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在心肌梗塞后改变A型行为模式的可行性. 经常性冠状动脉预防项目研究:方法,基线结果和初步发现
Circulation
|July 1, 1982
概括
改变心脏病发作后患者的A型行为显著降低了心脏病发作和心血管死亡率. 行为咨询与心脏护理相结合,证明在预防复发事件方面最有效.
科学领域:
- 心脏病学 心脏病学
- 行为科学 行为科学
- 精神病体医学是一种精神病体医学.
背景情况:
- 类型A的行为是心血管疾病的已知的风险因素.
- 心脏病发作后的患者经常表现出A型的行为模式.
- 修改A型行为的干预策略需要进行调查.
研究的目的:
- 评估在心脏病发作后患者中修改A型行为的可行性.
- 确定A型行为改变对复发性心脏病发作和心血管死亡率的影响.
- 为了确定经常发生心血管事件的触发因素.
主要方法:
- 这是一项为期5年的前性研究,涉及1035名心脏病发作后患者.
- 三组:只有心脏病咨询,心脏病加行为咨询和对照组.
- 行为咨询的重点是减少A型行为强度.
- 对所有参与者进行结构化面试和年度考试.
主要成果:
- 超过98%的受试者表现出中度至严重的A型行为.
- 结合心脏病和行为咨询,显著降低了心脏病发作和心血管死亡率 (p<0.01和p<0.05).
- 单独的行为咨询也降低了非致命性心脏病发作率 (p<0.05).
- 情绪危机,过度体力活动和脂肪食物是常见的先前因素.
结论:
- 对心脏病发作后患者来说,修改A型行为是可行的,也是有益的.
- 综合行为和心脏干预改善心血管结果.
- 了解诱发因素有助于预防心脏事件的复发.
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