Glogar D, Zilcher H, Niederberger M
Acta Med Austriaca. 1979;6(2):71-6.
For determination of the individual rehabilitation potential in patients after myocardial infarction, factors were extracted which are of importance for exercise capacity and its influence upon rehabilitation measures. Further results of exercise tests were correlated with psychological tests (Freiburg-personality-inventory) and the results of a patients' questionnaire for individual self-assessment, with concerning restitution by means of rehabilitation measures. 147 patients were admitted to a controlled rehabilitation program 10 weeks after myocardial infarction or later. Mean increase of exercise capacity after one year of rehabilitation was 21.6% of the initial test. Significantly greater increases of exercise capacity were achieved in patients with regular attendance particularly in younger patients in comparison with older patients. As evidenced by ergometric test data initially low maximal heart rate, low increase of heart rate, low exercise capacity and low double product were correlated with greater increase of exercise capacity. Patients with anterior-wall myocardial infarction tended to increased exercise capacity more. A relation between "psychosomatic disturbance" at onset of rehabilitation and a greater increase of exercise capacity could be determined as a trend. Connections between psychosocial factors and determinants of exercise capacity in influencing the rehabilitation potential are discussed.
为了确定心肌梗死后患者的个体康复潜力，提取了对运动能力及其对康复措施影响至关重要的因素。运动测试的进一步结果与心理测试（弗莱堡人格量表）以及患者个体自我评估问卷的结果相关，涉及通过康复措施的恢复情况。147例患者在心肌梗死后10周或更晚被纳入一个对照康复项目。康复一年后运动能力的平均增加量为初始测试的21.6%。与老年患者相比，规律参加康复的患者，尤其是年轻患者，运动能力有显著更大的提高。如测力计测试数据所示，最初较低的最大心率、心率增加量低、运动能力低和双乘积低与运动能力的更大提高相关。前壁心肌梗死患者的运动能力倾向于有更大提高。康复开始时的“身心障碍”与运动能力的更大提高之间的关系可确定为一种趋势。讨论了心理社会因素与运动能力决定因素在影响康复潜力方面的联系。
