Psychologic distress among spouses of patients undergoing cardiac rehabilitation.
Psychologic distress among spouses of patients undergoing cardiac rehabilitation.
复制标题
接受心脏康复的患者配偶的心理困扰。
DOI：
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发表时间：
2000
期刊：
影响因子：
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通讯作者：
S. Hotz
中科院分区：
文献类型：
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作者：
P. O'Farrell;Jean Murray;S. Hotz
目的
本研究的目的是确定共同来源的痛苦在接受心脏康复治疗的患者的配偶，并比较配偶被归类为处于困境和那些被归类为非苦恼的人口统计学变量，他们的经验，压力，应对策略，婚姻亲密度和家庭功能的水平。这项研究的目的是描述配偶对可能的干预措施的需求。
设计
采用横断面分析。
设置
该研究位于渥太华大学心脏研究所预防和康复中心的心脏康复项目。
观察指标
简明症状量表、心脏病困扰量表、应对策略量表、米勒亲密度量表和麦克马斯特家庭评估量表的评分被用作结果测量。
结果
213名接受心脏康复治疗的患者的女性配偶参加了这项研究。66%的配偶符合痛苦的标准。这在年轻配偶（51.99 +/- 9.94岁）中比老年配偶（55。74 +/- 10.54岁）（t = -2.45; P =.013）。苦恼的配偶使用脱离应对策略显着多于非苦恼的配偶（t = 6.91; P =.0001）。痛苦的配偶也报告说，他们的婚姻亲密度显着降低（t = -3.99; P =.0001）和较差的家庭功能（t = 5.86; P =.0001）。最普遍的心理困扰症状包括感到紧张、难以入睡和容易受伤。最常见的压力源如下：（1）对治疗、康复和预后的担忧（2）患者情绪化（66.7%）;（3）担心病人重返工作岗位和金钱问题（4）性问题（36.7%）;（5）患者的无助或冷漠以及配偶责任感增加（36.1%）。
结论
接受心脏康复治疗的患者的配偶应进行心理困扰筛查，应向那些处于困境中的患者提供干预措施，重点是帮助他们处理与患有心脏病的配偶相关的特定压力源。所述干预措施包括压力管理技巧和鼓励使用参与应对战略。此外，婚姻和家庭问题需要在支助性干预措施中得到直接解决。
OBJECTIVE
The goal of this study was to identify common sources of distress in spouses of patients undergoing cardiac rehabilitation and to compare spouses classified as being in distress and those classified as nondistressed on demographic variables, their experiences of stress, coping strategies employed, marital intimacy, and level of family functioning. The study aimed to describe the needs of spouses with respect to possible interventions.
DESIGN
A cross-sectional analysis was used.
SETTING
The study was located at the University of Ottawa Heart Institute Prevention and Rehabilitation Centre's cardiac rehabilitation program.
OUTCOME MEASURES
Scores on the Brief Symptom Inventory, Heart Disease Hassles Scale, Coping Strategies Inventory, Miller Intimacy Scale, and McMaster Family Assessment Device were used as outcome measures.
RESULTS
Two hundred thirteen female spouses of patients undergoing cardiac rehabilitation participated in this study. Sixty-six percent of the spouses met the criteria for distress. This was more common in younger spouses (51.99 +/- 9.94 years) than in older spouses (55. 74 +/- 10.54 years) (t = -2.45; P =.013). Distressed spouses used disengagement coping strategies significantly more than the nondistressed spouses (t = 6.91; P =.0001). Distressed spouses also reported significantly less intimacy in their marriages (t = -3.99; P =.0001) and poorer family functioning (t = 5.86; P =.0001). The most prevalent symptoms of psychologic distress included feeling tense, having trouble falling asleep and feeling easily hurt. The most prevalent stressors were as follows: (1) worries about treatment, recovery, and prognosis (75.5%); (2) moodiness of the patient (66.7%); (3) worries about the patient returning to work and about money (38.8%); (4) sexual concerns (36.7%); and (5) helplessness or apathy on the part of the patient and increased spousal responsibility (36.1%).
CONCLUSIONS
Spouses of patients undergoing cardiac rehabilitation should be screened for psychologic distress, and those in distress should be offered interventions focused on assisting them to deal with specific stressors related to their experience with a spouse with heart disease. Interventions indicated include stress-management techniques and encouraging the use of engagement coping strategies. In addition, marital and family concerns need to be directly addressed in support interventions.