在心脏康复计划中，性别和年龄差异在患者婚姻冲突及压力方面起到什么作用？
What is role of sex and age differences in marital conflict and stress of patients under Cardiac Rehabilitation Program?
作者信息
Komasi Saeid, Saeidi Mozhgan
机构信息
Cardiac Rehabilitation Center, Imam Ali Hospital, Kermanshah University of Medical Sciences, Kermanshah, Iran.
出版信息
ARYA Atheroscler. 2016 May;12(3):138-145.
BACKGROUND
To investigate the role of sex and age differences in marital conflict and stress of patients who were under cardiac rehabilitation (CR) program.
METHODS
The data of this cross-sectional study were collected from the database of the CR Department of Imam Ali Hospital, Kermanshah, Iran. The demographics and medical data of 683 persons were collected from January 2003 and January 2010 using medical records, the Beck Anxiety Inventory, the Beck Depression Inventory, the Hudson's Index of Marital Stress, and the Structured Clinical Interview for axis I disorders. Data were analyzed through Analysis of Covariance and Bonferroni test.
RESULTS
About 74.8% of the subjects were male. After adjustment for age, educational level, anxiety, and depression-the findings showed that women in CR program had a higher level of marital stress compared to men (54.75 ± 2.52 vs. 49.30 ± 0.89; P = 0.042). Furthermore, it was revealed that women who aged 56-65 years and more experienced higher level of marital stress compared to younger patients (P < 0.050); however, no significant difference was observed between different age groups in male patients (P > 0.050).
CONCLUSION
Marital conflict and stress threaten healthiness of women who aged 56-65 years more prominently than does in males or younger patients. Regarding the effect of marital stress on recurrence of the disease and cardiac-related morbidity and mortality in women, providing effective education and interventions to this group of patients, especially older women and even their spouses could be one of the useful objectives of CR programs.
背景
探讨性别和年龄差异在心脏康复（CR）项目患者婚姻冲突及压力中的作用。
方法
本横断面研究的数据收集自伊朗克尔曼沙赫伊玛目阿里医院CR科的数据库。2003年1月至2010年1月期间，通过病历、贝克焦虑量表、贝克抑郁量表、哈德森婚姻压力指数和轴I障碍结构化临床访谈收集了683人的人口统计学和医学数据。数据通过协方差分析和邦费罗尼检验进行分析。
结果
约74.8%的受试者为男性。在对年龄、教育水平、焦虑和抑郁进行调整后，研究结果显示，参与CR项目的女性婚姻压力水平高于男性（54.75±2.52对49.30±0.89；P=0.042）。此外，研究发现，56 - 65岁及以上的女性比年轻患者经历更高水平的婚姻压力（P<0.050）；然而，男性患者不同年龄组之间未观察到显著差异（P>0.050）。
结论
婚姻冲突和压力对56 - 65岁女性健康的威胁比男性或年轻患者更为突出。鉴于婚姻压力对女性疾病复发以及心脏相关发病率和死亡率的影响，为这组患者，尤其是老年女性甚至她们的配偶提供有效的教育和干预措施，可能是CR项目的有益目标之一。
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