Catalogo Articoli (Spogli Riviste)

OPAC HELP

Titolo:
PSYCHOLOGICAL REHABILITATION AFTER MYOCARDIAL-INFARCTION - MULTICENTER RANDOMIZED CONTROLLED TRIAL
Autore:
JONES DA; WEST RR;
Indirizzi:
UNIV WALES COLL MED,LLANDOUGH HOSP CARDIFF CF64 2XX S GLAM WALES UNIV WALES COLL MED CARDIFF CF4 4XN S GLAM WALES
Titolo Testata:
BMJ. British medical journal
fascicolo: 7071, volume: 313, anno: 1996,
pagine: 1517 - 1521
SICI:
0959-8138(1996)313:7071<1517:PRAM-M>2.0.ZU;2-S
Fonte:
ISI
Lingua:
ENG
Soggetto:
FOLLOW-UP; QUESTIONNAIRE;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Citazioni:
35
Recensione:
Indirizzi per estratti:
Citazione:
D.A. Jones e R.R. West, "PSYCHOLOGICAL REHABILITATION AFTER MYOCARDIAL-INFARCTION - MULTICENTER RANDOMIZED CONTROLLED TRIAL", BMJ. British medical journal, 313(7071), 1996, pp. 1517-1521

Abstract

Objective-To evaluate rehabilitation after myocardial infarction. Design-Randomised controlled trial of rehabilitation in unselected myocardial infarction patients in six centres, baseline data being collectedon admission and by structured interview (of patients and spouses) shortly after discharge and outcome being assessed by structured interview at six months and clinical examination at 12 months. Setting-Six district general hospitals. Subjects-All 2328 eligible patients admittedover two years with confirmed myocardial infarction and discharged home within 28 days. Interventions-Rehabilitation programmes comprising psychological therapy, counselling, relaxation training, and stress management training over seven weekly group outpatient sessions for patients and spouses. Main outcome measures-Anxiety, depression, quality of life, morbidity, use of medication, and mortality. Results-At six months there were no significant differences between rehabilitation patients and controls in reported anxiety (prevalence 33%) or depression (19%). Rehabilitation patients reported a lower frequency of angina (median three versus four episodes a week), medication, and physical activity. At 12 months there were no differences in clinical complications, clinical sequelae, or mortality. Conclusions-Rehabilitation programmes based on psychological therapy, counselling, relaxation training, and stress management seem to offer little objective benefit to patients who have experienced myocardial infarction compared with previous reports of smaller trials.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 09/07/20 alle ore 17:39:31