Health Research Center, Life Style Institute, Baqiyatallah University of Medical Sciences, Tehran, Iran.
Department of Epidemiology and Biostatistics, Faculty of Health, Baqiyatallah University of Medical Sciences, Tehran, Iran.
Front Public Health. 2022 Jul 11;10:878259. doi: 10.3389/fpubh.2022.878259. eCollection 2022.
There is a limited understanding of the impact of the family-centered empowerment model (FCEM) on the psychological symptoms in post-myocardial infarction (MI). This study aimed to evaluate the effectiveness of the FCEM on the psychological improvement of patients with MI.
The present study was a randomized controlled trial (RCT) where patients experienced a standard home cardiac rehabilitation (CR) or CR utilizing the FCEM approach. The empowerment of patients was estimated during nine assessments, such as pre- and post-intervention. Factors, such as quality of life (QoL), state and trait anxiety, and perceived stress, were evaluated. A Bayesian multivariate mixed-effects model was used to simultaneously investigate the effect of the intervention group on study outcomes across the time.
Among all the participants in this study, 24 (34.3%) were women with a total mean ± standard deviation (SD) of 61.40 ± 12.83 and 24.87 ± 3.80 for age and body mass index (BMI). The participants who were in the FCEM group had a significantly higher mean level of perceived stress (β = 28.80), state anxiety (β = 16.20), trait anxiety (β = 3.65), physical (β = 38.54), and mental QoL (β = 42.14). Moreover, the individuals in the FCEM group had a significantly higher mean level of general health (β = 31.64) in the physical dimension of QoL, vitality (β = 15.04), mental role limitation (β = 21.84), and mental health (β = 18.16) in the mental dimension of QoL.
The FCEM can be a valuable treatment mechanism for patients with post-MI to improve their stress, anxiety, and QoL.
目前对于以家庭为中心的赋权模式（FCEM）对心肌梗死后患者心理症状的影响了解有限。本研究旨在评估 FCEM 对改善心肌梗死后患者心理的有效性。
本研究为一项随机对照试验（RCT），患者接受标准家庭心脏康复（CR）或 FCEM 方法的 CR。在 9 次评估中评估患者的赋权情况，如干预前和干预后。评估了生活质量（QoL）、状态和特质焦虑以及感知压力等因素。采用贝叶斯多变量混合效应模型同时研究干预组对研究结果的影响随时间的变化。
在本研究的所有参与者中，有 24 名（34.3%）为女性，平均年龄和体重指数（BMI）分别为 61.40±12.83 和 24.87±3.80。FCEM 组的参与者感知压力（β=28.80）、状态焦虑（β=16.20）、特质焦虑（β=3.65）、生理（β=38.54）和心理 QoL（β=42.14）的平均水平显著较高。此外，FCEM 组的个体在生理维度的 QoL 中具有更高的一般健康（β=31.64）、活力（β=15.04）、心理角色限制（β=21.84）和心理健康（β=18.16）的平均水平。
FCEM 可以成为心肌梗死后患者改善压力、焦虑和 QoL 的有价值的治疗机制。
