Moser D K, Dracup K
Department of Adult Health and Illness, College of Nursing, Ohio State University, Columbus 43210, USA.
Heart Lung. 1995 Jul-Aug;24(4):273-80. doi: 10.1016/s0147-9563(05)80070-6.
To determine the relationship between patients' feelings of control at baseline and psychosocial recovery 6 months after their cardiac event.
One hundred seventy-six patients who had had myocardial infarction, had undergone coronary artery bypass or both.
In this longitudinal, comparative survey patients with high perceptions of control were compared with those with low perceptions of control at baseline to determine differences in psychosocial recovery 6 months later.
Psychosocial recovery was operationalized as anxiety, depression, and hostility (measured by Multiple Affect Adjective Checklist) and overall psychosocial adjustment to illness (measured by Psychosocial Adjustment to Illness Scale).
Significant differences were seen in psychosocial recovery between patients with feelings of high control versus those with feelings of low control (p = 0.006). Patients with feelings of high control at baseline were less anxious (p = 0.002), less depressed (p = 0.001), less hostile (p = 0.02), and had better psychosocial adjustment (p = 0.009) at a 6-month follow-up than those with feelings of low control.
Feelings of perceived control are important for psychosocial recovery after a cardiac event.
确定患者基线时的控制感与心脏事件发生6个月后的心理社会恢复之间的关系。
176例曾患心肌梗死、接受过冠状动脉搭桥手术或两者皆有的患者。
在这项纵向比较研究中，将基线时控制感高的患者与控制感低的患者进行比较，以确定6个月后心理社会恢复情况的差异。
心理社会恢复情况通过焦虑、抑郁和敌意（采用多重情感形容词检查表测量）以及对疾病的总体心理社会适应情况（采用疾病心理社会适应量表测量）来衡量。
控制感高的患者与控制感低的患者在心理社会恢复方面存在显著差异（p = 0.006）。在6个月的随访中，基线时控制感高的患者比控制感低的患者焦虑程度更低（p = 0.002）、抑郁程度更低（p = 0.001）、敌意程度更低（p = 0.02），且心理社会适应情况更好（p = 0.009）。
感知到的控制感对心脏事件后的心理社会恢复很重要。
