Changes in Life and Social Activity and their Causes in Elderly Myocardial Infarction Patients Over Two Years After the Onset
Changes in Life and Social Activity and their Causes in Elderly Myocardial Infarction Patients Over Two Years After the Onset
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老年心肌梗死患者发病后2年多生活和社会活动的变化及其原因
DOI：
10.2974/kmj.61.307
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发表时间：
2011
期刊：
影响因子：
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通讯作者：
H. Kamata
中科院分区：
文献类型：
--
作者：
Mayumi Ito;H. Kamata
目的：本研究旨在探讨老年心肌梗塞（以下简称心肌梗塞）患者出院后两年内生活和社会活动的变化及其原因。研究方法：10名年龄超过65岁的首次心肌梗死患者在出院后两年内接受了访问，以进行前瞻性研究。进行了半结构化访谈，并使用社交活动指标来衡量社交活动。结果如下：出院后第三个月社会活动指标得分最低，然后上升到第十二个月。然而，它在离开医院两年后下降了。在高活动水平的5例患者的社会活动和生活质量恢复良好。另一方面，在两种情况下，它们的回收率仅保持在50%左右。在低活动水平组中，社会活动指标的得分在第三个月略有下降，一直保持到第十二个月，并在出院后两年内进一步下降。在影响扩大社会活动的因素中，患者对发作和胸痛的复发有焦虑，6例患者的家人也有同样的恐惧。结论：这项研究表明，有必要在老年心肌梗死患者的持续护理中提供以下支持：评估出院后六个月内没有表现出扩大社交活动迹象的患者的病情和社会心理适应不良，评估患者和家属对再次发作的恐惧。
Purpose : The study was conducted to ascertain changes in life and social activity among elderly myocardial infarction (hereafter MI) patients in two years after leaving hospital and to identify their causes. Methods : Ten persons aged over 65 who had the first MI were visited during a period to two years after being released from hospital to carry out a prospective study. A semi-structured interview was conducted and the social activity indicator was used to measure social activity. Results : The score of the social activity indicator was the lowest in the third month after leaving hospital, which then increased up to the twelfth month. However, it dropped two years after leaving hospital. In the high activity level five cases made a good recovery in their social activity and quality of life. On the other hand, in two cases their recovery remained only at about 50%. In the low activity level group the score of the social activity indicator slightly declined in the third month, which was maintained up to the twelfth month, and further dropped two years after leaving hospital. As to influencing factors for expanding social activity, the patient had anxiety about a recurrence of paroxysms and chest pain and the family had the same fear also in six cases. Conclusions : This study implied the necessity of including the following support in continuous nursing for elderly MI patients : to assess the conditions and socio-psychological maladaptation of the patients who show no signs of expanding their social activity for six months after leaving hospital, to assess the patient's and family's fear of a recurrence of paroxysms.