Wiklund I, Sanne H, Vedin A, Wilhelmsson C
Scand J Rehabil Med. 1984;16(2):57-64.
Sick-role and attitude towards disease and work two months after a first myocardial infarction (MI) were studied in relation to social, psychological and somatic factors prior to, during and after the MI in 201 consecutive male patients. Questionnaires and a brief interview covered psychological and social data. Somatic data were registered in a standardized medical examination. New concepts were introduced after factor analysis of the psychological variables. Two out of three patients displayed avoidance behaviour. Seventy per cent had restricted their everyday activities. The leisure time was dominated by passivity. Over-protection was frequent. Sick-role behaviour was significantly related to emotional upset, preoccupation with the health and self-reported coronary symptoms while the shortage of relationships to somatic and cardiac factors was notable. The patients attributed the onset of MI to work-related factors. Work dissatisfaction was an aspect of a general negative attitude towards life and was more frequent among patients with emotional symptoms. The psychological care ought to be improved in order to prevent long-term disability.
在201名男性心肌梗死（MI）患者中，研究了首次心肌梗死后两个月的患病角色、对疾病和工作的态度，以及与心肌梗死之前、期间和之后的社会、心理和躯体因素的关系。通过问卷调查和简短访谈收集心理和社会数据。躯体数据通过标准化医学检查记录。对心理变量进行因子分析后引入了新的概念。三分之二的患者表现出回避行为。70%的患者限制了日常活动。休闲时间以被动为主。过度保护很常见。患病角色行为与情绪困扰、对健康的过度关注以及自我报告的冠状动脉症状显著相关，而与躯体和心脏因素的关系不足则很明显。患者将心肌梗死的发作归因于工作相关因素。工作不满是对生活总体消极态度的一个方面，在有情绪症状的患者中更为常见。应该改善心理护理，以防止长期残疾。
