Analysis of therapeutic adherence of acute myocardial infarction patients combined with depression
AIM: To medical interventions of reducing cardiac risk in patients after acute myocardial infarction( AMI). METHODS : All AMI patients during 3 years ( 2004.3-2007.2 ) in our hospital were made clear about the advantages of medical interventions to reduce cardiac risk and were recommended to take 7-10 interventions. Three to five days after AMI, these patients were interviewed using the Beck Depression Inventory ( BDI)-13 to assess symptoms of depression. Accessible survivors ( n-132; 78 men) were interviewed in out-patient department or by telephone 6 months later using the Medical Outcomes Study Specific Adherence Scale (MOSSAS) to measure self-reported adherence to the recommended medical interventions. RESULTS: Patients who were found in the hospital to have symptoms of at least mild to moderate depression [ BDI-13 score ≥, n =27(20.5% ) ] reported lower adherence to low-fat diet, reducing stress, taking medications as prescribed, and obtaining social support 6 months later. Diabetic patients with depression were less likely to follow a diabetic diet than those without depression. CONCLUSION: Patients with depression following AMI are less likely to adhere to recommended medical interventions intender to reduce the risk of subsequent cardiac events. This finding could explain why depression in the hospital is related to poor long-term prognosis in patients after AMI.
NETL
NSTL
万方数据
维普
