Recovery after Myocardial Infarction

Scandinavian Journal of Caring Sciences - Tập 5 Số 1 - Trang 23-32 - 1991
Bengt Fridlund1,2, Benkt Högstedt3, Evy Lidell2, P A Larsson4
1Department of Nursing and Health Care Administration, University of Kuopio, Kuipio, Finland
2Halland University College of Caring Science, Halmstad/Varberg, Sweden
3Department of Occupational Medicine, Central Hospital, Halmstad Sweden
4Gothenburg College of Health and Caring Sciences, Gothenburg, Sweden.

Tóm tắt

ABSTRACT. The aim of the study was to evaluate a multifactorial rehabilitation programme based on interdisciplinary caring efforts for myocardial infarction (MI) patients. Randomly chosen MI‐patients participated, either in a six‐month rehabilitation programme (intervention group=53) or in routine cardiac followups (control group=63). Subjective and objective instruments were used for measuring their health recovery. Biophysical improvements were showed as an increased physical capacity (p<0.001) using a submaximal exercise test six months after MI, and less reinfarctions (p<0.024) twelve months after MI, to the intervention patients' advantage. Psychological improvements were demonstrated in a higher life satisfaction (p<0.001) six months and (0.1>p>0.05) twelve months after MI to the intervention patients' advantage. Social improvements were indicated as a better leisure situation (p<0.004) six months after MI, and as a better partner situation (p<0.010), including a less influenced sex life (p<0.017), twelve months after MI to the intervention patients' advantage. As to the overall view, the caring rehabilitation programme appeared to be required for the MI‐patients' health recovery. In order to be able to reach an optimal state of human health, an even more individualised programme seems to be necessary.

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