Marsland C P, Logan R L
N Z Med J. 1984 Jun 27;97(758):406-8.
Responses and attitudes of 33 patients and their spouses to management during and after myocardial infarction were assessed by questionnaire and interview. The needs of both not only changed between the time of acute illness and recovery but also frequently differed. Desire for more information both in hospital and after discharge was emphasised. The perceived educational role of coronary care nurses differed from that of doctors. We conclude that it should be directed towards providing patients and families with general information and facilitating doctor/patient communication, rather than replacing that of the doctor in providing information about the patient's own condition and management. The rehabilitative programme appeared to help patients and families cope with what were frequently profound emotional stresses during early convalescence. As a result of this study we have looked more critically at some aspects of our patient management whilst the value of others has been reinforced.
通过问卷调查和访谈评估了33名患者及其配偶在心肌梗死期间及之后对治疗的反应和态度。两者的需求不仅在急性病期和康复期有所变化，而且常常存在差异。强调了在住院期间和出院后对更多信息的需求。冠心病护理护士所感知到的教育作用与医生不同。我们得出结论，其应旨在为患者及其家属提供一般信息并促进医患沟通，而不是在提供有关患者自身病情和治疗的信息方面取代医生。康复计划似乎有助于患者及其家属应对早期康复期间常常出现的严重情感压力。这项研究使我们更加批判性地审视了患者管理的某些方面，同时也强化了其他方面的价值。
