Freidl W, Egger J, Schratter J
Abteilung für Verhaltensmedizin, Gesundheitspsychologie und Empirische Psychosomatik, Karl-Franzens-Universität Graz.
Rehabilitation (Stuttg). 1993 May;32(2):121-5.
The present study was carried out on an unselected population of 107 myocardial infarction patients admitted for immediate post-acute rehabilitation. The patients were assessed (a) at discharge from multidimensional in-patient treatment, and (b) after a period of 12 months back home. Our aim had been to trace those psychological and general cardiological parameters that contribute to a patient's reintegration into work life as well as improved quality of life. It was found that patients with good physical coping did not suffer a reinfarction in the subsequent twelve months period. Younger or middle-age, male patients significantly more often returned to work. Remarkably, no correlation was found between good psychological coping with the infarction and return to work. As had been expected, a higher quality of life was achieved by those patients whose psychological status is only slightly impaired, who do not attach too great importance to their job, and who reported good physical coping as well as social reintegration and successful adjustment in their lifestyle.
本研究针对107名因急性心肌梗死后立即接受康复治疗而入院的未经过挑选的患者群体展开。对这些患者进行了如下评估：(a) 从多维度住院治疗出院时；(b) 回家12个月后。我们的目的是找出那些有助于患者重新融入工作生活以及提高生活质量的心理和普通心脏病学参数。研究发现，身体应对能力良好的患者在随后的十二个月内没有再次发生心肌梗死。年轻或中年男性患者更常重返工作岗位。值得注意的是，在对心肌梗死的良好心理应对与重返工作之间未发现相关性。正如预期的那样，心理状态仅轻微受损、不太重视工作、身体应对良好、社会重新融入良好且生活方式调整成功的患者实现了更高的生活质量。
