This Article Full Text (PDF) References Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Saved Citations Download to citation manager Request Permissions Request Reprints Add to My Marked Citations Citing Articles Citing Articles via Google Scholar Citing Articles via Scopus Google Scholar Articles by Hämäläinen, H. Articles by Ronnemaa, T. Search for Related Content PubMed PubMed Citation Articles by Hämäläinen, H. Articles by Ronnemaa, T. Pubmed/NCBI databases Medline Plus Health Information Coronary Artery Bypass Surgery Heart Attack Mental Health Social Bookmarking                   What's this?

Social support and physical and psychological recovery one year after myocardial infarction or coronary artery bypass surgery

Research and Development Centre, Social Insurance Institution, Turku Finland, Helena.Hamalainen{at}kela.memonet.fi

Richard Smith

Department of Sociology, University of Maryland, Baltimore USA

Pauli Puukka

Research and Development Centre, Social Insurance Institution, Turku Finland

Jouko Lind

Research and Development Centre, Social Insurance Institution, Turku Finland

Veikko Kallio

Research and Development Centre, Social Insurance Institution, Turku Finland

Kari Kuttila

Department of Surgery, University Central Hospital

Tapani Ronnemaa

Department of Medicine, University Central Hospital, Turku, Finland

The aim of this study was to evaluate the role of different support factors supposed to explain physical and psychological recovery after myocardial infarction (MI) or coronary artery bypass surgery (CABS). The subjects comprised 147 MI patients and 159 CABS patients. Support factors included formal services, semi-formal assistance, and informal social support. The outcome measures used for analysis were functional activities level (Duke Activity Status Index, DASI), physical working capacity, anxiety, and depression one year after MI or CABS. In general, support factors had a limited role in this study. The patient's functional and psychological status at three months was the main determinant to recovery at one year. The outcome factors measured at three months explained 36-56% of their variance at one year, and the support factors increased the explanatory power by 0 -10%. The support model employed in this study revealed that some single factors may have a positive or negative role in the recovery after MI or CABS.

Key Words: anxiety • coronary artery bypass surgery • depression • myocardial infarction • physical fitness • social support.

Scandinavian Journal of Public Health, Vol. 28, No. 1, 62-70 (2000)
DOI: 10.1177/140349480002800111


CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    What's this?