Brügemann Johan, Poels Bas J J, Oosterwijk Mieke H, van der Schans Cees P, Postema Klaas, van Veldhuisen Dirk J
Department of Cardiology, University Medical Center Groningen Thoraxcentre, University of Groningen, Hanzeplein 1, PO Box 30.001 9700 RB Groningen, The Netherlands.
Int J Cardiol. 2007 Jun 25;119(1):59-64. doi: 10.1016/j.ijcard.2006.07.047. Epub 2006 Oct 4.
It is unclear if psycho-education on top of physical training is of additional value regarding quality of life in revascularised patients.
Prospective randomised study comparing two types of cardiac rehabilitation: exercise based versus a more comprehensive approach including psychological therapy.
One hundred and thirty-seven male patients who underwent an uncomplicated coronary revascularisation procedure and who were mentally in a good condition, were randomised to one of two types of cardiac rehabilitation: physical training plus information about their disease ('Fit' program) during 6 weeks or comprehensive cardiac rehabilitation which, on top of the Fit-program, included weekly psycho-education sessions and relaxation therapy ('Fit-Plus' program) for 8 weeks. One hundred and four patients were analysed. Quality of life was measured by the 'Leiden Quality of Life questionnaire' and by the RAND-36 (quality of life) questionnaire.
Quality of life improved in both treatment groups in the course of time up to 9 months after cardiac rehabilitation and there was no difference between the two types of cardiac rehabilitation. Exercise capacity improved likewise, blood lipid profile was unaffected and energy intake decreased in each treatment group but, again, there were no inter-group differences.
After an uncomplicated revascularisation procedure, physical training plus information results in a comparable outcome on quality of life when compared to a more comprehensive program including additional psycho-education and relaxation therapy.
对于接受血管重建术的患者，在体育锻炼基础上进行心理教育是否对生活质量有额外价值尚不清楚。
前瞻性随机研究，比较两种心脏康复方式：基于运动的康复与包括心理治疗在内的更全面的康复方法。
137名接受了无并发症冠状动脉血管重建手术且精神状态良好的男性患者，被随机分为两种心脏康复类型之一：在6周内进行体育锻炼并提供有关其疾病的信息（“健康”计划），或全面心脏康复，即在“健康”计划基础上，包括每周一次的心理教育课程和放松治疗（“健康加”计划），为期8周。对104名患者进行了分析。生活质量通过“莱顿生活质量问卷”和兰德36项（生活质量）问卷进行测量。
在心脏康复后长达9个月的时间里，两个治疗组的生活质量均有所改善，两种心脏康复类型之间没有差异。运动能力同样得到改善，血脂水平未受影响，每个治疗组的能量摄入均下降，但同样，组间没有差异。
与包括额外心理教育和放松治疗的更全面计划相比，在进行无并发症血管重建手术后，体育锻炼加信息在生活质量方面产生了类似的结果。
