Perceived control reduces emotional stress in patients with heart failure
Perceived control reduces emotional stress in patients with heart failure
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DOI：
10.1016/s1053-2498(02)00454-0
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发表时间：
2003-01-01
影响因子：
8.9
通讯作者：
Hamilton, MA
中科院分区：
文献类型：
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作者：
Dracup, K;Westlake, C;Hamilton, MA
我们研究了心力衰竭 (HF) 患者，以确定感知控制是否可以减少慢性衰弱性心脏病患者的情绪困扰（即焦虑、抑郁和敌意），以及感知控制高和低的患者的人口、临床和心理特征是否存在差异。对 222 名心力衰竭患者进行的心理评估包括使用控制态度量表评估感知控制，以及使用多重情感形容词检查表评估焦虑、抑郁和敌意。使用多变量分析来控制人口统计学和临床特征的差异，我们发现感知控制高的患者比感知控制低的患者有显着更大的 6 分钟步行距离和更少的情绪困扰。旨在增强感知控制的干预措施可能是心力衰竭护理的一个重要方面，但需要随机试验进行测试。
We studied patients with heart failure (HF) to determine if perceived control reduces emotional distress (i.e., anxiety, depression and hostility) in chronic, debilitating cardiac illness and whether the demographic, clinical and psychologic characteristics of patients with high and low perceived control differed. Psychological assessment of 222 patients with heart failure included an evaluation of perceived control using the Control Attitudes Scale, as well as anxiety, depression and hostility using the Multiple Affect Adjective Checklist. Using multivariate analysis to control for differences in demographic and clinical characteristics, we found that patients with high perceived control had significantly greater 6-minute walk distances and less emotional distress than patients with low perceived control. Interventions designed to increase perceived control may be an important aspect of HF care, but require testing-in randomized trials.