Gilutz H, Bar-On D, Billing E, Rehnquist N, Cristal N
Coronary Service, Soroka Medical Center, Ben-Gurion University of the Negev, Beer-Sheva, Israel.
Eur Heart J. 1991 Aug;12(8):883-8.
Full rehabilitation of a patient following myocardial infarction (MI) involves resumption of work and the restoration of quality of life. Two groups of patients (87 Israeli and 98 Swedish) were admitted to the CCU and followed up after their first MI. To evaluate the patients' own perception of events ('causal attribution theory'), sequential interviews were scheduled. Physical risk factors correlated poorly with rehabilitation outcome at 6 months. However, two patient clusters were pinpointed according to the patients' subjective explanation of the factors contributing to their MI. These 'causal attribution scores' had a predictive value, independent of culture, age, education, disease severity and depression. It is therefore concluded that evaluation of patient perception may assist in planning intervention for high risk psychologically debilitated patients, and thus favourably enhance their rehabilitation outcome.
心肌梗死(MI)患者的全面康复包括恢复工作和生活质量。两组患者(87名以色列人和98名瑞典人)入住冠心病监护病房(CCU),并在首次心肌梗死后接受随访。为了评估患者对事件的自身认知(“因果归因理论”),安排了系列访谈。6个月时,身体风险因素与康复结果的相关性较差。然而,根据患者对导致其心肌梗死的因素的主观解释,确定了两个患者群体。这些“因果归因分数”具有预测价值,与文化、年龄、教育程度、疾病严重程度和抑郁无关。因此得出结论,评估患者认知可能有助于为心理脆弱的高危患者制定干预计划,从而有利地提高他们的康复效果。