Sikes W W, Rodenhauser P
Gen Hosp Psychiatry. 1987 May;9(3):182-6. doi: 10.1016/0163-8343(87)90005-3.
Considering the evidence in support of the importance of psychologic and social factors in the recovery of myocardial infarction (MI) patients, the authors studied the nationwide prevalence of psychosocial rehabilitation programs for MI patients. Findings from a survey of U. S. hospitals with coronary care units (n = 1628) included widespread involvement of patients and families in inpatient programs, approximately half as many continuing in outpatient programs, limited use of group counseling, and multidisciplinary staffing but counseling by nurses and social workers primarily. The clinical and economic benefits of group-oriented psychosocial rehabilitation programs are discussed. The authors encourage more psychologically informed intervention in the various parts of the patient's life-space and more use of groups.
考虑到有证据支持心理和社会因素对心肌梗死（MI）患者康复的重要性，作者研究了全国范围内针对MI患者的心理社会康复项目的普及情况。对设有冠心病监护病房的美国医院（n = 1628）的一项调查结果显示，患者及其家属广泛参与住院项目，参与门诊项目的人数约为前者的一半，团体咨询的使用有限，采用多学科人员配置，但主要由护士和社会工作者提供咨询。文中讨论了以团体为导向的心理社会康复项目的临床和经济效益。作者鼓励在患者生活空间的各个方面进行更具心理依据的干预，并更多地采用团体形式。
