Saeidi Mozhgan, Komasi Saeid, Heydarpour Behzad, Momeni Khodamorad, Zakiei Ali
Cardiac Rehabilitation Center, Imam Ali Hospital, Kermanshah University of Medical Sciences, Kermanshah, IR Iran.
Department of Psychology, Kermanshah Razi University, Kermanshah, IR Iran.
Res Cardiovasc Med. 2016 Sep 26;5(4):e29291. doi: 10.5812/cardiovascmed.29291. eCollection 2016 Nov.
In a cardiac patient, anxiety is the result of the individual's perception of the treatment and is characterized by inability to predict, control, or achieve the desired treatment outcomes.
This study was carried out to investigate the extent of clinical anxiety in patients who underwent a cardiac rehabilitation program with different attitudes toward the disease risk factors.
The administrative data of this retrospective study were obtained from the database of the cardiac rehabilitation department of a hospital in Iran. The demographic and clinical information of 603 patients from April 2006 to April 2011 was collected using compiled forms of this database, the Beck anxiety inventory, and the structured clinical interview for axis I disorders. The univariate analysis of variance and the Bonferroni post-hoc analysis were used for data analysis.
After controlling for gender and educational level, we observed statistically significant differences in the modified means between the patients who considered the behavioral risk factors and those who considered the physiological risk factors (P = 0.012, MD = 5.03) and between the patients who regarded the behavioral risk factors and those who regarded the psychological risk factors (P = 0.0005, MD = 5.32) as the underlying cause of their cardiac condition, which means that the level of anxiety in the physiological and psychological groups was higher than that in the behavioral group.
The anxiety of patients can be controlled through alteration in their attitudes toward the disease risk factors on the grounds that psychological or physiological factors per se do not trigger the occurrence of the disease, whereas behavioral risk factors, as the controlling agent, significantly influence its occurrence.
在心脏病患者中，焦虑是个体对治疗的认知结果，其特征是无法预测、控制或实现期望的治疗结果。
本研究旨在调查对疾病危险因素持不同态度的心脏康复项目患者的临床焦虑程度。
这项回顾性研究的管理数据来自伊朗一家医院心脏康复科的数据库。使用该数据库的编制表格、贝克焦虑量表和轴I障碍结构化临床访谈收集了2006年4月至2011年4月期间603名患者的人口统计学和临床信息。采用单因素方差分析和Bonferroni事后分析进行数据分析。
在控制性别和教育水平后，我们观察到，将行为危险因素视为心脏病潜在病因的患者与将生理危险因素视为病因的患者之间（P = 0.012，平均差 = 5.03），以及将行为危险因素视为病因的患者与将心理危险因素视为病因的患者之间（P = 0.0005，平均差 = 5.32），修正均值存在统计学显著差异，这意味着生理和心理组的焦虑水平高于行为组。
鉴于心理或生理因素本身不会引发疾病，而行为危险因素作为控制因素会显著影响疾病的发生，因此可以通过改变患者对疾病危险因素的态度来控制患者的焦虑。
