Oxman T E, Freeman D H, Manheimer E D
Department of Psychiatry, Dartmouth Medical School, Lebanon, NH 03756, USA.
Psychosom Med. 1995 Jan-Feb;57(1):5-15. doi: 10.1097/00006842-199501000-00002.
The purpose of this study was to examine the relationship of social support and religion to mortality after elective open heart surgery in older patients. Of the 232 patients included in the study, 21 died within 6 months of surgery. Three biomedical variables were significant predictors of mortality and selected as adjustment variables for a multivariate analysis: history of previous cardiac surgery; greater impairment in presurgery basic activities of daily living; and older age. Among the social support and religion variables, two were consistent predictors of mortality in the multivariate analyses: lack of participation in social or community groups and absence of strength and comfort from religion. These results suggest that in older persons lack of participation in groups and absence of strength and comfort in religion are independently related to risk for death during the 6-month period after cardiac surgery.
本研究的目的是探讨社会支持和宗教信仰与老年患者择期心脏直视手术后死亡率之间的关系。在纳入研究的232例患者中，21例在术后6个月内死亡。三个生物医学变量是死亡率的显著预测因素，并被选作多变量分析的调整变量：既往心脏手术史；术前日常生活基本活动能力受损更严重；以及年龄较大。在社会支持和宗教信仰变量中，有两个在多变量分析中是死亡率的一致预测因素：缺乏参与社会或社区团体以及缺乏宗教带来的力量和慰藉。这些结果表明，在老年人中，缺乏团体参与以及宗教信仰中缺乏力量和慰藉与心脏手术后6个月内的死亡风险独立相关。
