| Abstract [eng] |
SUMMARY Vilnius University, Faculty of Medicine The department of Rehabilitation, Physical and Sports Medicine Master of Adapted Physical Activity program THE IMPACT OF ADAPTED AEROBICS ON SUBJECTIVE ASSESSMENT OF QUALITY OF LIFE IN A CASE OF ADDICTION DISEASE Adapted Physical Activity master‘s thesis Author: Anita Zezyulchik. Supervisor: Assoc.Proff. Dr. Laima Galkute Key words: drugs, addiction syndrome, psycho-social rehabilitation, adapted physical activity, quality of life. Aim of the research is to investigate changes in quality of life by including adapted aerobics into psycho-social rehabilitation program in a case of addiction disease. Objectives 1. To investigate an influence of the adapted aerobics on cardiovascular system of the sample. 2. To investigate an influence of the psycho-social rehabilitation on psychological and emotional state of the sample. 3. To assess the impact of the psycho-social rehabilitation on the quality of life of the sample. Research organization and methods Research has been carried out at the Vilnius Centre for Addictive Disorders, Department of the Psychosocial Rehabilitation, in the period of February-April 2017. The sample consisted of 16 mail patients with mental and behavioural disorders. There were used the following methods in the assessment of the rehabilitation efficiency: 6 Min Walk Test, heart rate, arterial blood pressure (SBP, DBP) Borg Scale, the Hospital Anxiety and Depression Scale (HAD), Hamilton Anxiety Rating Scale (HAM-A), the WHO Brief Quality of Life Questionnaire (WHOQOL –BREF). Data analysis was carried by SPSS, 17.0 version. Results and conclusions 1. Adapted aerobics, included into psycho-social rehabilitation program at the Vilnius Centre for Addictive Disorders, had a positive impact on the cardiovascular capacity. This is confirmed by a statistically significant 6-minute walk test: during the intervention period the average walkable distance increased from 378 ± 24 m to 393 ± 16 m (p = 0,001 << 0.05). SBP shows statistically significant reduction (p = 0,040). DBP, as estimated, did not change significantly (p = 0,062); it is supposed, that intensity of aerobics applied was relevant to cardiovascular capacity of the patients. It was also detected the statistically significant reduction in heart rate (p = 0.001 << 0.05). 2. The change in psychological and emotional state of the sample decreased extremely (p = 0,000) in the case of measuring anxiety both by HAD and HAM-N scale, as well a little bit less in the case of depression measured by HAD (p = 0,001). 3. By assessing the impact of the psycho-social rehabilitation on the quality of life of the sample, it was concluded that significantly increased physical (p = 0.011), mental (p = 0.002) and the environmental (p = 0.017) components. The most notable changes, detected in the mental component is likely to reflect an integral result of the whole rehabilitation team which consists of psychologist, social worker and a specialist in adapted physical activity, Social components of the quality of life did not change significantly.  . |
