Professional Documents
Culture Documents
A Qualitative Research
Presented to the Faculty of the St. Edward Integrated School
Imus Campus, Lancaster New City
Imus City, Cavite
By
Banca, Reimel Gabrielle A.
Maghari, Arth Vincent L.
Raymundo, Ralph Gabriel C.
Taburnal, Myleen Kaye L.
Grade 11
October 2017
St. Edward Integrated School
ACKNOWLEDGEMENT
The researchers would like to extend their sincere appreciation to their research
adviser Mr. Harry R. Baltazar, who had given them the chance to prove themselves in
making their research paper; to the administrators, for trusting and allowing them to
gather the data that they needed for this study; to the respondents, for giving their
valuable time in answering the interview questions and for their cooperation; to the
parents for being an inspiration; and most of all, to the Almighty God for the strength,
wisdom and faith that He had given them. The deepest gratitude is to everyone.
The Researchers
ii
St. Edward Integrated School
CERTIFICATE OF ORIGINALITY
Vascular Disease Survivors” is owned by its respective researchers. The study did not
commit any act of plagiarism and it has completely and correctly cited the sources that
were used to make and validate this study. This research paper is for the partial
The Researchers
Noted by :
Harry Baltazar
iii
St. Edward Integrated School
ABSTRACT
their respondents. The researchers also formulated the interview questions that were
researchers in order to achieve the objectives of the study and answered the research
questions. The respondents, which were vascular disease survivors living in Imus,
Dasmariñas, and Rosario, Cavite had different ways of coping with their disease, and
not all of the survivors inherited their disease. The respondents, not having any
common gender and age, gave advise to keep a healthy lifestyle in order to minimize
iv
St. Edward Integrated School
TABLE OF CONTENTS
TITLE PAGE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . i
ACKNOWLEDGEMENT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ii
CERTIFICATE OF ORIGINALITY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . iii
ABSTRACT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . iv
TABLE OF CONTENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . v
LIST OF FIGURES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . vi
LIST OF TABLES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . vii
v
St. Edward Integrated School
LIST OF FIGURES
1 Conceptual Framework 4
vi
St. Edward Integrated School
LIST OF TABLES
vii
St. Edward Integrated School
CHAPTER 1
Introduction
Various illnesses in the Philippines are among the top killers causing more than
half of all deaths annually such as asthma, chronic lung disease, stroke and
tuberculosis. Another illness that is also considered as one of the main top killers in
Heart Disease describes a range of conditions that affects the heart. Diseases
under the heart disease umbrella include blood vessel diseases, such as heart rhythm
problems, heart defects, and lastly vascular diseases (Mayo Clinic, 2017). Vascular
Disease is the most common precursor to Coronary Heart Disease and Heart Attack.
It also causes stroke by affecting the arteries in your neck (Circulation Foundation,
2017).
The main challenge in the Philippines is how to reach the Filipinos with heart
disease specifically vascular disease. During the 47th Annual Convention of Philippine
Heart Association (PHA) in 2016, according to Dr. Jorge Sison, overall chair of the
event mentioned that 60-70 percent of Filipinos have not been treated or seen by a
cardiologist. Aside from that, Sison cited that Filipinos also deal with the burden of
healthcare cost.
Given the mortality rate, this study aimed to give awareness about the effects
caused by vascular disease, to help those who are suffering from this disease and to
1
St. Edward Integrated School
learn how people who suffers from this disease would be able to cope with their social,
The increasing mortality rate caused by heart disease is very alarming, and is
crucial that the people should be aware about what are the causes of this type of
illness. This study can provide information and recommendations for those who are
experiencing the burden of having this kind of illness living in Imus, Dasmariñas and
Rosario, Cavite.
2
St. Edward Integrated School
arteries and veins. The body uses blood vessels to circulate blood through itself.
Problems along this vast network can cause severe disability and death.
