| Abstract [eng] |
Effectiveness of Rehabilitation for Ischemic Heart Disease Patients Followed Different Cardio Surgical Interventions Keywords: ischemic heart diesease, cardiosurgical interventions, rehabilitation, effectiveness. The aim of the research - to analyse the effectiveness of the rehabilitation for ischemic heart disease patients followed different cardiosurgical interventions. Tasks: 1. To evaluate the effectiveness of rehabilitation for different cardiosurgical intervention groups based on their physical ability improvement during the rehabilitation. 2. To evaluate the effectiveness of rehabilitation for different cardiosurgical intervention groups based on their psychoemotional state improvement during the rehabilitation. 3. To evaluate the effectiveness of rehabilitation for different cardiosurgical intervention groups based on their fatigue improvement during the rehabilitation. 4. To find out the correlation of different cardiosurgical intervention group patients with the physical ability, psychoemotional state and fatigue outcomes. Research organization methods.The research was conducted at the Physical Medicine and Rehabilitation Department of The Klaipeda Jurininku Hospital in the period of May 2015-March 2016. 122 ischemic heart disease (IHD) patients participated in the research: 61 followed coronary artery bypass grafting surgery (CABG - operated), other 61 –followed percutaneous transluminal coronary angioplasty and stent placement (PTCA - not operated). Medical document analyses used in this research: to evaluate the psychoemotional state – HAD scale;the physical ability – 6 Min Walk Test, Borg Scale; the fatigue - The Multidimensional Fatigue Inventory; statistical data analysis (SPSS) 17.0 version. Results and conclusion. The physical ability of the ichemic heart disease patients followed different cardiosurgical interventions varied: in the beginning of rehabilitation the non-operated group showed significantly better (p<0,05) results than operated group.Afterrehabilitation the physical ability improved(p<0,01) in both groups. The psychoemotional symptoms (anxiety and depression based on HAD scale) significantly (p<0,05) decreased in both groups.In the beginning of rehabilitation, statistically significant (p<0,05) correlations of depression/anxiety with gender and age were found out in the general group. In both groups the fatigue level clearly (p<0,05) decreased during the rehabilitation process, except for physical exhaustion. However, in the non-operated group the physical exhaustion significantly (p<0,05) decreased as well. In operated and non-operated groups the increase of physical ability was related to the motivation increase. |
