Emotional Support and Survival after Myocardial Infarction
Emotional Support and Survival after Myocardial Infarction
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心肌梗死后的情感支持和生存
DOI：
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发表时间：
1992
影响因子：
39.2
通讯作者：
R. Horwitz
中科院分区：
文献类型：
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作者：
L. Berkman;L. Leo‐Summers;R. Horwitz
目的在控制疾病严重程度、合并症和功能状态的情况下，比较有情感支持和无情感支持的老年急性心肌梗死住院患者的生存率。设计一项前瞻性、以社区为基础的队列研究。地点康涅狄格州纽黑文市的两家医院。患者男性（n = 100）和女性（n = 94）65岁或以上的急性心肌梗死住院1982年和1988年之间。测量社会支持，年龄，性别，种族，教育，婚姻状况，生活安排，抑郁症的存在，吸烟史，体重和身体功能进行了前瞻性的评估问卷。充血性心力衰竭、肺水肿和心源性休克的存在;梗死的位置;院内并发症;和心肌梗死病史通过医疗记录进行评估。使用基于八个条件的存在的指数来定义并发症。结果194例患者中，76例（39%）在心肌梗死后6个月内死亡。在多因素logistic回归分析中，在控制了心肌梗死的严重程度、合并症、危险因素如吸烟和高血压以及社会人口学因素后，缺乏情感支持与6个月死亡率显著相关（比值比，2.9; 95%CI，1.2 - 6.9）。结论：心肌梗死前评估情感支持与随后6个月的死亡风险独立相关。
Objective To compare the survival of elderly patients hospitalized for acute myocardial infarction who have emotional support with that of patients who lack such support, while controlling for severity of disease, comorbidity, and functional status. Design A prospective, community-based cohort study. Setting Two hospitals in New Haven, Connecticut. Patients Men (n = 100) and women (n = 94) 65 years of age or more hospitalized for acute myocardial infarction between 1982 and 1988. Measurements Social support, age, gender, race, education, marital status, living arrangements, presence of depression, smoking history, weight, and physical function were assessed prospectively using questionnaires. The presence of congestive heart failure, pulmonary edema, and cardiogenic shock; the position of infarction; in-hospital complications; and history of myocardial infarction were assessed using medical records. Comorbidity was defined using an index based on the presence of eight conditions. Results Of 194 patients, 76 (39%) died in the first 6 months after myocardial infarction. In multiple logistic regression analyses, lack of emotional support was significantly associated with 6-month mortality (odds ratio, 2.9; 95% CI, 1.2 to 6.9) after controlling for severity of myocardial infarction, comorbidity, risk factors such as smoking and hypertension, and sociodemographic factors. Conclusions When emotional support was assessed before myocardial infarction, it was independently related to risk for death in the subsequent 6 months.
影响因子：
5
作者：
BERKMAN, LF;BERKMAN, CS;BRODY, JA
通讯作者：
BRODY, JA
影响因子：
158.5
作者：
AYANIAN, JZ;EPSTEIN, AM
通讯作者：
EPSTEIN, AM
社会关系与老年人死亡率之间关系的社区间差异。
影响因子：
5.6
作者：
Seeman,TE;Berkman,LF;Kohout,F;Lacroix,A;Glynn,R;Blazer,D
通讯作者：
Blazer,D