Vascular disease is, without question, the current leading cause of morbidity and
premature deaths of modern era medicine. Likewise, it is one of the primary causes
The researchers would like to know the experiences of the survivors who
underwent this kind of illness. The researchers also would like to know what did the
survivors felt after being diagnosed with heart disease and how did they cope with
3
St. Edward Integrated School
Conceptual Framework
Input: Output:
Process:
Vascular Disease The survivors
Phenomenological
Survivors living in experiences who
Study
the selected areas undergo Vascular
Interview
of Cavite Disease
Questionnare
This is the conceptual framework of the study. It is the process on how to collect
data and analyze information. The researchers have interviewed the vascular disease
survivors who live in Imus, Dasmariñas and Rosario, Cavite. And by the use of
information to narrate and describe the experiences of the survivors who suffered from
vascular disease.
4
St. Edward Integrated School
Research Questions
who are experiencing and undergo vascular disease and upon conducting this study
1) What are the effects of vascular disease to the survivors in terms of:
a. Social Aspect;
c. Psychological Aspect
3) What can the respondents advice to other people suffering from vascular
a. Social Aspect;
c. Psychological Aspect
5
St. Edward Integrated School
Research Objectives
The purpose of this study was to identify and specify problems of people with
1. To identify what are the effects of vascular disease in the survivor’s daily life.
a. Social Aspect;
c. Psychological Aspect
up in terms of:
a. Social Aspect;
c. Psychological Aspect
6
St. Edward Integrated School
The scope and limitations of this study was first to gather information and data
from the vascular disease survivors. The researchers have interviewed the survivors
by asking questions to gather data on the coping mechanisms of the survivors who
suffered from vascular disease toward social, financial and psychological difficulties.
The interview was conducted during the month of September 2017. The researchers
have interviewed five respondents using guided questions. The gender and age of the
respondents were included in the study. This study was limited only to the survivors
of vascular disease living in Imus, Dasmariñas and Rosario, Cavite. This study only
7
St. Edward Integrated School
The significance of the study was for the researchers and readers to have an
awareness about the effects caused by vascular disease. This study can also give
information and recommendations to those who are suffering from the same disease.
disease. This study can guide the survivors and the hospitals to help each other to
solve the social and psychological difficulties the survivors experiencing. Furthermore,
this study can benefit the people suffering from vascular disease, the people
specializing in the field of medicine and also for the future researchers to use this
8
St. Edward Integrated School
Definition of Terms
Coronary Heart Disease- A disease in which a waxy substance called plaque build
disfunction
9
St. Edward Integrated School
10
St. Edward Integrated School
CHAPTER 2
“Vascular” comes from a Latin word for hollow container. Any condition that
affects this system is considered vascular disease. The diseases range from problems
with the arteries, veins, and vessels that carry lymph to disorders that affect how blood
flows. A disease can lead to the tissues not getting enogh blood, a condition called
The vascular system is the body’s network of blood vessels. It includes the
arteries, veins and capillaries that carry blood to and from the heart. Problems of the
vascular system are common and can be serious. Arteries can become thick and stiff,
a problem called atherosclerosis. Blood clots can clog vessels and block blood flow to
the heart or brain. Weakened blood vessels can burst, causing bleeding inside the
Everyone is at risk for vascular disease. With the increase in obesity and Type
II diabetes in Americans and as the population ages, vascular diseases are becoming
epidemic. Peripheral Artery Disease (PAD) alone affects 8.5 million people. It can
occur in anyone at any time; affecting men and women equally. Atherosclerosis can
flow, such as when the blood flow in the arteries changes direction abruptly (Vascular
Cures, 2017).
Most Americans are familiar with heart disease and with the consequences of
11
St. Edward Integrated School
blockages in the vessels that carry blood to and from the heart. But few people realize
that blockages caused by a buildup of plaque and cholesterol affect more than
coronary arteries . Arteries throughout the body carry oxygen-rich blood away from
the heart, so blockages can occur in all arteries with serious effects (Society for
Vascular Surgery).
