Early discharge of patients with acute myocardial infarction has no adverse psychological consequences
Early discharge of patients with acute myocardial infarction has no adverse psychological consequences
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急性心肌梗死患者早期出院无不良心理后果
DOI：
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发表时间：
2001
期刊：
影响因子：
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通讯作者：
J. Deckers
中科院分区：
文献类型：
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作者：
M. J. Vlugt;S. Pedersen;E. Boersma;R. Erdman;C. Leenders;G. Pop;M. Veerhoek;M. Simoons;J. Deckers
目的：探讨1)早期出院是否会导致3个月后评估不良心理结果，以及2)临床病程复杂和无并发症的患者是否有不同的心理特征。方法：对645例连续入院的心肌梗死患者于入院第5天及入院3个月时进行心脏病人心理问卷调查。基线人口学和临床变量从医疗记录中抽样。根据研究阶段(注册与验证)和临床病程(复杂与不复杂)将患者分为四组。结果：提前出院患者与常规住院患者3个月的心理结局差异无统计学意义。未发现临床病程与心理特征的关系。校正基线差异后，病程复杂的登记阶段患者在三个月后的残疾感觉得分低于病程不复杂的患者。结论：1)早期出院对心肌梗死患者无不良心理后果；2)无并发症患者与有并发症患者的心理特征相似。
Objective: To investigate whether 1) early hospital discharge results in adverse psychological outcome assessed at three months, and 2) whether patients with a complicated versus an uncomplicated clinical course have different psychological profiles. Methods: The Heart Patients Psychological Questionnaire was administered to 645 consecutive myocardial infarction patients on the fifth day of hospitalization and at three months. Baseline demographic and clinical variables were sampled from medical records. Patients were divided into four groups according to study phase (registration versus validation) and clinical course (complicated versus uncomplicated). Results: No differences in psychological outcome were found at three months between patients discharged early and those who remained in hospital for the conventional period. No relation was found between clinical course and psychological profile. Correcting for baseline differences, registration phase patients with a complicated course scored lower on feelings of being disabled at three months than patients with an uncomplicated course. Conclusion: 1) Early discharge had no adverse psychological consequences for patients with myocardial infarction; 2) Psychological profiles of uncomplicated patients and complicated patients were comparable.