Gender Differences in Recovery Goals in Patients After Acute Myocardial Infarction

被引:9
作者
Grande, Gesine [1 ]
Romppel, Matthias [1 ]
机构
[1] Leipzig Univ Appl Sci, Dept Appl Social Sci, D-04251 Leipzig, Germany
关键词
age; cardiac rehabilitation; gender; goal assessment; risk factors; CARDIAC REHABILITATION; MULTIPLE IMPUTATION; WOMEN; EXERCISE; MEN; PARTICIPATION; PREDICTORS; OUTCOMES; ILLNESS; FEMALE;
D O I
10.1097/HCR.0b013e31820333c8
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
PURPOSE: While cardiac rehabilitation has been established as an essential part of comprehensive cardiac care, participation rates for female patients are substantially lower than for male patients. Lower referral rates and higher ages of female patients partly explain this underutilization. Gender differences in recovery goals of cardiac patients have not been examined. METHODS: Five hundred ninety patients (22.2% women) admitted to the hospital because of an acute myocardial infarction answered a questionnaire regarding 24 goals in 5 domains of recovery (physical functioning, risk-factor modification, psychological well-being, independence in daily life, and return to work). In addition, psychological symptoms and medical data were assessed. Gender differences were tested by using chi(2) and Student t tests, as well as multivariate logistic and linear regression models. RESULTS: Gender differences were found in 7 of the 24 recovery goals. After adjustment for psychosocial and clinical characteristics, women still reported a higher importance of "performance of household duties" (odds ratio [OR] = 8.62; 95% confidence interval [CI], 5.43-13.66), "independence in activities of daily living" (OR = 2.38; CI, 1.58-3.59), and "emotional equilibrium" (OR - 1.58, CI, 1.01-2.46). Men rated "physical endurance" and "reducing strain at workplace" as more important goals (OR = 0.64; CI, 0.42-0.97 and OR = 0.39; CI, 0.17-0.93). Except for psychological distress, gender differences in health status were not related to differences in goals. CONCLUSIONS: Gender roles and differences in social-life conditions may have an important influence on the recovery goals of patients after an acute myocardial infarction. Recovery goals should be explored when planning intervention programs for individual patients.
引用
收藏
页码:164 / 172
页数:9
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