Vascular Diseases outside the heart can “present” themselves anywhere. The
most common vascular diseases are stroke, peripheral artery disease (PAD),
malformation (AVM), critical limb ischemia (CLI), pulmonary embolism (blood clots),
deep vein thrombosis (DVT), chronic venous insufficiency (CVI), and varicose veins
Some of the effects of Vascular Disease are heart attack, angina (chest pain),
stroke, sudden loss of blood flow to an area of the brain, narrowing of the aorta, blood
clot in a deep vein located within the muscles of the leg, swelling caused by
interruption of the normal drainage pattern in the lymph nodes, and high blood
pressure in the lungs blood circulation due to vascular conditions (Stanford Health
care, 2017). The American Academy of Family Physicians suggests how to prevent
vascular disease. One of this are avoid smoking, get regular exercise (at least 30
minutes, four to six times a week), stick to a low-sodium, low fat diet, and take
medications if you need them to help lower your cholesterol and lower your blood
12
St. Edward Integrated School
There are many ways to reduce the risk of having having vascular disease and
that is maintaining a good diet. Nutrition and diet play a huge role in preventing heart
disease. Maintaining a good diet can reduce the risk for heart disease. A diet high in
raw fruits and vegetables, whole grains, and omega-3 fatty acids, which are often
present in fish, helps prevent heart disease (Kinman, Heart Disease Prevention,
2016). Every single fruit and vegetable provides all of the nutrients needed to be
The higher the average daily intake of fruits and vegetables, the lower the
chances of developing vascular disease. Compared to people who never eat fruit,
those who eat fruit every day cut the vascular disease risk by 25% to 40%. People
who ate the most amount of fruit also had much lower blood pressure compared to
Studies have shown that exercise can have cardiovascular benefits in people
with spinal cord injury, producing improvements in blood pressure, heart rate, and
overall fitness. Furthermore, exercise has been found to improve vascular blood flow
Walking and regular physical activity was also linked to better preservation of
rehabilitation. It has shown to not only lower the risk of dying from heart disease, but
may also improve a patient’s quality of life (Heran, Chen, & Ebrahim).
13
St. Edward Integrated School
living that lowers the risk of being seriously ill or dying early. Health is not just about
avoiding disease, it is also about physical, mental and social well-being. When a
healthy lifestyle is adopted, a more positive role model is provided for other people in
A good diet is important for good health. Eating a variety of foods can improve
general well-being, reduce the risk of conditions including heart disease, stroke, some
cancers, diabetes and osteoporosis and help manage weight. Eating sensibly,
choosing a varied diet from a range of foods, not smoking and keeping active are all
The effects of having this kind of disease are not limited to health, but can seep
into social, financial, and emotional aspects of life as well. Because heart disease is
a chronic illness and not something one can be cured of, the presence of heart disease
becomes a permanent part of a patient’s life (National Heart, Lung, and Blood Institute,
2016).
disease may affect the social, financial, and emotional aspects in life and probably
feeling many emotions. A person diagnosed in a disease may feel alone, scared or
may be different from before and the emotions may be both negative and positive.
Feelings are very common, most heart disease patients have them. Problems or
difficulties may go away as the person diagnosed in a disease learn to understand the
14
St. Edward Integrated School
condition and manage it, but sometimes feelings such as depression may stay and
that will require to seek professional help. The emotions can affect the recovery of a
person, so it is important to understand the feelings, recognize the problems and get
help if needed.
15
St. Edward Integrated School
researchers, vascular disease is, without question, the current leading cause of
morbidity and premature deaths of modern era medicine. Likewise, it is one of the
The researchers emphasized that certain risk factors such as family history and
age cannot be controlled. The most valuable thing that the patients should do to
reduce the risk of having heart disease is to become active participants in own care.
doctors advice and adopting healthy lifestyle habits can prevent or reduce the risk of
dying suddenly from heart problems. Lifestyle changes and medicines can help control
heart disease. Lifestyle changes include following a healthy diet, being physically
should be worrying about heart problems or making lifestyle changes that are
necessary for health. Living with heart disease may cause fear, anxiety, depression,
and stress. Talking to a professional counselor can help if a person is very depressed
about the condition. Support from family and friends can also relieve stress and
anxiety.
more the study by using the facts gathered by the researchers and the relevance of
review of related literature and studies is to give information about the factors or the
16
St. Edward Integrated School
main reasons why people are prone to this kind of disease and to know what are the
17
St. Edward Integrated School
CHAPTER 3
RESEARCH METHODOLOGY
Research Design
centers about the experiences of the respondents to a particular case or topic, and
since this study was based on the experiences of vascular disease survivors, the
researchers used Phenomenology. This study aimed to determine the problems of the
patients and recommendation. The researchers presented data based on the results
of the interview to achieve the objectives of the study. The use of Phenomenology
the researchers to determine how the patients coped with the situation and became
Research Participants
This study have used the vascular disease survivors living in Imus, Dasmariñas
and Rosario, Cavite as the respondents for the researchers interviews. The
researchers had five respondents who lived in Imus, Dasmariñas and Rosario, Cavite.
