Keckeisen M E, Nyamathi A M
J Cardiovasc Nurs. 1990 Oct;5(1):25-33. doi: 10.1097/00005082-199010000-00006.
This study examined the coping strategies of acute myocardial infarction (MI) patients one month following discharge from the hospital. Problem- and emotion-focused coping strategies were identified in 30 acute MI patients and correlated with psychologic, social, and physiologic adjustment variables. Individuals who used more problem-focused coping than emotion-focused coping were found to have better social (p less than .005) and psychologic adjustment (p less than .05). Individuals who had more physiologic symptoms were found to have poorer psychologic adjustment. Early identification of those patients at risk for psychosocial distress is paramount to maximize the patient's coping process and prepare the patient psychologically prior to hospital discharge.
本研究调查了急性心肌梗死（MI）患者出院后一个月的应对策略。在30例急性心肌梗死患者中识别出以问题为中心和以情绪为中心的应对策略，并将其与心理、社会和生理适应变量相关联。结果发现，使用以问题为中心的应对策略多于以情绪为中心的应对策略的个体，其社会适应（p<0.005）和心理适应（p<0.05）更好。生理症状较多的个体，其心理适应较差。尽早识别那些有心理社会困扰风险的患者，对于最大限度地促进患者的应对过程以及在出院前让患者做好心理准备至关重要。
