Duivenvoorden H J, van Dixhoorn J
Erasmus University Rotterdam, The Netherlands.
J Psychosom Res. 1991;35(4-5):569-78. doi: 10.1016/0022-3999(91)90051-o.
Predictability of the psychic outcome for two cardiac rehabilitation programmes was investigated in 119 myocardial infarction patients. They were randomly assigned to either a five-week daily exercise training or to an identical training in combination with six sessions of relaxation therapy, individually. The psychic outcome was constructed as a composite measure of change on six psychological questionnaires. The aim was to determine the predictive qualities of base-line: (1) clinical data; (2) exercise testing; (3) psychosocial information derived from interview; and (4) validated psychological questionnaires and whether the kind of rehabilitation programme has any influence on the predictive qualities of the variables. The psychic outcome turned out to be highly predictable (multiple correlation of 0.72). Predictors of relatively high importance were age, work-status and job-level, followed by mild heart failure, diastolic blood pressure and heart rate, all of them dependent upon the kind of treatment. It implies that the type of rehabilitation programme modified the effect of the determinants of psychic outcome. This research strategy is promising and deserves to be stimulated in order to build rehabilitation programmes tailored to the needs and abilities of the individual patient.
对119名心肌梗死患者的两种心脏康复方案的心理结局可预测性进行了调查。他们被随机分为两组，一组接受为期五周的每日运动训练，另一组接受相同训练并结合六次放松治疗，每次治疗单独进行。心理结局被构建为六项心理问卷变化的综合指标。目的是确定基线的预测质量：（1）临床数据；（2）运动测试；（3）从访谈中获得的心理社会信息；（4）经过验证的心理问卷，以及康复方案的类型是否对变量的预测质量有任何影响。结果表明心理结局具有高度可预测性（多重相关系数为0.72）。相对重要的预测因素是年龄、工作状态和工作级别，其次是轻度心力衰竭、舒张压和心率，所有这些都取决于治疗类型。这意味着康复方案的类型改变了心理结局决定因素的作用。这种研究策略很有前景，值得鼓励，以便制定适合个体患者需求和能力的康复方案。
