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首页> 外文期刊>Psychosomatic Medicine: Journal of the American Psychosomatic Society >Changes in patient drawings of the heart identify slow recovery after myocardial infarction.
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Changes in patient drawings of the heart identify slow recovery after myocardial infarction.

机译：心脏病患者图纸的变化表明心肌梗塞后恢复缓慢。

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OBJECTIVE: The objective of this study was to investigate how changes in heart attack patients' drawings of their heart over the recovery period relate to psychological and functional recovery. METHODS: Sixty-nine inpatients admitted for acute myocardial infarction at the coronary care unit at a metropolitan hospital completed questionnaires at discharge, including a drawing of what they thought had happened to their heart after their heart attack. Fifty-six patients returned follow-up questionnaires at 3 and 6 months, including heart drawings, cardiac anxiety, time to return to work, changes in exercise frequency, and healthcare use. RESULTS: Increases in the size of the heart drawn at the 3-month follow-up relative to discharge were related to slower return to work (r = 0.48, p < .01), higher cardiac anxiety (r = 0.35, p < .05), and more phone calls to health services (r = 0.37, p < .05) as well as increases in worry about another myocardial infarction (r = 0.39, p < .01), increased activity restriction (r = 0.34, p < .05), higher use of alternative medicines (r = 0.40, p < .05), and less frequent exercise (r = -0.39, p < .05) relative to before the myocardial infarction. CONCLUSIONS: Drawings of the heart may be useful in identifying patients who have experienced heart attacks who are likely to develop greater heart-focused anxiety, complaints of ill health, and higher use of health care. Increases in the size of the patient's drawing of the heart may reflect increases in the extent to which their heart condition plays on their mind and directs their daily activities.
机译：目的：本研究的目的是调查心脏病发作患者在康复期间心脏图的变化与心理和功能康复之间的关系。方法：在都市医院的冠心病监护室接受急性心肌梗塞的69例住院患者出院时完成了问卷调查，包括他们认为心脏病发作后心脏发生了什么变化。 56名患者在3个月和6个月后返回了随访问卷，包括心脏绘图，心脏焦虑，恢复工作时间，运动频率的变化以及医疗保健的使用。结果：相对于出院，在3个月的随访中，心脏的大小增加与恢复工作较慢（r = 0.48，p <.01），较高的心脏焦虑（r = 0.35，p <。）有关。 05），更多的医疗服务电话（r = 0.37，p <.05），以及对另一种心肌梗塞的担忧增加（r = 0.39，p <.01），活动受限增加（r = 0.34，p <.05），相对于心肌梗死之前，替代药物的使用量更高（r = 0.40，p <.05），并且运动量较少（r = -0.39，p <.05）。结论：心脏图可能有助于识别出患有心脏病发作的患者，这些患者可能会发展为以心脏为中心的焦虑症，对健康的抱怨以及对医疗服务的更多使用。患者心脏描图尺寸的增加可能反映出他们的心脏状况在其思想上发挥作用并指导其日常活动的程度的增加。

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