Nikolaeva L F, Zaĭtsev V P, Aronov D M, Karpova G D, Khramelashvili V V
Kardiologiia. 1985 Feb;25(2):19-22.
A group method of psychosocial intervention (a "school") has been developed for post-myocardial infarction patients and their families in order to build up positive attitudes to medical recommendations. The efficiency of the school as well as the social and psychologic factors involved were assessed using the multifactorial scale of psychosocial changes, and 16PF, and "polar profiles" tests, and Leary's method, in 27 post-myocardial infarction patients (mean age 49.8 years) and their 12 wives. It was demonstrated that the patients' attitudes to medical recommendations became more positive, as compared to a control group; moreover, this positive quality persisted over long-term follow-up. Certain personality features (self-image, psychological makeup) affecting the patient's observance of medical advice were demonstrated which should be considered in planning the rehabilitation strategy for myocardial infarction patients. The results indicate that patients' wives should also be enrolled in the group effort.
已为心肌梗死后患者及其家属开发了一种心理社会干预的团体方法（“学校”），以建立对医疗建议的积极态度。使用心理社会变化多因素量表、16PF、“两极剖面图”测试以及利里方法，对27名心肌梗死后患者（平均年龄49.8岁）及其12名妻子进行了评估，以了解该“学校”的效果以及所涉及的社会和心理因素。结果表明，与对照组相比，患者对医疗建议的态度变得更加积极；此外，这种积极品质在长期随访中持续存在。研究还发现了一些影响患者遵守医疗建议的人格特征（自我形象、心理构成），在制定心肌梗死患者的康复策略时应予以考虑。结果表明，患者的妻子也应参与到团体活动中来。
