Quality of Life and Physical Ability Changes After Hospital-Based Cardiac Rehabilitation in Patients With Myocardial Infarction
1
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
Objective To evaluate the effect of hospital-based cardiac rehabilitation (CR) on quality of life (QOL) and physical ability in patients with myocardial infarction (MI).Methods Patients with MI who were referred to the Cardiac Health and Rehabilitation Center 2 weeks after percutaneous coronary intervention were divided into CR and non-CR groups. The CR group performed supervised exercises 3 times a week for 2 months. QOL assessment, using the 36-item Short-Form Health Survey (SF-36) and physical ability evaluation were performed at the beginning and end of CR.Results The CR group demonstrated statistically significant improvements in physical functioning (PF), physical role functioning (RP), bodily pain (BP), general health perceptions (GH), vitality (VT), social role functioning (SF), emotional role functioning (RE), mental health (MH), physical component summary (PCS), and mental component summary (MCS). The non-CR group showed improvement in RP. Secondary outcomes, including resting heart rate (RHR), maximal oxygen consumption (VO2max), metabolic equivalent of task (MET), maximal exercise time (ETmax), stage 3 Borg rating of perceived exertion (3RPE), maximal Borg rating of perceived exertion (RPEmax), and stage 3 rate pressure product (3RPP), improved in the CR group. The non-CR group showed improvements in VO2max, MET, ETmax, and 3RPE. There were significant differences in improvements in PF, RP, BP, VT, SF, MH, MCS, RHR, VO2max, MET, ETmax, 3RPE, and 3RPP between the two groups.Conclusion Male patients with MI demonstrated improvements in QOL and physical ability following hospital-based CR; the impact on the mental component was greater than that on the physical component.
Abstract
Objective To evaluate the effect of hospital-based cardiac rehabilitation (CR) on quality of life (QOL) and physical ability in patients with myocardial infarction (MI).Methods Patients with MI who were referred to the Cardiac Health and Rehabilitation Center 2 weeks after percutaneous coronary intervention were divided into CR and non-CR groups. The CR group performed supervised exercises 3 times a week for 2 months. QOL assessment, using the 36-item Short-Form Health Survey (SF-36) and physical ability evaluation were performed at the beginning and end of CR.Results The CR group demonstrated statistically significant improvements in physical functioning (PF), physical role functioning (RP), bodily pain (BP), general health perceptions (GH), vitality (VT), social role functioning (SF), emotional role functioning (RE), mental health (MH), physical component summary (PCS), and mental component summary (MCS). The non-CR group showed improvement in RP. Secondary outcomes, including resting heart rate (RHR), maximal oxygen consumption (VO2max), metabolic equivalent of task (MET), maximal exercise time (ETmax), stage 3 Borg rating of perceived exertion (3RPE), maximal Borg rating of perceived exertion (RPEmax), and stage 3 rate pressure product (3RPP), improved in the CR group. The non-CR group showed improvements in VO2max, MET, ETmax, and 3RPE. There were significant differences in improvements in PF, RP, BP, VT, SF, MH, MCS, RHR, VO2max, MET, ETmax, 3RPE, and 3RPP between the two groups.Conclusion Male patients with MI demonstrated improvements in QOL and physical ability following hospital-based CR; the impact on the mental component was greater than that on the physical component.
참고문헌 (23)
- Heo S, "Quality of life in patients with heart failure: ask the patients", Heart Lung, 38, pp.100~108 (2009)
- Law MR, "The underlying risk of death after myocardial infarction in the absence of treatment", Arch Intern Med, 162, pp.2405~2410 (2002)
- World Health Organization, "Prevention of cardiovascular disease: guidelines for assessment and management of cardiovascular risk", World Health Organization, ~ (2007)
- Skodova Z, "Psychosocial predictors of change in quality of life in patients after coronary interventions", Heart Lung, 40, pp.331~339 (2011)
- Frattaroli J, "Angina pectoris and atherosclerotic risk factors in the multisite cardiac lifestyle intervention program", Am J Cardiol, 101, pp.911~918 (2008)
- Leon AS, "Cardiac rehabilitation and secondary prevention of coronary heart disease: an American Heart Association scientific statement from the Council on Clinical Cardiology (Subcommittee on Exercise, Cardiac Rehabilitation, and Prevention) and the Council on Nutrition, Physical Activity, and Metabolism (Subcommittee on Physical Activity), in collaboration with the American association of Cardiovascular and Pulmonary Rehabilitation", Circulation, 111, pp.369~376 (2005)
- Savage PD, "Clinical research in cardiac rehabilitation and secondary prevention: looking back and moving forward", J Cardiopulm Rehabil Prev, 31, pp.333~341 (2011)
- Anderson L, "Exercise-based cardiac rehabilitation for coronary heart disease", Cochrane Database Syst Rev, 1, pp.CD001800~ (2016)
- Clark AM, "Meta-analysis: secondary prevention programs for patients with coronary artery disease", Ann Intern Med, 143, pp.659~672 (2005)
- Dunagan J, "Development and evaluation of a treadmill-based exercise tolerance test in cardiac rehabilitation", Proc (Bayl Univ Med Cent), 26, pp.247~251 (2013)
- 김철, "The Effect of a Self Exercise Program in Cardiac Rehabilitation for Patients with Coronary Artery Disease", Annals of Rehabilitation Medicine, 35(3), pp.381~387 (2011), 대한재활의학회
- Ribeiro F, "Exercise-based cardiac rehabilitation increases daily physical activity of patients following myocardial infarction: subanalysis of two randomised controlled trials", Physiotherapy (2015)[DOI]
- Szot W, "The effects of cardiac rehabilitation on overall physical capacity and myocardial perfusion in women with microvascular angina", Kardiol Pol, 74, pp.431~438 (2016)
- Borg GA, "Psychophysical bases of perceived exertion", Med Sci Sports Exerc, 14, pp.377~381 (1982)
- Karvonen J, "Heart rate and exercise intensity during sports activities. Practical application", Sports Med, 5, pp.303~311 (1988)
- Han CW, "Development of the Korean version of Short-Form 36-Item Health Survey: health related QOL of healthy elderly people and elderly patients in Korea", Tohoku J Exp Med, 203, pp.189~194 (2004)
- Khalife-Zadeh A, "The effect of cardiac rehabilitation on quality of life in patients with acute coronary syndrome", Iran J Nurs Midwifery Res, 20, pp.588~593 (2015)
- Duarte Freitas P, "Short-term impact of a 4-week intensive cardiac rehabilitation program on quality of life and anxiety-depression", Ann Phys Rehabil Med, 54, pp.132~143 (2011)
- Aude T, "Quality of life after participation in a rural phase II cardiac rehabilitation program", J Nurs Care Qual, 21, pp.56~62 (2006)
- Pietrabissa G, "Enhancing behavioral change with motivational interviewing: a case study in a Cardiac Rehabilitation Unit", Front Psychol, 6, pp.298~ (2015)
- Brannon FJ, "Chapter 4, Physiologic adaptations to aerobic exercise", pp.70~83 (1998), F. A. Davis
- Scheuer J, "Cardiovascular adaptations to physical training", Annu Rev Physiol, 39, pp.221~251 (1977)
- Laughlin MH, "Peripheral circulation", Compr Physiol, 2, pp.321~447 (2012)
