Miller P J, Wikoff R
Prog Cardiovasc Nurs. 1989 Apr-Jun;4(2):71-6.
The psychosocial problems and adjustments of 40 myocardial infarction (MI) patients and their spouses were examined 3 months after hospitalization. The following relationships were explored: spouse anxiety and coping methods with marital functioning; and couple-shared responsibility and the patient's perception of spouse's beliefs about patient compliance in regard to actual patient compliance. Results indicate that spouses received minimal information about expected roles and responsibilities, and no information about the patients' symptoms or the spouses' personal needs after discharge. Approximately 50% of the spouses received information on the medical regimen and cardiac condition. Patient compliance was high for all regimen prescriptions, and patient's perception of spouse's beliefs was significantly related to patient compliance. There was almost no agreement between patient and spouse on shared responsibility for regimen compliance. Marital functioning was negatively related to state/trait anxiety with trait anxiety predictive of marital functioning. Problem solving was the coping method most frequently used by spouses, with emotive (affective) coping methods negatively related to marital functioning. These findings lend support for future studies to examine the most effective method of couple inclusion in rehabilitation programs. In addition, program content should reflect the information spouses perceive as necessary for them to receive in such programs.
对40名心肌梗死（MI）患者及其配偶在住院3个月后的心理社会问题及适应情况进行了检查。探讨了以下关系：配偶焦虑及应对方式与婚姻功能的关系；夫妻共同责任以及患者对配偶关于患者遵医嘱情况的信念的认知与实际患者遵医嘱情况的关系。结果表明，配偶在出院后得到的关于预期角色和责任的信息极少，且未得到关于患者症状或配偶个人需求的信息。约50%的配偶得到了关于医疗方案和心脏状况的信息。所有方案处方的患者遵医嘱率都很高，患者对配偶信念的认知与患者遵医嘱情况显著相关。在方案遵医嘱的共同责任方面，患者和配偶之间几乎没有达成一致。婚姻功能与状态/特质焦虑呈负相关，特质焦虑可预测婚姻功能。解决问题是配偶最常使用的应对方式，情感（情感性）应对方式与婚姻功能呈负相关。这些发现为未来研究检验将配偶纳入康复计划的最有效方法提供了支持。此外，计划内容应反映配偶认为他们在此类计划中需要获得的信息。
