Myocardial infarction survivors: age and gender differences in physical health, psychosocial state and regimen adherence

Journal of Advanced Nursing - Tập 16 Số 9 - Trang 1026-1034 - 1991
Vicki S. Conn1, Susan G. Taylor2, Patricia Abele3
1University of Missouri, Columbia 65211
2Associate Professor of Nursing
3Heart Transplant Nurse Clinician, University of Missouri—Columbia, Hospital and Clinics, Columbia, Missouri, USA

Tóm tắt

Little is known about women's and older adults’experiences after myocardial infarction (MI) The purpose of this study was to determine if gender and age differences exist in psychosocial condition, health state and therapeutic regimen adherence among MI survivors Adults aged 40 to 88 years (n= 197) were interviewed 1 to 2 years after their first MI The Profile of Mood States was used to measure anxiety and depression, the Personal Resources Questionnaire was used to measure social support, the Rosenberg Self‐Esteem scale was used to measure self‐esteem, the Perceived Quality of Life scale was used to measure quality of life, and the Health Behaviour Scale was used to assess therapeutic regimen adherence Cardiac rehabilitation participation was recorded from rehabilitation centre records Subjective health appraisals were assessed using investigator‐developed questions Increased age was associated with higher depression scores, lower quality of life, less social support, less participation in formal cardiac rehabilitation, less therapeutic exercise and poorer general health Women reported poorer health than men Findings indicated older males may be at risk for lower social support and continued smoking after infarction These findings suggest that the often‐reported experience of middle‐aged males post‐MI cannot be generalized to all adults experiencing infarction

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Tài liệu tham khảo

10.4278/0890-1171-1.2.39

10.1016/0277-9536(90)90151-H

10.1097/00008483-198707000-00001

10.1097/00006842-198212000-00003

10.2190/V7UK-CWT2-Q9TD-DKNF

10.1016/0277-9536(87)90154-7

10.1111/j.2044-8260.1979.tb00915.x

10.1007/BF00844988

10.1111/j.2044-8341.1989.tb02815.x

10.1097/00005082-198902000-00006

10.1097/00008483-198604210-00002

10.1016/0037-7856(73)90004-8

10.7326/0003-4819-109-8-650

10.1002/clc.4960100409

10.2307/4594000

10.1016/0020-7489(86)90003-9

10.1097/00006199-198507000-00009

Holm K, 1985, The cardiac patient and exercise, Heart & Lung, 14, 586

Ice R, 1985, Long‐term compliance, Physical Therapy, 12, 1832, 10.1093/ptj/65.12.1832

Johansson S, 1983, Myocardial infarction in women, Epidemiology Review, 5, 67, 10.1093/oxfordjournals.epirev.a036265

Johnson J, 1990, Regaining control the process of adjustment after myocardial infarction, Heart & Lung, 19, 126

10.1097/00003465-198801000-00005

McNair D, 1971, Educational and Industrial Testing Service Manual for the Profile of Mood States

Maeland J, 1989, After the myocardial infarction, Scandinavian Journal of Rehabilitation Medicine, 22, 1

10.1016/0002-9343(69)90054-0

Mayou R, 1979, Psychological reactions to myocardial infarction, Journal of the Royal College of Physicians, 13, 103

10.1097/00006199-199011000-00003

Miller P, 1982, Development of a health attitude scale, Nursing Research, 31, 132

10.1097/00008483-198604210-00011

10.2165/00007256-198806010-00005

Otten C, 1985, Male—Female Differences A Bio‐Cultural' Perspective, 155

10.1007/BF02596335

10.1002/j.2048-7940.1989.tb01092.x

Rosenberg M, 1986, Conceiving the Self

Runion J, 1985, A program for psychological and social enhancement during rehabilitation after myocardial infarction, Heart & Lung, 14, 117

10.1016/0277-9536(82)90052-1

10.1016/S0749-3797(18)31269-8

10.1001/archinte.142.6.1093

Stern M, 1977, Life adjustment post‐myocardial infarction, Archives of Internal Medicine, 137, 1680, 10.1001/archinte.1977.03630240016009

10.1016/0022-3999(89)90009-3

10.1016/0022-3999(86)90031-0

Dixhoorn J, 1990, Success and failure of exercise training after myocardial infarction is the outcome predictable, Journal of the American College of Cardiologists, 15, 983

Velaseo J, 1983, From Spain return to work after a comprehensive cardiac rehabilitation program, Journal of Cardiac Rehabilitation, 3, 735

10.1016/0277-9536(86)90187-5

Weinert C, 1987, Measuring social support with the personal resource questionnaire, Nursing Research, 9, 589

Wiklund I, 1985, Determinants of return to work one year after a first myocardial infarction, Journal of Cardiac Rehabilitation, 5, 62

10.2190/Q9KE-38N6-A32H-FFG8