-10.
 Pojani, E., Grabova, P., & Kodhelaj, M. (2013). Climate change impacts: Public policies and perception in Albania. Albanian Journal of Agricultural Sciences, 12(4).
 Haque, M. A., Budi, A., Azam Malik, A., Suzanne Yamamoto, S., Louis, V. R., & Sauerborn, R. (2013). Health coping strategies of the people vulnerable to climate change in a resource-poor rural setting in Bangladesh. BMC Public Health, 13(1), 1-11.
 Van der Linden, S. (2014). On the relationship between personal experience, affect and risk perception: The case of climate change. European Journal of Social Psychology, 44(5), 430-440.
 Webb, L., Bambrick, H., Tait, P., Green, D., & Alexander, L. (2014). Effect of ambient temperature on Australian northern territory public hospital admissions for cardiovascular disease among indigenous and non-indigenous populations. International Journal of Environmental Research and Public Health, 11(2), 1942-1959.
 Huang, C., Barnett, A. G., Xu, Z., Chu, C., Wang, X., Turner, L. R., & Tong, S. (2013). Managing the health effects of temperature in response to climate change: challenges ahead. Environmental Health Perspectives. 121(4), 415-419.
 Hess, J. J., Eidson, M., Tlumak, J. E., Raab, K. K., & Luber, G. (2014). An evidencebased public health approach to climate change adaptation. Environmental Health Perspectives, 122(11), 1177-1186.
 Rivera-Collazo, I., Winter, A., Scholz, D., Mangini, A., Miller, T., Kushnir, Y., & Black, D. (2015). Human adaptation strategies to abrupt climate change in Puerto Rico ca. 3.5 ka. The Holocene, 25(4), 627-640.
 Davídkovová, H., Plavcová, E., Kynčl, J., & Kyselý, J. (2014). Impacts of hot and cold spells differ for acute and chronic ischaemic heart diseases. BMC Public Health, 14(1), 1-11.
 Gumabay, E. M. S., Ramirez, R. C., Dimaya, J. M. M., & Beltran, M. M. (2018). Adversity of prolonged extreme cold exposure among adult clients diagnosed with coronary artery diseases: a primer for recommending community health nursing intervention. Nursing Open, 5(1), 62-69.