Gierat-Haponiuk Katarzyna, Haponiuk Ireneusz, Jaworski Radosław, Chojnicki Maciej, Szalewska Dominika, Leszczyńska Katarzyna, Bakuła Stanisław
Department of Rehabilitation, Medical University of Gdansk, Poland.
Department of Physiotherapy, Jędrzej Śniadecki University of Physical Education and Sport in Gdansk, Poland ; Department of Pediatric Cardiac Surgery, Nicolaus Copernicus Hospital in Gdansk, Poland.
Kardiochir Torakochirurgia Pol. 2014 Dec;11(4):452-8. doi: 10.5114/kitp.2014.47352. Epub 2014 Nov 30.
The group of grown-up patients with congenital heart defects (grown-up congenital heart - GUCH) complains of a number of specific medical and non-medical problems. The presented program of comprehensive cardiac rehabilitation (CCR-GUCH), dedicated to the above mentioned group, can potentially improve the physical activity of GUCH patients.
The aim of the study was to assess the effect of the comprehensive cardiac rehabilitation program on the physical activity of GUCH patients.
The invitation to take part in the CCR-GUCH program was addressed to a group of 57 patients (mean age: 23.7 ± 4.1 years) who had undergone the surgical correction of ventricular septal defects (VSD) or atrial septal defects (ASD) at least 12 months earlier. The patients were divided into two groups: A - patients undergoing rehabilitation, and B - patients who did not participate in the program. The patients were initially examined using functional and stress tests, and the program of comprehensive cardiac rehabilitation was started in group A. After 30 days, the patients from both groups underwent further testing using the same methods as during the initial evaluation.
After one month of rehabilitation, the physical activity parameters of patients participating in the CCR-GUCH program (group A) were significantly better than those observed among non-participants (group B).
The introduction of the comprehensive rehabilitation program improves the physical activity and, consequently, the quality of life of GUCH patients. The CCR-GUCH program appears to be a justified supplement to holistic care in the late rehabilitation of patients after the surgical correction of congenital heart defects.
成年先天性心脏病患者（成年先天性心脏病 - GUCH）存在一系列特定的医学和非医学问题。针对上述群体推出的综合心脏康复计划（CCR - GUCH）可能会改善GUCH患者的身体活动能力。
本研究的目的是评估综合心脏康复计划对GUCH患者身体活动能力的影响。
邀请了一组57例患者（平均年龄：23.7±4.1岁）参加CCR - GUCH计划，这些患者至少在12个月前接受了室间隔缺损（VSD）或房间隔缺损（ASD）的手术矫正。患者被分为两组：A组 - 接受康复治疗的患者，B组 - 未参加该计划的患者。患者最初接受了功能和压力测试，并在A组开始了综合心脏康复计划。30天后，两组患者使用与初始评估相同的方法进行了进一步测试。
经过一个月的康复治疗，参加CCR - GUCH计划（A组）的患者的身体活动参数明显优于未参与者（B组）。
综合康复计划的引入改善了GUCH患者的身体活动能力，从而提高了他们的生活质量。CCR - GUCH计划似乎是先天性心脏病手术矫正后患者后期康复整体护理的合理补充。
