心筋梗塞の後に一人暮らしをすること. 予後に対する影響
1Department of Medicine, St. Luke's Roosevelt Hospital, New York, NY 10025.
JAMA
|January 22, 1992
まとめ
孤独な生活は,心筋梗塞後の主要な心疾患のリスクを高めます. しかし,破綻した結婚は,心臓病の予後に影響を与えない.
科学分野:
- 心臓病学 心臓病学
- 心理社会医学は,心理社会医学である.
- 公衆衛生は公衆衛生である.
背景:
- 心筋梗塞 (MI) の生存者は,再発性心筋梗塞のリスクに直面しています.
- 発作後発症の予後要因は,患者管理において極めて重要です.
- 心臓病の予後に対する婚姻状態などの社会的要因の影響については,さらなる調査が必要である.
研究 の 目的:
- 破綻した結婚や独身生活が,初期心筋梗塞の後の主要な心疾患の予後リスク因子であるかどうかを調査する.
主な方法:
- ランダム化,ダブルブラインド薬物試験 (プラセボアーム) 内の見通し評価.
- コックスの比例リスクモデルで,独身生活や婚姻の破綻に関するデータを分析した.
- 確認された急性心筋梗塞の患者 (N=1234) は1~4年間追跡調査されました.
主要な成果:
- 孤独な生活は,再発性主要心疾患の独立リスク因子として浮上した (リスク比: 1.54,P < .03).
- 単独で生活する患者は,6ヶ月の再発性心疾患の発生率が15.8%で,単独で生活しない患者では8.8%でした.
- 破綻した結婚は,独立した危険因子とは認められなかった.
結論:
- 孤独な生活は,心筋梗塞後の予後にとって重要な独立リスク因子です.
- 婚姻の破綻は,心筋梗塞後の心臓発作の独立した予測因子ではないようです.
- これらの発見は,心臓の回復における社会支援システムの重要性を強調しています.
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