LACK OF SOCIAL-PARTICIPATION OR RELIGIONS STRENGTH AND COMFORT AS RISK-FACTORS FOR DEATH AFTER CARDIAC-SURGERY IN THE ELDERLY

被引:297
作者
OXMAN, TE
FREEMAN, DH
MANHEIMER, ED
机构
[1] DARTMOUTH COLL SCH MED,DEPT COMMUNITY & FAMILY MED,LEBANON,NH 03756
[2] DARTMOUTH COLL SCH MED,DEPT INTERNAL MED,LEBANON,NH 03756
[3] UNIV TEXAS,MED BRANCH,DEPT BIOSTAT,GALVESTON,TX 77550
来源
PSYCHOSOMATIC MEDICINE | 1995年 / 57卷 / 01期
关键词
SOCIAL SUPPORT; RELIGION; MORTALITY; CORONARY ARTERY BYPASS; AGED; DEPRESSION;
D O I
10.1097/00006842-199501000-00002
中图分类号
R749 [精神病学];
学科分类号
100205 ;
摘要
The purpose of this study was to examine the relationship of social support and religion to mortality after elective open heart surgery in older patients. Of the 232 patients included in the study, 21 died within 6 months of surgery. Three biomedical variables were significant predictors of mortality and selected as adjustment variables for a multivariate analysis: history of previous cardiac surgery; greater impairment in presurgery basic activities of daily living; and older age. Among the social support and religion variables, two were consistent predictors of mortality in the multivariate analyses: lack of participation in social or community groups and absence of strength and comfort from religion. These results suggest that in older persons lack of participation in groups and absence of strength and comfort in religion are independently related to risk for death during the B-month period after cardiac surgery.
引用
收藏
页码:5 / 15
页数:11
相关论文
共 78 条
[11]   EMOTIONAL SUPPORT AND SURVIVAL AFTER MYOCARDIAL-INFARCTION - A PROSPECTIVE, POPULATION-BASED STUDY OF THE ELDERLY [J].
BERKMAN, LF ;
LEOSUMMERS, L ;
HORWITZ, RI .
ANNALS OF INTERNAL MEDICINE, 1992, 117 (12) :1003-1009
[12]  
Besdine R., 1988, GERIATRIC MED, P37
[13]   RELIGION AND AGING IN A LONGITUDINAL PANEL [J].
BLAZER, D ;
PALMORE, E .
GERONTOLOGIST, 1976, 16 (01) :82-85
[14]   SOCIAL SUPPORT, TYPE-A BEHAVIOR, AND CORONARY-ARTERY DISEASE [J].
BLUMENTHAL, JA ;
BURG, MM ;
BAREFOOT, J ;
WILLIAMS, RB ;
HANEY, T ;
ZIMET, G .
PSYCHOSOMATIC MEDICINE, 1987, 49 (04) :331-340
[15]   PSYCHOSOCIAL AND PHYSIOLOGICAL PREDICTORS OF SUDDEN CARDIAC DEATH AFTER HEALING OF ACUTE MYOCARDIAL-INFARCTION [J].
BRACKETT, CD ;
POWELL, LH .
AMERICAN JOURNAL OF CARDIOLOGY, 1988, 61 (13) :979-983
[16]   LIVING ALONE AFTER MYOCARDIAL-INFARCTION - IMPACT ON PROGNOSIS [J].
CASE, RB ;
MOSS, AJ ;
CASE, N ;
MCDERMOTT, M ;
EBERLY, S .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1992, 267 (04) :515-519
[17]  
Costa P. T., 1980, LIFE-SPAN DEV BEHAV, V3, P65
[18]  
Costa P. T., 1985, NEO PERSONALITY INVE
[19]  
COSTA PT, 1989, NEO PI FFI MANUAL S
[20]   THE EFFECT OF RELIGIOUS CONCENTRATION AND AFFILIATION ON COUNTY CANCER MORTALITY-RATES [J].
DWYER, JW ;
CLARKE, LL ;
MILLER, MK .
JOURNAL OF HEALTH AND SOCIAL BEHAVIOR, 1990, 31 (02) :185-202