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

为了解老年心肌梗死患者出院后生活方式和社会活动的变化，对10例65岁以上首次发病的心肌梗死患者进行研究。出院时和出院后一年内每2个月进行一次访谈，共6次。老年人社会活动指数在疾病发病前和每次面谈时进行测量。研究结果如下：1.期望生活条件分为5类：停止或减少生活活动、反思生活方式和态度、创造新的疗养生活方式、应急反应、延续既往生活活动。受试者对生活方式的回顾受发病前的生活活动和爱好、社会角色、日常生活能力和年龄的影响。出院后3个月内的社会活动水平低于发病前，从出院后6个月开始，其活动范围呈阶段性扩大。出院后1年内无1例恢复社会活动水平。

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.