Rehabilitation Medicine, University of Alberta, Edmonton, AB, Canada.
J Cardiopulm Rehabil Prev. 2011 Mar-Apr;31(2):100-4. doi: 10.1097/HCR.0b013e3181f1fd8c.
The consequences of coronary artery disease may significantly limit functional independence of elderly patients. While cardiac rehabilitation (CR) exercise programs have been shown to improve health outcomes such as exercise capacity, little is known about the impact such programs have on daily functional abilities. The purpose of this study was to determine the impact of CR on ability of elderly patients to perform common household tasks.
Twenty-two postmyocardial infarction patients (10 women and 12 men; age 75 ± 6.3 years) were studied. Patients were tested pre-CR and post-CR. Physical function (PF) was assessed using the Continuous Scale Physical Function Performance 10 test battery, which includes 10 everyday tasks that progress from easy (personal tasks) to moderate (household tasks) to difficult (mobility tasks). Self-reported PF was measured using the Medical Outcomes Survey Short Form 36-Item questionnaire.
Post-CR, the global Continuous Scale Physical Function Performance 10 score increased significantly (57 + 12 vs 50 ± 16; P = .002). Prior to CR, 7 patients scored at or above the threshold for independent living, as defined by a global score of 57 or more units; however, post-CR, 12 patients scored above the threshold. There was no change in self-reported PF, post-CR.
A 20-session exercise-based CR program significantly enhanced elderly patient ability to live independently by improving ability to perform common household tasks.
冠状动脉疾病的后果可能会显著限制老年患者的功能独立性。虽然心脏康复（CR）运动计划已被证明可以改善健康结果，如运动能力，但对于这些计划对日常功能能力的影响知之甚少。本研究的目的是确定 CR 对老年患者进行常见家务能力的影响。
研究了 22 名心肌梗死后患者（10 名女性和 12 名男性；年龄 75 ± 6.3 岁）。患者在 CR 前和 CR 后进行测试。身体功能（PF）使用连续量表物理功能表现 10 测试电池进行评估，该测试包括 10 个日常任务，从简单（个人任务）到中等（家庭任务）再到困难（移动任务）。PF 自我报告使用医疗结果调查短格式 36 项问卷进行测量。
CR 后，连续量表整体物理功能表现 10 评分显著增加（57 ± 12 比 50 ± 16；P =.002）。在 CR 之前，有 7 名患者的得分达到或超过独立生活的阈值，定义为 57 分或更高的总得分；然而，CR 后，有 12 名患者的得分超过了阈值。CR 后，PF 的自我报告没有变化。
一项 20 次基于运动的 CR 计划通过提高完成常见家务的能力，显著增强了老年患者独立生活的能力。
