Rushford Nola, Murphy Barbara M, Worcester Marian U C, Goble Alan J, Higgins Rosemary O, Le Grande Michael R, Rada Jiri, Elliott Peter C
Department of Psychology, The University of Melbourne, Parkville, Victoria, Australia.
Eur J Cardiovasc Prev Rehabil. 2007 Jun;14(3):463-9. doi: 10.1097/HJR.0b013e3280ac1507.
The type and source of health information supplied to patients following cardiac events significantly improve adherence and health behaviours. The impact of health information upon female patients, however, is not well documented. This study investigates women's recall of the type and source of information provided to them in hospital about resuming daily activities after a cardiac event. It also identified women least likely to recall receiving information.
Interviews were conducted with female cardiac patients consecutively admitted to four metropolitan hospitals after acute myocardial infarction or for coronary artery bypass graft surgery. The women were interviewed on admission and at 2, 4 and 12 months after discharge. Participants were asked about in-hospital information provision at the 2-month interview (n=224).
Most women recalled receiving verbal information about medication, exercise and smoking cessation, but few recalled receiving verbal information about gardening, sexual activity, driving or sport. Women who were obese or physically inactive recalled limited advice about diet and physical activity, whereas women with diabetes or hypertension were no more likely than others to recall receiving information about medication, despite the personal relevance of this information. Older women were most at risk of recalling limited advice, including information about cardiac rehabilitation. Over half of the women attended a cardiac rehabilitation programme, with uptake being related to information provision.
The findings support other research suggesting that advice about activities after a cardiac event is inadequate for some women and confirms the influence of information provision on participation in cardiac rehabilitation.
心脏事件发生后向患者提供的健康信息的类型和来源可显著改善依从性和健康行为。然而，健康信息对女性患者的影响尚无充分记录。本研究调查了女性对在医院获得的关于心脏事件后恢复日常活动的信息的类型和来源的回忆情况。研究还确定了最不容易回忆起收到信息的女性。
对因急性心肌梗死或接受冠状动脉搭桥手术而连续入住四家大都市医院的女性心脏病患者进行访谈。在患者入院时以及出院后2个月、4个月和12个月进行访谈。在2个月的访谈中询问参与者关于住院期间信息提供的情况（n = 224）。
大多数女性回忆起收到了关于药物治疗、运动和戒烟的口头信息，但很少有人回忆起收到关于园艺、性活动、驾驶或运动的口头信息。肥胖或缺乏身体活动的女性回忆起的关于饮食和身体活动的建议有限，而患有糖尿病或高血压的女性与其他人相比，回忆起收到药物治疗信息的可能性并不更高，尽管这些信息与她们个人相关。老年女性回忆起有限建议（包括心脏康复信息）的风险最高。超过一半的女性参加了心脏康复计划，参与情况与信息提供有关。
研究结果支持了其他研究，表明关于心脏事件后活动的建议对一些女性来说并不充分，并证实了信息提供对参与心脏康复的影响。
