EFFECTS OF SELF-HELP POST-MYOCARDIAL-INFARCTION REHABILITATION ON PSYCHOLOGICAL ADJUSTMENT AND USE OF HEALTH-SERVICES
EFFECTS OF SELF-HELP POST-MYOCARDIAL-INFARCTION REHABILITATION ON PSYCHOLOGICAL ADJUSTMENT AND USE OF HEALTH-SERVICES
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DOI：
10.1016/0140-6736(92)90547-g
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发表时间：
1992-04-25
期刊：
影响因子：
168.9
通讯作者：
CAMPBELL, M
中科院分区：
文献类型：
--
作者：
LEWIN, B;ROBERTSON, IH;CAMPBELL, M
在急性心肌梗死后，家庭锻炼计划与医院锻炼计划一样有助于改善心血管健康。为了了解一个全面的家庭康复计划是否能减少心理困扰，176名急性心肌梗死患者被随机分配到一个基于心脏手册的自助康复计划组，或接受标准护理加安慰剂信息包和非正式咨询。在接下来的一年里，他们与全科医生的接触也明显减少，在前6个月内再次入院的人数也明显减少。在出院时有临床焦虑或抑郁症的病人中，改善最大。虽然家居为本计划与医院为本计划的成本效益尚未比较，但这项研究的结果显示，为所有急性心肌梗塞病人提供这套计划可能是值得的。
A home-based exercise programme has been found to be as useful as a hospital-based one in improving cardiovascular fitness after an acute myocardial infarction. To find out whether a comprehensive home-based programme would reduce psychological distress, 176 patients with an acute myocardial infarction were randomly allocated to a self-help rehabilitation programme based on a heart manual or to receive standard care plus a placebo package of information and informal counselling.Psychological adjustment, as assessed by the Hospital Anxiety and Depression Scale, was better in the rehabilitation group at 1 year. They also had significantly less contact with their general practitioners during the following year and significantly fewer were readmitted to hospital in the first 6 months. The improvement was greatest among patients who were clinically anxious or depressed at discharge from hospital.The cost-effectiveness of the home-based programme has yet to be compared with that of a hospital-based programme, but the findings of this study indicate that it might be worth offering such a package to all patients with acute myocardial infarction.