Saeidi Marzieh, Mostafavi Samaneh, Heidari Hosein, Masoudi Sepehr
MSc Student, Department of Physiotherapy, School of Rehabilitation, Isfahan University of Medical Sciences AND Physiotherapist of Shariati Hospital, Treatment Management of Isfahan Social Security Organization, Isfahan, Iran.
ARYA Atheroscler. 2013 May;9(3):179-85.
Health-related quality of life is an important factor to evaluate effects of different interventions in cardiovascular diseases. Improvement in quality of life (QOL) is an important goal for individuals participating in cardiac rehabilitation (CR) programs. The purpose of this study was to assess the impact of comprehensive CR on QOL in patients with cardiovascular disease (CAD).
In this quasi-experimental before-after study, the files of 100 patients with CAD who were referred to rehabilitation department of Isfahan Cardiovascular Research Institute were studied using a consecutive sampling method. Data collection was performed from the patient's files including their demographics, ejection fraction, functional capacity, and resting heart rate. All patients participated in a comprehensive CR program and completed the validated questionnaire Short-Form 36 Health Status Survey (SF-36), before and after CR program. Data was analyzed based on sex and age groups (≥ 65 and < 65 years) using independent t-test and paired t-test (to compare variables between groups and before and after CR, respectively).
After CR, scores of all physical domains of the SF-36 including physical function (PF), physical limitation (PL), body pain (BP) and vitality (V) in addition to general health (GH) were significantly improved in all patients (P < 0.05) compared to the baseline. Patients with age < 65 years had greater improvements in mental health (MH) and social function (SF) than patients with age ≥ 65 years (P < 0.05). Women had greater improvement in PF, V and MH compared to men (P < 0.05).
These results indicated that CR can improve QOL in cardiac patients especially in women. Elderly patients get benefit the same as other patients in physical domains.
与健康相关的生活质量是评估心血管疾病不同干预措施效果的重要因素。生活质量（QOL）的改善是参与心脏康复（CR）项目的个体的重要目标。本研究的目的是评估综合心脏康复对心血管疾病（CAD）患者生活质量的影响。
在这项前后对照的准实验研究中，采用连续抽样法对转诊至伊斯法罕心血管研究所康复科的100例CAD患者的病历进行了研究。从患者病历中收集数据，包括人口统计学资料、射血分数、功能能力和静息心率。所有患者均参与了综合心脏康复项目，并在康复项目前后完成了经过验证的36项简短健康状况调查问卷（SF-36）。根据性别和年龄组（≥65岁和<65岁），分别使用独立t检验和配对t检验对数据进行分析（以比较组间以及心脏康复前后的变量）。
心脏康复后，与基线相比，所有患者的SF-36所有身体领域得分，包括身体功能（PF）、身体限制（PL）、身体疼痛（BP）和活力（V）以及总体健康（GH）均显著改善（P<0.05）。年龄<65岁的患者在心理健康（MH）和社会功能（SF）方面的改善大于年龄≥65岁的患者（P<0.05）。与男性相比，女性在PF、V和MH方面的改善更大（P<0.05）。
这些结果表明，心脏康复可以改善心脏病患者的生活质量，尤其是女性。老年患者在身体领域与其他患者获得相同的益处。
