What is the clinical evidence from this study?

Study design: Cohort. Population: first myocardial infarction (n=240). Intervention: First myocardial infarction. Primary outcome: self-rated health (biophysical, behavioral, emotional, social and working conditions).

What does this research mean for the field?

Over a 4-year period following a first myocardial infarction, women experience improvements in behavioral and emotional health but undergo deterioration in social and working conditions. Novelty: ClaimNovelty.INCREMENTAL. Consensus alignment: ConsensusAlignment.NEUTRAL.

What question did this study set out to answer?

To prospectively determine women's self-rated health and multidimensional recovery across behavioral, emotional, social, and workplace domains over a 4-year period following a first myocardial infarction.

April 1, 2003European Journal of Cardiovascular Nursing

Women's Health after a First Myocardial Infarction: A Comprehensive Perspective on Recovery Over a 4-Year Period

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Key result

Four years post-MI, women report improved behavioral and emotional health but worsened social and working conditions.

n=240

Why the study?

How does self-rated health change over a 4-year period in women recovering from a first myocardial infarction?

Population

240 consecutively chosen women who had suffered a first myocardial infarction

Design

Cohort

Follow-up

4 years

Authors

MWMaritha WickholmHalmstad University BFBengt FridlundHeart Failure / Cardiomyopathy

Discussion

Member takes

Implication

Suggests gaps in social/occupational support for women post-MI; hypothesis-generating and should not yet change practice.

Key Points

To prospectively determine women's self-rated health and multidimensional recovery across behavioral, emotional, social, and workplace domains over a 4-year period following a first myocardial infarction.
Conducted a prospective study enrolling consecutively selected women (n=240) hospitalized after a first myocardial infarction.
Administered self-rated questionnaires evaluating biophysical, behavioral, emotional, social, and occupational conditions before hospital discharge, at 1 year, and at 4 years post-infarction.
Evaluated longitudinal recovery patterns across health domains using descriptive and inferential statistics.
Behavioral and emotional health significantly improved over follow-up, marked by healthier dietary habits, increased physical activity, reduced smoking, decreased depressed mood, and fewer perceived stressful events.
Workplace and social domains exhibited adverse trajectories over time, with women experiencing elevated feelings of being controlled at work and requiring more sustained assistance from healthcare professionals.

Study Design

Type

Cohort (n=240)

Structured PICO

How does self-rated health change over a 4-year period in women recovering from a first myocardial infarction?

Population

240 women who had suffered a first myocardial infarction, followed prospectively over a 4-year period to assess self-rated health.

Outcome

Self-rated health (including biophysical, behavioral, emotional, social and working conditions) assessed before hospital discharge, and at 1 and 4 yearspatient reported

Women recovering from a first myocardial infarction show improvements in behavioral and emotional health but deterioration in social and working conditions over 4 years, highlighting areas needing more healthcare support.

Cite This Study

Wickholm et al. (2003) conducted a cohort in first myocardial infarction (n=240). First myocardial infarction was evaluated on self-rated health (biophysical, behavioral, emotional, social and working conditions). Over a 4-year period following a first myocardial infarction, women reported improvements in behavioral and emotional conditions but deterioration in social and working conditions.

synapsesocial.com/papers/6aa61af3014c9b816df4df7f https://doi.org/10.1016/s1474-5151(02)00088-9

Topics

Women and heart disease

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Women's Health after a First Myocardial Infarction: A Comprehensive Perspective on Recovery Over a 4-Year Period

Discussion

Member takes

Implication

Key Points

Study Design

Structured PICO

Cite This Study

Topics

Women's Health after a First Myocardial Infarction: A Comprehensive Perspective on Recovery Over a 4-Year Period

Discussion

Member takes

Implication

Key Points

Study Design

Structured PICO

Cite This Study

Also Consider

Topics

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