كليدواژه :
Heart disease , Rehabilitation , Life quality , Previous physical activity
چكيده فارسي :
Heart diseases have always been one of the most central mortality reasons all over the world. Coronary artery diseases are known as the most important problem of public health around the world and they have been increasing in the past years. (1) Moreover, most of the patients who have undergone surgery, suffered from its consequences such as a decrease in self-confidence, lack of self-reliance, etc; due to the lack of recovery which resulted in lowering their life quality level. (2) According to previous reports, anxiety rate of the patients with heart disease used to be 26% that has reached 40% in one year. (3) Various factors influence this issue that the lack of physical activity is one of them. Up to 2010, 150 UN specialist has stated that regular exercise is one of the fifteen priorities in changing behavior to reach health. (4) The impact of exercise on the recovery of heart diseases is undeniable, so the proposed hypothesis is about the impact of exercise on life quality of patients with heart disease and also the relationship between different factors such as previous physical activity and gender, and reception of rehabilitation activity.
Methods
40 patients with coronary thrombosis including 10 females and 30 males were studied in two groups. One of them was experimental and the other was control group. The experimental group was studied in Dr Javad Maleki ( sub specialist cardiovascular surgeon and physical medicine fellowship)sports clinic in the north of Tehran. The patients did power and aerobic exercises at least for 4 weeks under the surveillance of the cardiologist and trainer. The control group was studied in Sarallah hospital in 40 kilometer west of Tehran. They had started their pharmaceutical treatment, and 4 weeks have passed from their heart disease diagnosis, at least. The patients of both groups were studied by Minesota heart failure life quality questionnaire with 0/7 Cronbach alpha.
Results
The gained results from the patients’ replies to the questionnaire were assessed using SPSS. Independent variable t-test in inferential statistics was used for data analysis. Significance level of 0/14 was achieved, and it shows the significance of the hypothesis as it is more than 0/5.
Moreover, 0/55 of the patients with rehabilitation program stated that they had previous physical activity, and 0/55 of patients without rehabilitation program did not have previous physical activity. The investigation of the questionnaires showed that 15 percent of women welcomed the rehabilitation programs comparing to men, while 0/35 of the patients who did not have exercise were women.
Discussion
As it was observed, life quality of the patients who had physical activity has improved, and in comparison to the patients without the program, met a significant level. This result indicates that, physical activity under the surveillance of a specialist not only will not jeopardize patients’ health, but also it will cause life quality improvement for these people and the disease will cause the least disturbance to their lives. The second hypothesis that was studied, was about patients’ previous physical activity and agreement with rehabilitation programs in which %55 of participants with the program had previous physical activity, and %55 of the participants without the program, did not have previous physical activity. There is no significant relationship in these results and this hypothesis is also rejected. This implies that the patients without previous physical activity can benefit from these programs after suffering from the disease, too. The third hypothesis was about gender and agreement with rehabilitation programs. %15 of the patients who had rehabilitation program were females, and %85 of them were males. These statistics indicate that the women who suffered from heart disease, are less willing to participate in sport rehabilitation programs comparing to men, and the women prefer more pharmaceutical treatment to the treatment with sport rehabilitation program.