The influence of treatment modality on illness perception and secondary prevention outcomes among patients with acute myocardial infarction

作     者：Ahmed Mohammad Al-Smadi Loai Issa Tawalbeh Ala Ashour Issa M.Hweidi Besher Gharaibeh Paul Slater Donna Fitzsimons Ahmed Mohammad Al-Smadi;Loai Issa Tawalbeh;Ala Ashour;Issa M.Hweidi;Besher Gharaibeh;Paul Slater;Donna Fitzsimons

作者机构：Faculty of NursingAmerican University of MadabaAmman Jordan Faculty of NursingAl-AlBayt UniversityP.O.Box:130040Al-Mafraq 25113Jordan Faculty of NursingThe Hashemite UniversityAl-ZarqaJordan Jordan University of Science and TechnologyIrbidJordan University of UlsterSchool of NursingUnited Kingdom Queen's University of BelfastUnited Kingdom 

出 版 物：《International Journal of Nursing Sciences》 (国际护理科学（英文）)

年 卷 期：2017年第4卷第3期

页      面：271-277页

学科分类：1002[医学-临床医学] 100201[医学-内科学(含：心血管病、血液病、呼吸系病、消化系病、内分泌与代谢病、肾病、风湿病、传染病)] 10[医学] 

主　　题：Acute myocardial infarction Illness perception Primary percutaneous coronary intervention Secondary prevention 

摘      要：Objectives:This study aims to determine if patients with acute myocardial infarction differ in illness perception and secondary prevention outcomes depending on the treatment they ***:A repeated measures design was used to compare patients with acute myocardial infarction receiving three different treatment modalities:ST-elevation myocardial infarction treated by primary percutaneous coronary intervention,ST-elevation myocardial infarction treated by thrombolytic therapy,and non ST-elevation myocardial infarction treated by medication.A convenient sampling technique was used to recruit 206 patients with acute myocardial infarction who agreed to participate in the current *** illness perception,physical activity,and demographical and clinical data were collected during hospital admission and again at 6 ***:A total of 186 patients completed the *** showed that the primary percutaneous coronary intervention group perceived their illness as acute rather than chronic(P=0.034)and has lower personal control(P=0.032),higher treatment control(P=0.025),and higher perception of illness coherence(P=0.022)compared with patients receiving thrombolytic therapy and treated after non-ST segment ***,they report low control of their blood pressure(P=0.013)and less physical activity(P=0.001).Conclusion:The results of this study revealed that patients treated with primary percutaneous coronary intervention had negative illness perception and limited behavioral changes 6 months after hospitalization in comparison with other treatment modalities such as percutaneous coronary intervention and thrombolytic *** research is recommended to confirm this association with longer follow-up study and among different cultures.