O'Malley P A, Menke E
Coronary Intensive Care Unit, Miami Valley Hospital, Dayton, OH 45409.
Heart Lung. 1988 Mar;17(2):184-90.
This study examines the relationship of perceived stress associated with an acute myocardial infarction and the patient's perception of hope in the coronary care unit. The subjects, 40 to 70 years of age, had experienced a first myocardial infarction. The research design was a nonexperimental, retrospective study using a convenience sample. The highest percentages of perceived stress were associated with the factors of unfamiliar surroundings and missing one's spouse. The sample population had high hopefulness scores for the factors of feelings about the future and personal motivation but ambivalent scores associated with future expectancies. Correlation of scale scores revealed no statistical relationship between perceived hope and stress for this sample population. Clinical applications are multiple. Nursing interventions to reduce stress should include an in-depth orientation to the environment and should allow for frequent contact with one's spouse. Denial must be considered as a basis for a high degree of hope perception during the first 7 days after infarction.
本研究探讨急性心肌梗死相关的感知压力与患者在冠心病监护病房中的希望感之间的关系。研究对象为40至70岁，首次发生心肌梗死的患者。研究设计为非实验性回顾性研究，采用便利抽样。感知压力最高的因素与陌生的环境和想念配偶有关。样本人群在对未来的感受和个人动机等因素上有较高的希望得分，但在未来预期方面得分矛盾。量表得分的相关性显示，该样本人群的感知希望与压力之间无统计学关系。临床应用是多方面的。减轻压力的护理干预措施应包括对环境的深入介绍，并应允许患者经常与配偶联系。在心肌梗死后的前7天，否认必须被视为高度希望感的一个基础。
