Changes in life and social activity and their causes in elderly myocardial infarction patients over two years after onset

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Purpose: The study was conducted to ascertain changes in life and social activity among elderlymyocardial infarction (hereafter MI) patients in two years after leaving hospital and to identify theircauses. Methods: Ten persons aged over 65 who had the first MI were visited during a period to twoyears after being released from hospital to carry out a prospective study. A semi-structured interview wasconducted and the social activity indicator was used to measure social activity. Results : The score ofthe social activity indicator was thelowest in the third month after leaving hospital, which then increasedup to the twelfth month. However, it dropped two years after leaving hospital. In the high activitylevel five cases made a good recovery in their social activity and quality oflife. On the other hand, intwo cases their recovery remained only at about 5096. In the low activity level group the score of thesocial activity indicator slightly declined in the third month, which was maintained up to the twelfthmonth, and further dropped two years after leaving hospital. As to infiuencing factors fbr expandingsocial activity, the patient had anxiety about a recurrence of paroxysms and chest pain and the family hadthe same fear also in six cases. Conclusions: This study implied the necessity ofincluding the followingsupport in continuous nursing for elderly MI patients: to assess the conditions and socio-psychologicalmaladaptation of the patients who show no signs of expanding their social activity for six months afterleaving hospital, to assess the patient!s and family!s fear of a recurrence of paroxysms.

Changes in life and social activity and their causes in elderly myocardial infarction patients over two years after onset

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