Niederberger M, Mlczoch J, Kühn P, Sperlich S
Acta Med Austriaca. 1977;4(1):20-4.
This report concerns a model for multifactorial rehabilitation after myocardial infarction (MI), with minimum requirements of personnel, space and equipment. Groups of patients are treated twice weekly, in a gymnasium of a school. Survivors of MI increased their exercise capacity from 77% to 93% of sex- and age adjusted normal within 3 to 6 months of therapy (mean values, P less than 0.001). A similar improvement was observed regardless of whether exercise training was started soon (less than 6 months) or late (greater than 12 months) after MI, indicating that exercise capacity increased with training, but was not dependent on time alone. The majority of 87 patients who answered a questionnaire, indicated that in their opinion a strictly organized program requiring a regular attendance was important for the rehabilitation and 89% thought that their participation had resulted in physical and psychological benefits. Two groups of survivors of MI were compared by use of the "Freiburger personality inventory" (FPI). Patients who were more physically impaired, showed a greater degree of a sort of psychosomatic disorder as indicated by the ratings of scale 1 of the FPI. The described program has proved successful, as it resulted in an increase of exercise capacity. This may have a favorable influence on a sort of psychosomatic disorder encountered in patients with healed MI. Beneficial physical and psychological effects were reported by the participants.
本报告涉及一种心肌梗死（MI）后多因素康复模型，对人员、空间和设备的要求最低。患者分组每周接受两次治疗，地点在一所学校的体育馆。心肌梗死幸存者在治疗3至6个月内，其运动能力从性别和年龄调整后的正常水平的77%提高到了93%（平均值，P<0.001）。无论心肌梗死后运动训练开始得早（少于6个月）还是晚（大于12个月），都观察到了类似的改善，这表明运动能力随训练而提高，但并不单纯取决于时间。在回答问卷的87名患者中，大多数表示他们认为一个需要定期出勤的严格组织的项目对康复很重要，89%的人认为他们的参与带来了身体和心理上的益处。通过使用“弗莱堡人格问卷”（FPI）对两组心肌梗死幸存者进行了比较。身体损伤更严重的患者，FPI量表1的评分显示出一种身心障碍的程度更高。所述方案已证明是成功的，因为它提高了运动能力。这可能对心肌梗死愈合患者中遇到的一种身心障碍产生有利影响。参与者报告了有益的身体和心理影响。
