早期康复治疗对急性心肌梗死患者生活质量的影响(英文)

Effect of early rehabilitation treatment on quality of life in patients with acute myocardial infarction

目的现代康复的目的在于改善患者的生活质量,以运动为基础的心脏康复可以改善急性心肌梗死(AMI)患者的运动耐量,观察两周程序康复能否改善AMI患者的生活质量(QOL)。方法通过多种QOL问卷(QOLQ)对顺利完成早期康复计划的21例AMI患者进行QOL评估。结果对完成程序康复的AMI患者(平均住院时间为(15±4)d,通过中文版WHOQOL等量表进行QOLQ的测试,主观感受积分较对照组高(P<0.001),在生理、心理及环境领域的得分亦高于对照组(P均<0.0001)。但在社会关系领域则无统计学上的差异;生活质量指数量表则两组之间无显著差异。结论AMI患者早期程序康复可改善患者的生活质量。

Aim Early exercise based cardiac rehabilitation programs(CRP)could improve effort tolerance in patients with acute myocardial infarction(AMI).We examined how it could improve quality of life(QOL). Methods 21 patients with AMI had finished the early CPR.Chinese version WHO QOL brief questionnaire(WHOQ) includes 5 domains.To assess their QOL with WHOQ and other QOL questionnaires(QOLQ)￡¨score 1 to 5 scale￡(c). Results Their scores of subjective feeling were higher than control group(P< 0.001) in WHOQ.In other domains,for example,physical health,psychological and environment,their scores were higher than control group(all P< 0.001).In social relationship domain,including personal relationship,social support and sexual activity,the scores had no statistical difference.There wasn't difference in quality of life index,either.Conclusion QOL in patients with AMI who took early CRP improve obviously,but how to select questionnaires scales of QOL still needs further study.