Hamilton G A, Seidman R N
Massachusetts General Hospital, Boston.
Heart Lung. 1993 Jul-Aug;22(4):308-15.
To compare return to work, participation in cardiac rehabilitation, and sexual activity in women and men recovering from acute myocardial infarction (AMI).
A descriptive survey design was used. Descriptive statistics and chi square analysis were used to compare differences between women and men after an AMI.
The survey was mailed to the subject's home.
A purposive sample of 20 women and 42 men.
Comparing women with men, there were significant differences in the following activities with women evidencing higher percentages in responsibility for household duties before AMI, and cooking, washing dishes, reading, bed making, laundry, dusting and sweeping within 4 weeks after AMI. For those subjects who were sexually active before AMI, all resumed sexual activities after an average of 8 weeks. Women reported a decrease in frequency, less satisfactory relationship, and more reports of chest pain during sexual activity. Subjects reported that nurses gave little or no counseling concerning resumption of household activities, return to work issues, and sexual activity. Women received less counseling than men after AMI.
The findings are not generalizable to the population at large; however, the study indicates a need to investigate further the recovery period for women who experience AMI.
比较急性心肌梗死(AMI)康复期女性和男性的重返工作情况、参与心脏康复情况及性活动情况。
采用描述性调查设计。使用描述性统计和卡方分析比较急性心肌梗死后女性和男性之间的差异。
调查问卷邮寄至受试者家中。
20名女性和42名男性的目的抽样样本。
比较女性和男性,在以下活动方面存在显著差异:AMI前女性承担家务职责的比例更高,AMI后4周内做饭、洗碗、阅读、铺床、洗衣、掸灰和扫地的比例也更高。对于AMI前有性活动的受试者,所有人在平均8周后恢复了性活动。女性报告性活动频率降低、关系满意度降低,且性活动期间胸痛报告更多。受试者报告护士很少或根本没有就恢复家务活动、重返工作问题及性活动提供咨询。AMI后女性接受的咨询比男性少。
这些发现不能推广至一般人群;然而,该研究表明有必要进一步调查经历AMI的女性的康复期情况。