Original scientific paper
Influence of In-Hospital Cardiac Rehabilitation on Psychological Status after Myocardial Infarction in Patients with D-type Personality
Neven Ištvanović
Anton Šmalcelj
Pavao Filaković
Duško Cerovec
Damir Plečko
Abstract
The aim of this study was to determine the number of D-type personality patients in the group with a history of myocardial
infarction (MI) and the influence of comprehensive in-hospital cardiac rehabilitation (iCR) on their psychological
status (PS). The study included 316 consecutive patients aged 18 to 65 with MI in the last six months admitted into
the programme of iCR. Surgical revascularized patients, clinically unstable patients and patients with sever chronic diseases
and disorders were excluded. At the beginning and in the end of iCR diagnostic exam, hematological/biochemical
blood analysis, ergometric testing was conducted. At the beginning and four weeks after the finish of the iCR estimation
of PS was conducted. Distress scale 14 (DS14) questioner was used for that purpose. In the period of three weeks, patients
were included in the programme of comprehensive iCR. Out of 316 patients in the study group 83.2% were male, while
16.8% were female. Average age of the patient was 51.3±7.2. When being admitted to iCR 42.7% patients had characteristics
of D-type personality. Those patients had substantially lower level of body mass and body mas index. In the same
time there were no differences among groups in risk factors, values of clinical, laboratory and diagnostic parameters.
During iCR study group had more complications in comparison to the control group. At the end of iCR substantial rise of
functional capacity of patients, improvement of lipid profile and lowering of glycaemia was recorded. Also at the end of
iCR antiarrhythmics and psychopharmaceutical medicaments were more often prescribed to the patients in the study
group. Four weeks after the iCR share of D – type personality patients was 41% and 71% of study group patients kept
their D-type structure.
Keywords
influence; myocardial infarction; cardiac rehabilitation; in-hospital; psychological status; type D personality
Hrčak ID:
72177
URI
Publication date:
30.9.2011.
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