tailieunhanh - báo cáo hóa học:"Personality and the physician-patient relationship as predictors of quality of life of cardiac patients after rehabilitation"

Tuyển tập các báo cáo nghiên cứu về hóa học được đăng trên tạp chí hóa học đề tài :Personality and the physician-patient relationship as predictors of quality of life of cardiac patients after rehabilitation | Farin and Meder Health and Quality of Life Outcomes 2010 8 100 http content 8 1 100 HEALTH AND QUALITY of life outcomes RESEARCH Open Access Personality and the physician-patient relationship as predictors of quality of life of cardiac patients after rehabilitation Erik Farin Milena Meder Abstract Background Numerous studies document the influence of psychosocial variables on the course of coronary heart disease. This study examines the influence of personality traits trait anger cynicism and aspects of the physicianpatient relationship promoting patient participation by the physician active communication behavior of the patient trust in the physician on the health related quality of life HRQOL of cardiac patients after rehabilitation. Methods N 331 patients with chronic ischemic heart disease were surveyed using questionnaires at two time points beginning and end of 3-weeks inpatient rehabilitation . In addition characteristics of the disease and cardiac risk factors were provided by the physician. HRQOL was measured using a total of six scales and three instruments SF-12 MacNew questionnaire and SAQ. Hierarchical regression analyses were carried out to predict HRQOL after rehabilitation in which the baseline values of HRQOL sociodemographic variables characteristics of the disease and risk factors personality traits and finally the aspects of the physician-patient relationship were included stepwise. As a number of variables were used for the regression models multiple imputation was conducted. Results The baseline values explain most of the variance 42 -60 . After controlling the baseline values the sociodemographic variables explain up to 5 incremental variance of HRQOL with income being the most important predictor. The characteristics of the disease and cardiac risk factors explain between and incremental variance however variance increase is often not significant. The personality traits added in the fourth step explain up to 2 additional