The interview questions that have been asked were about the effects of vascular
18
St. Edward Integrated School
Sampling Technique
The sampling technique that was used for this study is Purposive Sampling
a population and the objectives of the study. Purposive sampling is also known as
that have been answered by the vascular disease survivors. The interview focused on
social, financial, and psychological problems that the respondents faced during the
time of the treatment. The interview was composed of six questions regarding the
experiences of the respondents that have been answered by the vascular disease
survivors. The response of the participants was recorded in the study to keep this
research unbias.
Data Analysis
The research instrument the reseachers have used in data gathering was
interview. However, today people live in a fast paced world and nearly nobody has the
time to participate in an interview, the researchers see that technology such as various
online communication platforms makes life easier and faster. The researchers decided
that this would be helpful so that the respondents would find it easier to participate in
19
St. Edward Integrated School
with two existing research instruments, which are transcribing and interviewing. The
data were presented through narrative and descriptive method based on the
20
St. Edward Integrated School
Chapter 4
This chapter presented the data collected from the respondents of the study.
This chapter also presented the result of the interview. The findings of the interview
21
St. Edward Integrated School
Table 1 showed the data that the researchers have gathered. In terms of social
aspect, the respondents did not experience any difficulties in terms of socializing with
other people because they did not take their illness seriously. The respondents still
tried to live just like before. In terms of financial aspect, the respondents answered
that they did not suffer that much in terms of financial because they have their
having this kind of illness, especially when the respondents are still undergoing the
treatments.
Here are the answers of the respondents when asked how did you cope with the
situation? “Suporta ng pamilya para makayanan ko ang sakit.” “Hindi ko siya iniisip,
sinusubukan kong maging normal pa din.” “Parang minaliit ko lang siya, hindi ko
struggles of having vascular disease and they said that all the patients need is the
support of friends, special loved ones, and especially family because they are the only
persons that can understand and help them. And they said that do not take the illness
seriously, try to still live the life that they used to have before.
22
St. Edward Integrated School
The respondents gave advice to those people who have this kind of illness. In
term of social aspect, they said do not hesistate to ask help from their family and
friends because they are the only one who can understand their situation and whom
they can rely on. In terms of financial aspect, the respondents said that they have to
23
St. Edward Integrated School
say to their family and friends what is on their mind and say what are the things that
they can help during times like this, especially financially. While in psychological
aspect, they said that always think positively, follow the doctors advice and strengthen
their emotions.
24
St. Edward Integrated School
CHAPTER 5
SUMMARY OF FINDINGS, CONCLUSIONS AND RECOMMENDATIONS
Summary of Findings
study. Phenomenology is used to explain how, when, where, and why the said
phenomenon happens through the observation of experiences. The study is about the
experiences of heart disease survivors during the time that they were still patients.
objectives of the study. The respondents were vascular disease survivors who where
currently living in Imus, Dasmariñas and Rosario, Cavite where the survey took place.
After gathering the datas, the researchers councluded that in terms of social aspect,
they said do not hesistate to ask help from their family and friends because they are
the only one who can understand their situation and whom they can rely on. In terms
of financial aspect, the respondents said that they have to say to their family and
friends what is on their mind and say what are the things that they can help during
times like this, especially financially. While in psychological aspect, they said that
always think positively, follow the doctors advice and strengthen their emotions.
