The Impact of Type of Acute Myocardial Infarction on Cardiac Patient Self-efficacy After Hospitalization.

IF 16.4 1区 化学 Q1 CHEMISTRY, MULTIDISCIPLINARY Accounts of Chemical Research Pub Date : 2022-11-01 DOI:10.1097/DCC.0000000000000547
Abedalmajeed Methqal Shajrawi, Ahmed Mohammad Al-Smadi, Ala Ashour, Aaliyah Momani, Hekmat Yousef Al-Akash, Malcolm Granat, Ian Jones
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引用次数: 1

Abstract

Background: Self-efficacy is an important psychological construct associated with patient adherence with healthy lifestyle choices. Few studies have focused on the impacts of the type of acute myocardial infarction (AMI), non-ST-elevation myocardial infarction (STEMI) and STEMI, and the different treatment modalities of AMI on changes in cardiac self-efficacy after hospitalization.

Objective: This study examined the changes in cardiac self-efficacy based on the type of AMI and aimed to investigate the impact of different treatment modalities on changes in cardiac self-efficacy among post-AMI patients during hospitalization and at the 3- and 6-month follow-ups subsequent to hospitalization.

Methods: A repeated-measures design was used with a convenient sample of 210 patients diagnosed with first AMI. Patients completed the Cardiac Self-efficacy Questionnaire at the 3 time points. The study was implemented in 3 major hospitals in Jordan. Patients did not have access to cardiac rehabilitation.

Results: There was a statistically significant impact of AMI type on changes in cardiac self-efficacy measured between T1 and T2, between T2 and T3, and subsequently between T1 and T3. Nevertheless, there was no statistically significant impact of treatment modalities of AMI on changes in cardiac self-efficacy measured at the 3 time points.

Conclusions: Assessment of self-efficacy for post-AMI patients is recommended. Moreover, post-non-STEMI patients need more attention when implementing an intervention to enhance self-efficacy after hospitalization. Health decision makers have to consider establishing cardiac rehabilitation to improve self-efficacy in Jordan. Further research is needed to confirm the study results and to investigate other contributing factors that could influence self-efficacy after hospitalization.

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急性心肌梗死类型对心脏病患者住院后自我效能感的影响。
背景:自我效能感是一个重要的心理结构,与患者对健康生活方式选择的依从性有关。很少有研究关注急性心肌梗死(AMI)类型、非st段抬高型心肌梗死(STEMI)和STEMI以及AMI不同治疗方式对住院后心脏自我效能感变化的影响。目的:本研究考察AMI患者心脏自我效能感随AMI类型的变化,探讨不同治疗方式对AMI患者住院期间及住院后3、6个月随访时心脏自我效能感变化的影响。方法:采用重复测量设计,选取210例诊断为首次急性心肌梗死的患者作为方便样本。患者分别在3个时间点完成心脏自我效能感问卷。这项研究在约旦的3家大医院进行。患者无法获得心脏康复治疗。结果:AMI类型对T1 ~ T2、T2 ~ T3、T1 ~ T3间心脏自我效能感变化的影响均有统计学意义。然而,AMI治疗方式对3个时间点测量的心脏自我效能感的变化没有统计学意义。结论:ami后患者应进行自我效能评估。此外,非stemi后患者在实施提高住院后自我效能感的干预措施时更需要注意。在约旦,健康决策者必须考虑建立心脏康复以提高自我效能。需要进一步的研究来证实研究结果,并调查其他可能影响住院后自我效能感的因素。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Accounts of Chemical Research
Accounts of Chemical Research 化学-化学综合
CiteScore
31.40
自引率
1.10%
发文量
312
审稿时长
2 months
期刊介绍: Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.
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