心肌梗死后患者的纵向研究：心理一致感、生活质量和症状。
Longitudinal study of patients after myocardial infarction: sense of coherence, quality of life, and symptoms.
机构信息
Department of Internal Medicine, Division of Cardiology, County Hospital Ryhov, Jönköping, Sweden.
出版信息
Heart Lung. 2009 Mar-Apr;38(2):129-40. doi: 10.1016/j.hrtlng.2008.05.007. Epub 2008 Sep 11.
BACKGROUND
Myocardial infarction has pronounced effects on an individual that demand changes in lifestyle. Health is influenced by whether the individual experiences the world as comprehensible, meaningful, and manageable, that is, has a sense of coherence (SOC). High SOC scores indicate that the individual probably manages the situation by understanding the context and connections: action and effect.
OBJECTIVE
The study objective was to identify the SOC, assess the quality of life (Short Form-12 Health Survey Questionnaire), assess the symptoms using the Seattle Angina Questionnaire, and create health curves from a baseline for patients with a first myocardial infarction.
METHODS
A longitudinal and predictive study of 100 participants in the heart care unit of a county hospital in southern Sweden was performed.
RESULTS
Women score lower on SOC than men. Persons with high SOC scores have fewer angina attacks, are more physically active, drink more alcohol, are more satisfied with their treatments, and have better disease perception.
CONCLUSION
By following SOC scores, a trend emerges that suggests it may be a useful tool for identifying those who will need extra support.
背景
心肌梗死对个人有明显影响，需要改变生活方式。健康受到个人对世界的理解、意义和可管理性的影响，即具有一定的“心理一致感”（SOC）。高 SOC 评分表明，个体可能通过理解上下文和联系来应对情况：行动和效果。
目的
本研究旨在确定 SOC，评估生活质量（简短形式-12 健康调查问卷），使用西雅图心绞痛问卷评估症状，并为首次心肌梗死患者创建从基线开始的健康曲线。
方法
对瑞典南部一家县医院心脏护理病房的 100 名参与者进行了一项纵向和预测性研究。
结果
女性的 SOC 评分低于男性。SOC 评分高的人心绞痛发作较少，身体活动较多，饮酒较多，对治疗的满意度较高，对疾病的认识也较好。
结论
通过跟踪 SOC 评分，可以发现一种趋势，表明它可能是一种有用的工具，可以识别那些需要额外支持的人。
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