疾病认知能否预测心肌梗死后心脏康复的参与情况及生活质量？
Do illness perceptions predict attendance at cardiac rehabilitation and quality of life following myocardial infarction?
作者信息
French David P, Lewin Robert J P, Watson Nina, Thompson David R
机构信息
British Heart Foundation Care and Education Research Group, Department of Health Sciences, University of York, York, United Kingdom.
出版信息
J Psychosom Res. 2005 Nov;59(5):315-22. doi: 10.1016/j.jpsychores.2005.03.010.
OBJECTIVE
The aim of this study was to examine the extent to which illness perceptions predict attendance at cardiac rehabilitation and quality of life following myocardial infarction (MI).
METHODS
The illness perceptions of 194 MI patients were assessed whilst the patients were still in hospital following an MI. The mean age was 63.3 years (S.D. = 10.6), and 142 of the patients were men. Cardiac rehabilitation attendance and quality of life were assessed via a postal questionnaire 6 months later.
RESULTS
In contrast to previous work reported in this area, illness perceptions were not significantly associated with attendance at cardiac rehabilitation. Illness perceptions measured within 24 h of an acute MI were predictive of quality of life 6 months later.
CONCLUSION
Previous reports may have overestimated the extent to which illness perceptions predict attendance at cardiac rehabilitation. The relationship between illness perceptions and quality of life at 6 months suggests that interventions to alter illness perceptions, especially perceptions of consequences, may be useful in improving health-related quality of life (HRQoL) following an MI.
目的
本研究旨在探讨疾病认知对心肌梗死（MI）后心脏康复出勤率及生活质量的预测程度。
方法
对194例心肌梗死患者在住院期间的疾病认知进行评估。患者平均年龄为63.3岁（标准差=10.6），其中142例为男性。6个月后通过邮寄问卷对心脏康复出勤率和生活质量进行评估。
结果
与该领域之前报道的研究结果相反，疾病认知与心脏康复出勤率无显著关联。急性心肌梗死后24小时内测得的疾病认知可预测6个月后的生活质量。
结论
之前的报告可能高估了疾病认知对心脏康复出勤率的预测程度。疾病认知与6个月时生活质量之间的关系表明，改变疾病认知的干预措施，尤其是对后果的认知，可能有助于改善心肌梗死后与健康相关的生活质量（HRQoL）。
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