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Role of patients' view of their illness in predicting return to work and functioning after myocardial infarction: Longitudinal study


Autor/in:

Petrie, Keith J.; Weinman, John; Sharpe, Norman [u. a.]


Herausgeber/in:

British Medical Association


Quelle:

The BMJ, 1996, Volume 312 (Number 7040), Seite 1191-1194, London: Eigenverlag, ISSN: 0959-8138


Jahr:

1996



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Abstract:


Objective:

To examine whether patients' initial perceptions of their myocardial infarction predict subsequent attendance at a cardiac rehabilitation course, return to work, disability, and sexual dysfunction.

Design:

Patients' perceptions of their illness were measured at admission with their first myocardial infarction and at follow up three and six months later.

Setting:

Two large teaching hospitals in Auckland, New Zealand.

Subjects:

143 consecutive patients aged under 65 with their first myocardial infarction.

Main outcome measures:

Attendance at rehabilitation course; time before returning to work; measures of disability with sickness impact profile questionnaire for sleep and rest, social interaction, recreational activity, and home management; and sexual dysfunction.

Results:

Attendance at the rehabilitation course was significantly related to a stronger belief during admission that the illness could be cured or controlled (t=2.08, P=0.04). Return to work within six weeks was significantly predicted by the perception that the illness would last a short time (t=2.52, P=0.01) and have less grave consequences for the patient (t=2.87, P=0.005). Patients' belief that their heart disease would have serious consequences was significantly related to later disability in work around the house, recreational activities, and social interaction. A strong illness identity was significantly related to greater sexual dysfunction at both three and six months.

Conclusions:

Patients' initial perceptions of illness are important determinants of different aspects of recovery after myocardial infarction. Specific illness perceptions need to be identified at an early stage as a basis for optimising outcomes from rehabilitation programmes.


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Bezugsmöglichkeit:


British Medical Journal - The BMJ
Homepage: https://www.bmj.com/
***Open access / Freier Zugang zu den Beiträgen der Zeitschrift***

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Referenznummer:

R/ZA5238


Informationsstand: 07.10.1998

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