Karlsson I, Fridlund B, Hellström L, Eliasson A, Ekerving C, Andersson L, Larsson P A
Scand J Caring Sci. 1988;2(4):179-83. doi: 10.1111/j.1471-6712.1988.tb00038.x.
A preliminary study of the relationship between a physically active versus a physically non-active life before a myocardial infarction and coping ability (e.g. psychosocial effects) after a myocardial infarction has been performed. In a mainly rural area in south-western Sweden all myocardial infarction sufferers (N = 49) during January 1984-August 1986, fulfilling certain criteria, were sent a questionnaire with special emphasis on their present and former exercise habits and psychosocial situation. The results indicate that there is a positive relation between a physically active as compared with a physically non-active life and coping ability in terms of fewer expressed depressions, better experienced relations in the family and higher degree of return to work, after a myocardial infarction among the physically active. However, further investigations are needed in order to explain the mechanisms involved. The results further imply that primary and secondary prevention must support the "risk-individual's" coping ability from a multifactorial view, built on holistic caring.
对心肌梗死前体力活动与非体力活动的生活方式和心肌梗死后应对能力（如心理社会影响）之间的关系进行了一项初步研究。在瑞典西南部一个主要为农村的地区，对1984年1月至1986年8月期间所有符合某些标准的心肌梗死患者（N = 49）发放了一份问卷，特别强调他们当前和以前的运动习惯以及心理社会状况。结果表明，与非体力活动的生活方式相比，体力活动的生活方式与应对能力之间存在正相关，具体表现为体力活动者心肌梗死后表达的抑郁较少、家庭关系体验较好以及重返工作的程度较高。然而，需要进一步研究以解释其中涉及的机制。研究结果还表明，一级和二级预防必须从基于整体护理的多因素角度支持“风险个体”的应对能力。
