The effect of a home-based, case-managed, multifactorial risk-reduction program on reducing psychological distress in patients with cardiovascular disease.
The effect of a home-based, case-managed, multifactorial risk-reduction program on reducing psychological distress in patients with cardiovascular disease.
复制标题
以家庭为基础、病例管理、多因素风险降低计划对减少心血管疾病患者心理困扰的效果。
DOI：
10.1097/00008483-199705000-00002
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发表时间：
1997
期刊：
影响因子：
--
通讯作者：
DeBusk,RF
中科院分区：
文献类型：
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作者：
Taylor,CB;Miller,NH;Smith,PM;DeBusk,RF
背景：本研究探讨了一个护士管理的、多因素的、降低风险的项目对心肌梗死（MI）后患者心理困扰的影响。方法：585名年龄在70岁或以下的男性和女性，因急性MI在旧金山弗朗西斯科湾区的五家医院住院，随机接受一个护士管理的、以家庭为基础的、多因素风险降低计划（n= 293）或常规护理（n= 292）。该计划始于医院，包括对五个心理困扰领域进行简短的筛查，并在必要时进行进一步评估，在后续电话中进行监测，并在需要时转诊进行心理健康治疗。在基线、6个月和12个月时，采用单项量表对患者进行评估。单独进行分析的患者与中度至重度水平的心理困扰域和低level.Results.There是一个显着减少的心理困扰变量为所有患者组之间的基线和12个月。该计划有显着的效果，减少焦虑的患者组与低水平的焦虑和减少愤怒的患者组经常发作的愤怒，但总体而言，治疗组和对照组表现出同等水平的improvement.Conclusion.Among patients post-MI无并发症，心理困扰减少MI后12个月内显着。
Background.This study examined the effects of a nurse-case-managed, multifactorial, risk-reduction program on psychological distress among patients after myocardial infarction (MI).Methods.Five hundred eighty-five men and women aged 70 years or younger, who were hospitalized for acute MI in one of five San Francisco Bay Area hospitals, were randomized to receive a nurse-managed, home-based, multifactorial risk-reduction program (n= 293) or usual care (n= 292). The program, which began in the hospital, included a brief screen for five areas of psychological distress with further evaluation if indicated, monitoring during the follow-up phone calls, and referral for mental health treatment if needed. Patients were assessed with singleitem scales at baseline, and at 6 and 12 months. Separate analyses were performed for patients with moderate-to-severe levels on the psychological distress domains and for those with low levels.Results.There was a significant reduction in the psychological distress variables for all patient groups between baseline and 12 months. The program had a significant effect on reducing anxiety in the patient group with low levels of anxiety and reducing anger in the patient group with frequent episodes of anger but, overall, the treatment and control groups showed equal levels of improvement.Conclusion.Among patients post-MI without complications, psychological distress decreases significantly during the 12 months after MI.