Sense of coherence--a determinant of quality of life over time in older female acute myocardial infarction survivors.
Sense of coherence--a determinant of quality of life over time in older female acute myocardial infarction survivors.
复制标题
连贯感——老年女性急性心肌梗死幸存者长期生活质量的决定因素。
DOI：
10.1111/j.1365-2702.2009.02858.x
复制
发表时间：
2010
影响因子：
4.2
通讯作者：
B. Hanestad
中科院分区：
文献类型：
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作者：
T. Norekvål;B. Fridlund;P. Moons;J. Nordrehaug;H. I. Saevareid;T. Wentzel‐Larsen;B. Hanestad
旨在
确定不同的连贯感水平和生活质量之间的关系，并在老年女性心肌梗死幸存者;调查社会人口统计学，临床特征，自我报告的症状和功能的连贯感如何影响生活质量;并确定是否连贯感和生活质量在6个月的随访期间是稳定的。
背景
心肌梗死带来了新的身体和精神挑战。然而，关于老年女性心肌梗死幸存者在维持身体、心理和环境方面的生活质量的一致性感和其他因素的研究很少。
设计
调查.
方法
对145名年龄在62-80岁之间的妇女进行了一项邮寄调查，在心肌梗死后3个月至5年（T1），并在6个月后进行随访（T2）。收集自我报告的社会人口统计学和临床数据以及医院病历数据。采用一致感量表（SOC-29）和世界卫生组织生活质量量表简表（WHOQOL-BREF）。
结果
我们发现，弱、中、强凝聚力组之间的生活质量存在显著差异（p<0.001）。一致感对生活质量各维度的水平均有贡献（p<0.001）。几个临床特征有助于生活质量：（1）身体领域：合并症（p<0.001），既往心肌梗死（p = 0.013），射血分数（p<0.011），住院时间（p = 0.005）症状和功能（2）心理领域：既往心肌梗死史（3）环境领域：教育（p = 0.033）和症状与功能（p = 0.003）。在群体水平上，一致感和生活质量都很稳定。在6个月的随访中，经历特定的健康变化（p<0.001），而不是主要的生活事件，影响生活质量。
结论
在女性心肌梗死幸存者中，一致感是生活质量领域的一个重要的稳定决定因素。虽然确定了其他因素，但需要进一步研究以阐明生活质量的其他决定因素。
与临床实践的相关性
这些特定因素可以指导临床医生做出优化患者生活质量的治疗决策。通过患者教育应用有益健康的观点可能很重要。
AIMS
To determine the relationships between different sense of coherence levels and quality of life, and in older female myocardial infarction survivors; to investigate how socio-demographic, clinical characteristics, sense of coherence self-reported symptoms and function affect quality of life; and to determine whether sense of coherence and quality of life are stable during a six-month follow-up.
BACKGROUND
Myocardial infraction confers new physical and mental challenges. However, research on sense of coherence and other factors involved in maintaining physical, psychosocial and environmental aspects of quality of life in older female myocardial infraction survivors is scant.
DESIGN
Survey.
METHODS
A postal survey was conducted of 145 women, aged 62-80 years, three months to five years after myocardial infarction (T1), with a follow-up after six months (T2). Self-reported socio-demographic and clinical data and hospital medical records data were collected. The sense of coherence scale (SOC-29) and the World Health Organization Quality of Life Instrument Abbreviated (WHOQOL-BREF) were used.
RESULTS
We found a significant difference in quality of life between weak, moderate, and strong sense of coherence groups (p<0.001). Sense of coherence contributed to the level of all quality of life domains (p<0.001). Several clinical characteristics contributed to quality of life: (1) physical domain: comorbidities (p<0.001), previous myocardial infarction (p = 0.013), ejection fraction (p<0.011), length of hospital stay (p = 0.005) symptoms and function (p<0.001); (2) psychological domain: previous myocardial infarction (p = 0.031) and symptoms and function (p<0.001); and (3) environmental domain: education (p = 0.033) and symptoms and function (p = 0.003). On group level, both sense of coherence and quality of life were stable. Experiencing specific health changes (p<0.001), not major life events, influenced quality of life during the six-month follow-up.
CONCLUSION
Sense of coherence was an important stable determinant of quality of life domains in female myocardial infarction survivors. Although other factors were identified, further research is needed to elucidate additional determinants of quality of life.
RELEVANCE TO CLINICAL PRACTICE
These specific factors could guide clinicians in making treatment decisions that optimize the quality of life of their patients. Applying a salutogenic perspective through patient education may be important.
(3) 其著作《并购与股票价格》发表于2006年12月10日《日本经济新闻》书评，2008年6月7日发表于《东洋经济周刊》文章《并购与股票价格的关系》。 - 提供分析结果的详细摘要。
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