Psychological Hazards of Convalescence Following Myocardial Infarction

Wishnie, Howard; Hackett, Thomas P.; Cassem, Ned H.

doi:10.1007/978-1-4684-2256-6_8

Cited by 24 publications

(27 citation statements)

References 14 publications

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“…They were concerned about whether sexual activ¬ ity would be safe (21); whether it would be of the same quality as before (15); whether their husband or partner would still be attracted to them (three); and how long it would be before sexual activity could be resumed (three). Fifteen discussed their concerns-six with a nurse, eight with a physician, and ten with their husband.…”

mentioning

confidence: 99%

Myocardial infarction and sexual activity of the female patient

Papadopoulos¹

1983

Archives of Internal Medicine

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Although successful rehabilitation of cardiac patients should include consideration of their sexuality, there is a paucity of data regarding the sexual activity of female patients who have had myocardial infarctions. We report on interviews with 130 such patients. Sexual concerns soon developed in 30% of those sexually active before the myocardial infarction. Fear of resumption of sexual activity was expressed by 51% of the patients and 44% of the husbands. Sexual activity was not resumed by 27%, was unchanged by 27%, and was decreased by 44%. Only 45% of the total group received sexual instructions before discharge, and in only 18% of cases did the physician raise the topic. Symptoms during intercourse were reported by 57% of the patients. Myocardial infarction has a negative impact on the sexuality of the female patient, and although many patients who have had myocardial infarction desire sexual counseling, their demands are still not being met. Accurate and complete sexual instructions of both partners with specific attention to the woman's concerns and needs should be part of cardiac rehabilitation.

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mentioning

confidence: 99%

Myocardial infarction and sexual activity of the female patient

Papadopoulos¹

1983

Archives of Internal Medicine

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“…Similarly, we had only one readmission within 2 weeks of discharge and the earliest outpatient death occurred in the 5th week after infarction. It could be argued that a prolonged hospital stay of 6 weeks would sometimes give a chance of resuscitation, but the results of late cardiac arrest are not good (Thompson and Sloman, 1971 Wishnie et al (1971) found in a small group recovering from myocardial infarction that most felt anxious or depressed in the month after discharge, and about 30 per cent of these patients wished to return to hospital in the first week. Few had had advice about physical exercise and most were frustrated by inactivity.…”

Section: Non-fatal Cardiac Complicationsmentioning

confidence: 99%

Rapid mobilisation after acute myocardial infarction. First step in rehabilitation and secondary prevention.

Thornley¹,

Turner²

1977

Heart

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4Rapid mobilisation after acute myocardial infarction as the first step in a planned programme of rehabilitation and secondary prevention was studied in a group of 142 men under 65 years of age admitted to a coronary care unit.Patients without complications were mobilised after 2 days' bed rest, but the programme was flexible and those with complications were mobilised less rapidly. Fifteen patients died before mobilisation could be started.In 127 who survived long enough to be mobilised, 74 (58%1') spent 2 to 4 days in bed, 42 (33%) 5 to 10 days, and 11 (9%) more than 10 days. The mean period of bed rest was 5-4 days.Rapid mobilisation eliminated the need for physiotherapy and led to early discharge from hospital with more economic use of hospital beds. In 125 patients who were discharged, 99 (7900) had 16 days or less (5 to 16) in hospital. The mean period of hospital stay was 15-5 days.

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“…L'apparition de cette maladie est aussi reliée à des caractéristiques psychologiques et sociales (3,4,7,13,17) aussi bien qu'à des événements stressants de la vie (il, 14). Enfin, d'autres études (2,20,21) ont suggéré que les survivants d'épisodes coronariens ont une vie plus stressante, parfois aggravée par l'interaction d'autres facteurs intervenant avant, durant, et après l'infarctus; par exemple, la durée de la maladie, la période de convalescence, l'attitude des amis, les conditions familiales et de travail.…”

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Stress et prévention de la récurrence de la maladie coronarienne

Iida-Miranda¹,

Prince²

2006

smq

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Les facteurs habituellement associés à l'augmentation du risque de maladie coronarienne (MC), tels le régime alimentaire, l'hyperlipidémie, la cigarette, l'inactivité physique et l'hérédité sont maitenant bien connus. Toutefois, Keys et al ainsi que d'autres auteurs ont montré que ces facteurs jouent un rôle dans seulement la moitié ou moins des cas de maladie coronarienne et qu'il y a assez d'exceptions pour indiquer la présence d'autres facteurs étiologiques. L'apparition de cette malade est aussi reliée à des caractéristiques psychologiques et sociales aussi bien qu'à des événements stressants de la vie. Enfin, d'autre études ont suggéré que les survivants d'épisodes coronariens ont une vie plus stressante, parfois aggravée par l'interaction d'autres facteurs intervenant avant, durant, et après l'infarctus ; par exemple, la durée de la maladie, la période de convalescence, l'attitude des amis, les conditions familiales et de travail. La nature de la réaction du patient et de sa famille au stress et aux conflits apparaît alors essentielle pour déterminer s'il y aura ou non rechute de la maladie ou nécessité d'une réhospitalisation. De plus, en s'appuyant sur les précédentes données, il devrait être possible de prédire, par la surveillance du niveau de stress, à quel moment une personne atteinte de cette maladie aura un nouvel épisode coronarien. Mieux encore, il devrait être possible d'aider les patients à résoudre les problèmes qui engendrent ce stress et dans certains cas, prévenir ainsi les rechutes.A good deal of recent research suggests that a period of mounting life stress is a precursor of many physical illnesses, including episodes of coronary heart disease (CHD). It should be possible then, by monitoring levels of stress to predict when a high risk individual is likely to suffer a further illness episode, and in some cases to prevent the episode by alleviating stress producing problems.Based on this concept, we have telephone-monitored (at monthly intervals) 37 CHD patients discharged from the coronary unit of the Montreal General Hospital. Stress was measured using a 20-item, self-report scale (Goldberg), and charted for each patient over a seven month period. When a patient's stress rose above a critical level he received a home visit by the project nurse, who investigated his problems and attempted to alleviate them. Interventions varied from simple reassurance to referral for psychiatric treatment or legal aid.Monitoring stress in this way revealed a picture remarkably like the theoretical model. None of the 15 consistently low-scoring patients required rehospitalization. Eleven patients had low scores at the time of discharge, but their scores rose above the critical level in subsequent months. Nine of them responded in a gratifying way- to the home visit and subsequent intervention by the nurse, and none required rehospitalization. The one patient of this type who did require hospitalization had not received a home visit because no nurse was available at the time. Four...

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Psychological Hazards of Convalescence Following Myocardial Infarction

Cited by 24 publications

References 14 publications

Myocardial infarction and sexual activity of the female patient

Myocardial infarction and sexual activity of the female patient

Rapid mobilisation after acute myocardial infarction. First step in rehabilitation and secondary prevention.

Stress et prévention de la récurrence de la maladie coronarienne

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