25
St. Edward Integrated School
Conclusions
After the researchers gathered the data, the reseachers therefore concluded
that:
1. Most of the survivors said that in terms of social aspect, they had a hard
time in terms of this because they can no longer do the the things that
not encounter any difficulties because they had their insurance and their
respondents said that they should think positively and have faith to God
2. Most of the heart disease survivors answered that without their family,
friends, or special loved ones, they would not be able to overcome their
heart disease.
the person suffering from this kind of disease should tell and do not
hesistate to ask help from their family and friends. In financial aspect,
the respondents advised not to be hesitant when asking for help from
most of the respondents said that they should always have a positive
thinking and believe that they can surpass the struggles that they are
currently experiencing.
26
St. Edward Integrated School
Recommendations
patients should not take their illness seriously because this may cause stress and this
may affect the behavior of an individual and may trigger the risk factors of heart
disease such as high blood pressure. The persons who have this kind of disease
should relax sometimes; forget that they have still a lot of things to do; refresh their
mind and free themselves from everything that pressures or stresses them. They must
do some physical activities like exercise because this can help their heart work
efficiently, but of course if they do have a vascular disease, they should not do the
things that might really exhaust them. They have to avoid those bad habits that they
used to do before such as smoking and drinking alcoholic drinks and other vices. They
have to avoid eating unhealthy foods which are high in fats and they must start eating
healthy foods like fish that is high in omega-3, vegetables and fruits, because eating
a heart-healthy diet is a good way to start. Furthermore, this study can benefit the
people suffering from vascular disease, the people specializing in the field of medicine
and also for the future researchers to use this study as their reference.
27
2
St. Edward Integrated School
Bibliography
http://www.heart.org/HEARTORG/Conditions/More/CardiacRehab/Coping-with-
Feelings_UCM_307092_Article.jsp
http://www.blogph.net/2015/05/top-ten-killer-diseases-in-philippines.html
https://www.circulationfoundation.org.uk/help-advice
Ditor, DS; Macdonald, MJ; Kamath, MV, et al. “The effects of body-weight supported
Heran, BS; Chen, JM; Ebrahim, S, et al. “Exercise-based Cardiac Rehabilitation for
Mayo Clinic. (2017). “Heart Disease”. Ronchester, Minn: Mayo Foundation for Medical
28
St. Edward Integrated School
Bethesda: U.S. Depart of Health and Human Services National Institute of health
National Heart, Lung, and Blood Institute. (2016). “Living With Coronary Heart
http://www.nhlbi.nih.gov/health/healthtopics/topics/cad/livingwith
Rodriguez, G. (April 26, 2016). “Vascular Diseases and Rehabilitation”. Retrieved from
https://emedicine.medscape.com/article/312052.overview
Sifferlin, A. (2014). “Eating Fruits Cuts Heart Disease Risk by 40%”. Retrieved from
http://time.com/3263737/eating-fruits-cuts-heart-disease-risk/
Society for Vascular Surgery. “What is Vascular Disease”. 633 North saint Clair Street,
Chicago: SVSPAC
https://stanfordhealthcare.org/medical-conditions/blood-heart-
circulation/vascular-disease/cause/effects.
Vascular Cures. (2017). “What is Vascular Disease”. 274 Redwood Shores Parkway,
Vercambre, MN; Grodstein, F; Manson, JE; Stamper, MJ; Kang, JH. “Physical Activity
29
St. Edward Integrated School
https://www.webmd.com/heart-disease/vascular-disease#1
World Health Oragnization. (2015). “Healthy Living”. 2. Regional Office for Europe
30
St. Edward Integrated School
APPENDIX A
SAMPLE QUESTIONNARE
Interview Questionnaire
1. Does your family have a history of heart disease? If you do not have, how did
______________________________________________________________
______________________________________________________________
______________________________________________________________
______________________________________________________________
______________________________________________________________
______________________________________________________________
______________________________________________________________
______________________________________________________________
______________________________________________________________
31
St. Edward Integrated School
4. How was your disease diagnosed? What are the tests or procedures done?
______________________________________________________________
______________________________________________________________
______________________________________________________________
5. How did you cope with the situation in terms of social, financial, and
psychological aspects?
______________________________________________________________
______________________________________________________________
______________________________________________________________
6. What can you advice to those people suffering from heart disease in terms of
______________________________________________________________
______________________________________________________________
______________________________________________________________
32
St. Edward Integrated School
APPENDIX B
Sir/Madam:
Greetings!
Noted by:
33