Is patient involvement during hospitalization for acute myocardial infarction associated with post-discharge treatment outcome? An exploratory study
Is patient involvement during hospitalization for acute myocardial infarction associated with post-discharge treatment outcome? An exploratory study
复制标题
DOI：
10.1111/j.1369-7625.2009.00588.x
复制
发表时间：
2010-09-01
影响因子：
3.2
通讯作者：
Arnetz, Bengt B.
中科院分区：
文献类型：
--
作者：
Arnetz, Judith E.;Winblad, Ulrika;Arnetz, Bengt B.
目的探讨急性心肌梗死（MI）住院期间患者参与是否与出院后6-10周的健康和行为结局相关。BackgroundPatient involvement与慢性疾病中健康结局的改善相关，但较少研究关注患者参与急性疾病（如MI）的影响。问卷调查结果与国家心脏病患者数据库中的医疗结果数据进行对照。设置和参与者心脏病患者（n = 591）在11家瑞典医院因MI住院后首次随访。主要结果测量与参与相关的三个问卷量表的患者评分;心血管症状，药物依从性，参与心脏康复，和二级预防目标的实现。ResultsMore阳性患者参与评级与出院后6-10周的心血管症状减少显著相关。相比之下，参加心脏康复并达到戒烟和收缩压目标的患者对其参与的满意度明显较低。未发现参与评级与药物依从性之间存在关联。结论这项研究是首次尝试检查患者参与疾病急性期与短期健康结果之间的关联。急性心肌梗死后的健康和行为结果之间的参与和一些显着的associations. However，较高的参与评级并不总是与更理想的结果，并在住院期间的参与与心肌梗死患者的健康和行为出院后6-10周的假设程度。
ObjectiveTo investigate whether patient involvement during hospitalization for acute myocardial infarction (MI) was associated with health and behavioural outcomes 6-10 weeks after hospital discharge.BackgroundPatient involvement has been associated with improved health outcomes in chronic disease, but less research has focused on the effects of patient involvement in acute conditions, such as MI.DesignSelf-administered questionnaire study. Questionnaire results were run against medical outcome data in a national database of cardiac patients.Setting and participantsCardiac patients (n = 591) on their first follow-up visit after hospitalization for MI at 11 Swedish hospitals.Main outcome measuresPatient ratings of three questionnaire scales related to involvement; cardiovascular symptoms, medication compliance, participation in cardiac rehabilitation, and achievement of secondary preventive goals.ResultsMore positive patient ratings of involvement were significantly associated with fewer cardiovascular symptoms 6-10 weeks after hospital discharge. In contrast, patients who attended cardiac rehabilitation and achieved the goals for smoking cessation and systolic blood pressure were significantly less satisfied with their involvement. No association was found between involvement ratings and medication compliance.ConclusionThis study represents a first attempt to examine associations between patient involvement in the acute phase of illness and short-term health outcomes. Some significant associations between involvement and health and behavioural outcomes after acute MI were found. However, higher involvement ratings were not consistently associated with more desirable outcomes, and involvement during hospitalization was not associated with MI patient health and behaviour 6-10 weeks after hospital discharge to the extent hypothesized.