Comparing multifactorial lifestyle interventions and stress management in coronary risk reduction
Comparing multifactorial lifestyle interventions and stress management in coronary risk reduction
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比较多因素生活方式干预措施和压力管理在降低冠心病风险方面的作用
DOI：
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发表时间：
2003
影响因子：
2.7
通讯作者：
A. Öhman
中科院分区：
文献类型：
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作者：
Ö. Sundin;J. Lisspers;C. Hofman‐Bang;Å. Nygren;L. Rydén;A. Öhman
本研究的目的是比较住院多因素心脏康复、门诊多因素康复、压力管理和标准冠状动脉康复对降低心脏风险的影响。在144例最近接受经皮腔内冠状动脉造影术（PTCA）、冠状动脉旁路移植术（CABG）或急性心肌梗死（AMI）治疗的合格男性患者中，132例随机入组本研究。所有干预措施都包括为期12个月的积极干预，在最初几个月内强度很大，随后趋于平稳。在随机化前和干预后进行主要评估。接受行为康复治疗的患者自我报告的健康饮食习惯和运动频率有所改善，内控点也有所提高。虽然血脂、运动能力、体重、焦虑、抑郁和A型评分在预期方向上发生了变化，但积极干预和标准护理条件之间没有显著差异。今天的标准护理似乎有很大的潜力，特别是如果辅以某种压力管理。
The aim of this study was to compare the effects of residential multifactorial cardiac rehabilitation, outpatient multifactorial rehabilitation, stress management, and standard coronary rehabilitation, on cardiac risk reduction. Out of 144 eligible male patients recently treated with percantaneous transluminal coronary angiography (PTCA), coronary artery bypass graft (CABG), or acute myocardial infarction (AMI), 132 were randomized into this study. All interventions covered a 12-month active intervention, intense during the first months and subsequently leveled out. Main assessments were performed before randomization and after the intervention. Patients offered behavioral rehabilitation showed improved selfreported healthy diet habits and exercise frequency, and higher internal locus of control. Although blood lipids, exercise capacity, body mass, anxiety, depression, and Type A scores were changed in the expected direction, no significant difference emerged between active intervention and the standard care condition. Standard care of today appears to have great potential in particular if supplemented with some kind of stress management.