Conn V S, Taylor S G, Wiman P
Issues Ment Health Nurs. 1991 Oct-Dec;12(4):321-31. doi: 10.3109/01612849109010014.
This article examines the relationship between anxiety, depression, quality of life, and performance of suggested self-care behaviors among older adult myocardial infarction survivors. Interviews were conducted with 94 adults aged 65 years and older. The Profile of Mood States was used to measure anxiety and depression. Quality of life was measured with the Perceived Quality of Life scale. The Health Behavior Scale was used to measure performance of suggested self-care behaviors (modify diet, administer medications, manage stress, exercise, and reduce smoking). Depression scores accounted for 49% of the variance in quality of life scores. Depression scores predicted each of the self-care behavior scores. Anxiety scores did not predict quality of life scores or any self-care behavior score. Findings suggest that mental health interventions should become an integral part of formal cardiac rehabilitation programs soon after the infarction; interventions for depression long after the infarction are needed as well.
本文探讨了老年心肌梗死幸存者的焦虑、抑郁、生活质量以及建议的自我护理行为表现之间的关系。对94名65岁及以上的成年人进行了访谈。使用情绪状态量表来测量焦虑和抑郁。生活质量用感知生活质量量表进行测量。健康行为量表用于测量建议的自我护理行为（调整饮食、服药、管理压力、锻炼和减少吸烟）的表现。抑郁得分占生活质量得分方差的49%。抑郁得分可预测每种自我护理行为得分。焦虑得分不能预测生活质量得分或任何自我护理行为得分。研究结果表明，心理健康干预应在心肌梗死后尽快成为正式心脏康复计划的一个组成部分；心肌梗死后很长时间也需要对抑郁进行干预。
