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Titolo:
Psychosocial nursing therapy following sudden cardiac arrest: Impact on two-year survival
Autore:
Cowan, MJ; Pike, KC; Budzynski, HK;
Indirizzi:
Univ Calif Los Angeles, Sch Nursing, Los Angeles, CA 90095 USA Univ Calif Los Angeles Los Angeles CA USA 90095 Los Angeles, CA 90095 USA Univ Washington, Sch Nursing, Dept Psychosocial & Community Hlth, Seattle,WA 98195 USA Univ Washington Seattle WA USA 98195 Community Hlth, Seattle,WA 98195 USA
Titolo Testata:
NURSING RESEARCH
fascicolo: 2, volume: 50, anno: 2001,
pagine: 68 - 76
SICI:
0029-6562(200103/04)50:2<68:PNTFSC>2.0.ZU;2-1
Fonte:
ISI
Lingua:
ENG
Soggetto:
CORONARY-ARTERY DISEASE; HEART-RATE-VARIABILITY; MYOCARDIAL-INFARCTION PATIENTS; MAJOR DEPRESSION; MORTALITY; ATHEROSCLEROSIS; ASSOCIATION; PREDICTORS; PROJECT; GENDER;
Keywords:
psychosocial therapy; sudden cardiac arrest; mortality;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Social & Behavioral Sciences
Citazioni:
39
Recensione:
Indirizzi per estratti:
Indirizzo: Cowan, MJ Univ Calif Los Angeles, Sch Nursing, Factor Bldg 2-256,Box 951702, Los Angeles, CA 90095 USA Univ Calif Los Angeles Factor Bldg 2-256,Box 951702 Los Angeles CA USA 90095
Citazione:
M.J. Cowan et al., "Psychosocial nursing therapy following sudden cardiac arrest: Impact on two-year survival", NURS RES, 50(2), 2001, pp. 68-76

Abstract

Background: Although psychosocial therapy has been shown to reduce mortality after myocardial infarction, it is unknown whether the benefits of psychosocial therapy on mortality reduction extend to out-of-hospital sudden cardiac arrest, a main cause of cardiovascular mortality. Objective: Describe efficacy of psychosocial therapy on two-year cardiovascular mortality in sudden cardiac arrest survivors. Method: Survivors of out-of-hospital ventricular fibrillation or asystole (N = 129), documented by electrocardiograms from registries of a citywide Medic One unit and two countywide emergency units, were randomized into a two group, experimental, longitudinal design. The intervention consisted of 11 individual sessions, implementing three components: physiologic relaxation with biofeedback training focused on altering autonomic tone; cognitive behavioral therapy aimed at self-management and coping strategies for depression, anxiety, and anger; and cardiovascular health education. The primary outcome measure was cardiovascular mortality. Results: Risk of cardiovascular death was significantly reduced 86% by psychosocial therapy, p = .03. Six of the seven cardiovascular deaths in the control group were caused by ventricular arrhythmias. The cardiovascular death in the therapy group was due to stroke. Controlling for depression, previous myocardial infarction, low ejection fraction, decreased heart rate variability, and ventricular ectopic beats had little impact on estimated treatment effect. The risk of all-cause mortality was reduced by 62% in the therapy group, p = .13. There were a total of three deaths in the therapy group and eight deaths in the control group. Conclusions: Psychosocial therapy significantly reduced the risk of cardiovascular death in sudden cardiac arrest survivors.

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Documento generato il 09/07/20 alle ore 15:26:22