A Longitudinal Study on the Changes in the Life Style and Social Activities of the Elderly with Myocardial Infarction

本研究旨在了解老年心肌梗死患者出院后生活方式及社会活动的变化。研究对象为10例65岁以上首次发作心肌梗死的患者。出院时随访6次，出院后1年内每2个月随访一次。在发病前和每次访谈时测量老年人社会活动指数。结果是：1。预期的生活条件有5类：停止或减少生活活动，重新审视生活方式和态度，为休养而创造新的生活方式，应急反应，继续以前的生活活动。发病前的生活活动和爱好、社会角色、生活自理能力和年龄对生活方式的评价有影响。出院后3个月内的社会活动水平低于发病前，出院后6个月的活动范围逐渐变宽。但没有受试者在发病后一年内恢复社会活动水平。

The purpose of this study is to understand the changes in the life style and social activities of the elderly patients with myocardial infarction after hospital discharge.The subjects were 10 patients with first attack of myocardial infarction over 65 years of age. They were interviewed 6 times, at discharge, arid every 2 months within one year after discharge. The Index of Social Activities for the Elderly was measured before the onset of the diseases and every interview times. The results are :1. There are 5 categories of expected living conditions : cessation or reduction of life activities, review of life style and attitude, creation of new life style for recuperation, emergency response, continuation of previous life activities.2. The subjects' review of life style was affected by life activities and hobbies they had had before the onset of the disease, social role, ADL and age of the subjects.3. The subjects level of social activities within 3 months after discharge was lower than before the onset of the diseases, and from 6 months after discharge their scope of activities become wider after the onset by stages. But there were no subjects who recovered social activities level within one year after discharge since the onset of the diseases.