PURPOSE:The purpose of this study was to assess demographic characteristics of women prescribed beta-blocker (beta-blocker) medication and compare to those not using beta-blocker medication, and to determine if there are differences in depression and fatigue among women who used beta-blockers compared to nonusers 6-12 months after myocardial infarction (MI). DATA SOURCES:This was a descriptive cross-sectional study of 84 women (61 using beta-blockers and 23 not using beta-blockers) aged 65 and older who were 6-12 months post-MI. Women had their height and weight measured and completed a Demographic Health Form, the Geriatric Depression Scale, and the Revised Piper Fatigue Scale (RPFS). CONCLUSIONS:While most of the women were taking beta-blockers after MI (74%), significantly fewer Black women were taking beta-blockers (chi(2) = 5.086, p = 0.032). Most of the beta-blocker users were overweight or obese. There were no significant differences in age, t(82) = 0.7, p = 0.486; body mass index, t(82) = 0.76, p = 0.445; income, chi(2)(df = 2) = 3.219, p = 0.075; mean depression, t(82) = 1.648, p = 0.103; or fatigue scores, t(82) = 0.993, p = 0.324, between beta-blocker users and nonusers. More of those not taking beta-blockers reported fatigue with significantly higher fatigue in the affective meaning dimension of the RPFS, t(82) = 2.272, p = 0.03. IMPLICATIONS FOR PRACTICE:beta-Blocker medication continues to be underutilized in older women. Because no difference was noted in fatigue and depression in the two groups, these may mean that these side effects are not barriers in prescribing this medication post-MI. Nurse practitioners are in pivotal positions to monitor the ongoing physiological and psychological sequelae post-MI and implement interventions to improve their outcomes.

译文

目的:本研究的目的是评估处方使用β-受体阻滞剂(β-blocker)药物的女性的人口统计学特征,并将其与未使用β-受体阻滞剂的女性进行比较,并确定使用这种药物的女性在抑郁和疲劳方面是否存在差异心肌梗塞(MI)后6至12个月与非使用者相比,β受体阻滞剂的使用率更高。
数据来源:这是一项描述性横断面研究,涉及MI后6-12个月的84位65岁及以上的女性(61位使用β受体阻滞剂,23位未使用β阻滞剂)。对妇女的身高和体重进行测量,并填写人口健康表格,老年抑郁量表和修订的派珀疲劳量表(RPFS)。
结论:虽然大多数女性在心梗后服用β受体阻滞剂(74%),但黑人妇女服用β阻滞剂的比例却明显减少(chi(2)= 5.086,p = 0.032)。大多数的β受体阻滞剂使用者超重或肥胖。年龄无显着差异,t(82)= 0.7,p = 0.486;体重指数,t(82)= 0.76,p = 0.445;收入,chi(2)(df = 2)= 3.219,p = 0.075;平均抑郁,t(82)= 1.648,p = 0.103; β受体阻滞剂使用者与非使用者之间的疲劳评分,t(82)= 0.993,p = 0.324。在没有服用β受体阻滞剂的人中,有更多人报告说疲劳感在RPFS的情感意义维度上明显更高,t(82)= 2.272,p = 0.03。
实践的意义:老年妇女使用β受体阻滞剂的药物仍未得到充分利用。由于两组在疲劳和抑郁方面均未见差异,这可能意味着这些副作用并非在心梗后开这种药的障碍。护士执业医师处于关键地位,以监测心梗后持续的生理和心理后遗症,并实施干预措施以改善其结局。

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