心梗患者出院后6个月的生物心理社会康复研究

Eleanna Apostolopoulou, Charalampia Tsagri, George Kipourgos, Anastasios Tzenalis
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摘要

背景:急性心肌梗死是发达国家的主要死亡原因之一。本研究的目的是研究心肌梗死患者出院后六个月的生物心理社会康复情况。方法与材料:研究对象为6个月前在某大学总医院心脏病科住院的心肌梗死患者。研究样本为100名患者。抽样方法为简单随机化。结果:焦虑和悲伤的问题占50%,排在第一位,其次是疼痛和不适的问题,占24%,日常活动的问题占22%,行动问题占16%,最后是自我照顾的问题,占12%。性别之间存在统计学上的显著差异,男性更容易受到行动问题(p值= 0.014)和日常活动(/p值= 0.003)的影响。在活动障碍方面,≤65岁的患者似乎比≤65岁的患者受影响更大(/p值= 0.009)。结论:心肌梗死后大多数患者的生活质量得到改善。患者是否在EQ-5D的一个或多个维度上存在问题与患者的个人特征高度相关。在自我照顾维度中观察到的问题最少,而在焦虑或悲伤维度中报告的问题最多。
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A study of the biopsychosocial rehabilitation of patients with myocardial infarction six months after their discharge from the Cardiac Care Unit
Background: Acute myocardial infarction is one of the leading causes of death in the developed world. The purpose of this research is to study the biopsychosocial rehabilitation of patients with myocardial infarction six months after their release from the heart attack unit. Method and Material: The population of the study consisted of patients who had suffered a myocardial infarction and had been hospitalized in the heart attack unit of a University General Hospital six months ago. The study sample was 100 patients. The sampling method is simple randomization. Results: Problems of anxiety and sadness with a percentage of 50% are in first place, followed by problems of pain and discomfort at a percentage of 24%, problems in performing usual daily activities at a percentage of 22%, mobility problems at a percentage of 16 % and finally the problems of self-care at a rate of 12%. There is a statistically significant difference between genders, with men being more affected with mobility problems (p-value= 0.014) and with performing usual activities (/p-value= 0.003). Patients who are ≤65 years of age appeared to be more affected compared to those >65 years of age in terms of mobility problems (/p-value= 0.009). Conclusions: Quality of life improves for most patients after myocardial infarction. Whether or not patients have problems on one or more dimensions of the EQ-5D is highly related to the patient's profile. Fewest problems are observed in the self-care dimension and most problems are reported in the anxiety or sadness dimension.
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