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Self-reported bahavioural and medical changes in woman after their first myocardial infarction: a 4-year comparision between participation and non-participation in a cardiac rehabilitation programme
Winberg, Birgitta
Halmstad University, School of Social and Health Sciences (HOS).
2002 (English)
Independent thesis Advanced level (degree of Master (One Year))
Student thesis
Abstract [en]
Women´s recovery following a myocardial infarction (MI) has not yet been studied in a thorough manner. Therefore, the aim of this study was to compare women´s self-reported bahavioural and medical changes during a 4-years period, both in those women who voluntarily participate and those women who did not participate in a cardiac rehabilitation programme (CRP). A non-randomised comparative study design, including pre- (baseline) and post-tests (1 and 4 years after), was implemented in 18 hospitals in Sweden. Consecutively chosen women suffering their first MI (N=240) completed a questionnaire regarding behavioural and medical factors. At baseline, significant differences existed between the groups regarding time stress (increased in the CRP group) and hypertension (increased in the non-CRP group). The behavioural factors improved, irrespective of CRP participation or not. With the exception of time stress, which was constantly high in the CRP group during the 4-year period. Regarding the medical factors, the significant difference in hypertension disappeared after 1 year but had a tendency to recur in the non-CRP group within the 4-years period. During the same period, the CRP group reported less rehospitalisation and more interventive cardiology compared to the non-CRP group. Conclusively the woman benefited from CRP participation in relation to medical factors, but no at all in relation to behavioural factors. Accordingly randomised clinical trials are necessary to perform to perform in order to determine the effects of a long-term individual-based supportive CRP, performed by well-educated healthcare professionals.
Place, publisher, year, edition, pages
2002.
Keywords [en]
cardiac rehabilitation, gender, life style, myocardial infarction, risk factors, women
Identifiers
URN:
urn:nbn:se:hh:diva-10312
Local ID: U5178
OAI: oai:DiVA.org:hh-10312
DiVA, id:
diva2:365428
Uppsok
Medicine
Note
Denna uppsats kan beställas från arkivet / This paper can be ordered from the archive. Kontakta / Contact: arkivet@hh.se
Available from:
2010-11-09
Created:
2010-11-09
Bibliographically approved
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