李寿霖,吴学敏,孙启良,何振山,汝磊生,杨丽,彭育红.2周住院心脏康复程序对急性心肌梗死患者血脂、生存质量及精神心理状态的影响[J].中国康复医学杂志,2006,21(8):696~699 |
2周住院心脏康复程序对急性心肌梗死患者血脂、生存质量及精神心理状态的影响 点此下载全文 |
李寿霖 吴学敏 孙启良 何振山 汝磊生 杨丽 彭育红 |
[1]解放军白求恩国际和平医院心内科,河北省石家庄市050082 [2]中日友好医院物理康复科,北京市100029 |
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目的:探讨2周住院心脏康复程序对急性心肌梗死(AMI)患者血脂、生存质量及精神心理状态(焦虑)的影响。方法:选择轻度AMI患者40例,随机分为对照组20例,康复组20例。对照组进行常规内科治疗.康复组在常规内科治疗的同时进行2周住院心脏康复程序治疗,出院后继续康复治疗3个月。康复前及康复3个月后分别评价血脂水平,生存质量(QOL)、状态-特质焦虑(state-trait anxiety inventory,STAI)及体力活动程度,与对照组及康复前进行比较。结果:康复前,两组间的各项指标比较差异无显著性意义。康复组,与康复前比较.康复3个月后HDL-C(P〈0.01)、TC/HDL-C(P〈0.05)均得到明显改善:康复后QOL总分和社会态度与主观幸福感评分均比康复前明显增加(P均〈0.05);状态焦虑(S-AI)和特质焦虑(T-AI)均比康复前明显降低(P均〈0.05);康复后体力活动程度明显改善(P〈0.01)。结论:2周住院心脏康复程序能明显改善轻度AMI患者的血脂.改善体力活动程度,改善精神心理状态(焦虑).提高生存质量。 |
关键词:心脏康复 急性心肌梗死 生存质量 焦虑 |
Effects of a two-week,hospitalized cardiac rehabilitation program on serum lipid profiles,quality of life and psychological status in patients with acute myocardial infarction Download Fulltext |
LI Shoulin WU Xuemin SUN Qiliang et al |
Department of Cardiovasology,the Bethune International Peace Hospital,Shijiazhuang,050082 |
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Abstract: |
Objective:To investigate the function of a two-week,hospitalized cardiac rehabilitation program on serum lipid profiles,quality of life(QOL) and psychological status(Anxiety) in patients with AMI.Method:40 cases of AMI were randomly divided into two equal groups. Both groups received medicine therapy.Meanwhile,the rehabilitation group participated a two-week,hospitalized cardiac rehabilitation program.The serum lipid profiles,QOL,State-Trait Anxiety Inventory(STAI)and physical activity of the patients were assessed before and 3-months follow-ups.Result:There were no significant differences in the all indices between the two groups at baseline. In the rehabilitation group,the HDL-C(P<0.01) and TC/HDL-C(P<0.05) had improved significantly,the QOL total score and the social attitude and subjective well-being score had increased(P<0.05),the State Anxiety Inventory(S-AI) and the Trait Anxiety Inventory(T-AI) had decreased significantly(P<0.05),and the physical activity had improved significantly at the 3-month follow-up.Conclusion:The two-week,hospitalized cardiac rehabilitation program improved the serum lipid profiles,the physical activity,the psychological status (Anxiety) and QOL in patients with AMI. |
Keywords:cardiac rehabilitation acute myocardial infarction quality of life anxiety |
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