• 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>Psychosomatic Medicine: Journal of the American Psychosomatic Society >Impact of anxiety and perceived control on in-hospital complications after acute myocardial infarction.
【24h】

Impact of anxiety and perceived control on in-hospital complications after acute myocardial infarction.

机译：焦虑和知觉控制对急性心肌梗死后住院并发症的影响。

获取原文
获取原文并翻译 | 示例
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

OBJECTIVES: We tested the hypothesis that perception of control moderates any relationship between anxiety and in-hospital complications (i.e., recurrent ischemia, reinfarction, sustained ventricular tachycardia or fibrillation, and cardiac death) in patients with acute myocardial infarction (AMI). BACKGROUND: Anxiety is common among patients with AMI, but whether it is associated with poorer outcomes is controversial. Conflicting findings about the relationship of anxiety with cardiac morbidity and mortality may result from failure to consider the moderating effect of perceived control. METHODS: This was a prospective examination of the association among anxiety, perceived control, and subsequent in-hospital complications among patients (N = 536) hospitalized for AMI. RESULTS: Patients' mean anxiety level was double that of the published mean norm. Patients with higher levels of perceived control had substantially lower anxiety (p = .001). A total of 145 (27%) patients experienced one or more in-hospital complications. Patients with higher levels of anxiety had significantly more episodes of ventricular tachycardia, ventricular fibrillation, and reinfarction and ischemia (p < .01 for all). In a multivariate hierarchical logistic regression model, left ventricular ejection fraction, history of myocardial infarction, anxiety score, and the interaction of anxiety and perceived control were significant predictors of complications. CONCLUSION: Anxiety during the in-hospital phase of AMI is associated with increased risk for in-hospital arrhythmic and ischemic complications that is independent of traditional sociodemographic and clinical risk factors. This relationship is moderated by level of perceived control such that the combination of high anxiety and low perceived control is associated with the highest risk of complications.
机译：目的：我们检验了以下假设，即对急性心肌梗死（AMI）患者的控制知觉可缓解焦虑与院内并发症（即反复缺血，再梗塞，持续性室速或心律失常和心源性死亡）之间的任何关系。背景：焦虑症在AMI患者中很常见，但是否与较差的预后相关仍存在争议。关于焦虑与心脏发病率和死亡率之间关系的发现存在矛盾，可能是由于未能考虑感知控制的调节作用所致。方法：这是前瞻性检查，对于急性心肌梗死住院患者（N = 536）之间的焦虑，知觉控制和随后的院内并发症之间的关系。结果：患者的平均焦虑水平是已公布的平均标准的两倍。知觉控制水平较高的患者焦虑情绪明显降低（p = 0.001）。共有145名（27％）患者经历了一种或多种医院内并发症。焦虑程度较高的患者发生室性心动过速，室颤，再梗塞和局部缺血的发生率明显更高（所有患者p <0.01）。在多元分层逻辑回归模型中，左心室射血分数，心肌梗塞病史，焦虑评分以及焦虑与知觉控制的相互作用是并发症的重要预测指标。结论：AMI住院期间的焦虑与院内心律失常和缺血性并发症的风险增加有关，而独立于传统的社会人口统计学和临床​​风险因素。这种关系可以通过感知控制水平来缓和，从而使高焦虑和低感知控制相结合会带来最高的并发症风险。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号