بازتواني قلبي ، ظرفيت عملي و وضعيت رواني بعد از سكته قلبي

CARDIAC REHABILITATION, FXERCISE CAPACITY AND MENTAL STATUS AFTER MYOCARDIAL INFARCTION

Introduction: According to the prevalence of cardiovascular diseases and myocardial infarction in our community, especially among youths and the main role of cardiac rehabilitation in increasing of mental and physical abilities of CVD patients and help to return them to their previous life and also in decreasing social and economical problems due to these diseases; this study was done to assess the effect of shortening the length of cardiac rehabilitation period. Materials & Methods: In this study, 30 low risk patients with MI were randomly selected were discharged about one month ago and referred to cardiac rehabilitation unit of Isfahan Cardiovascular Research Center to follow up their treatment. They underwent 12-week rehabilitation period. Their exercise capacity, depression, anxiety and hostility scores were measured at their first reference and also at the end of third, sixth and twelfth weeks by a SCL 90 questionnaire. Mean studied factors were compared by paired t-test in SPSS software. Results: Results showed that all of the studied variables during intervals of cardiac rehabilitation were significantly different from of first reference (P<0.05). Hostility and anxiety scores at the end of sixth week were not significantly different from those of twelfth week. But practical capacity and depression scores were improved till the end of the rehabilitation period. Discussion: Generally, it can be concluded that practical capacity, depression, anxiety and hostility of low risk patients can be cured by performing rehabilitation programs. Practical capacity and depression in each interval were significantly different from those of the previous interval. But hostility and anxiety were improved until the end of sixth week. The study showed helpful changes at the end of sixth week. Then in cases that the facilities are limited, a 6-week period of rehabilitation can be replaced instead of 12-week period.