Izvorni znanstveni članak
THE ROLE OF AMBULATORY CARDIAC REHABILITATION IN IMPROVEMENT OF QUALITY OF LIFE, ANXIETY AND DEPRESSION
Damir Rosic
; Institute of Emergency Medicine, Rijeka, Croatia
Goran Krstacic
; Institute for Cardiovascular Prevention and Rehabilitation, Zagreb, Croatia; The Faculty of Medicine, Josip Juraj Strossmayer University of Osijek, Croatia University of Applied Health Sciences, Zagreb, Croatia
Antonija Krstacic
; The Faculty of Medicine, Josip Juraj Strossmayer University of Osijek, Croatia; University of Applied Health Sciences, Zagreb, Croatia; University Hospital Center “Sestre milosrdnice”, Clinical Hospital of Traumatology, Zagreb, Croatia
Ognjen Brborovic
; School of Public Health "Andrija Stampar", Zagreb, Croatia; University of Zagreb, School of Medicine, Zagreb, Croatia
Igor Filipcic
; The Faculty of Medicine, Josip Juraj Strossmayer University of Osijek, Croatia; University of Applied Health Sciences, Zagreb, Croatia; Psychiatric Hospital “Sveti Ivan”, Zagreb, Croatia
Marko Mornar Jelavic
; Institute for Cardiovascular Prevention and Rehabilitation, Zagreb, Croatia; School of Dental Medicine, Zagreb, Croatia
Sažetak
Background: Psychological reactions may adversely affect recovery after major cardiac events. This study investigates the role
and frequently negligible importance of ambulatory cardiac rehabilitation (ACR) in improvement of quality of life (QoL), anxiety
and depression at patients with various cardiac pathology.
Subjects and methods: This prospective study included subjects treated for acute coronary syndrome (ACS), those with
performed elective revascularization, and OTHERS (after valve replacement, implanted pacemaker or other device, with stable heart
failure and coronary artery disease). Their anxiety (State Trait Anxiety Inventory (STAI) questionnaire), depression (Beck Depression
Inventory (BDI-II) questionnaire) and QoL data (Short Form Health Survey-36 (SF-36) questionnaire, for physical and mental QoL
components) were collected initially and after 3-month of ACR.
Results: ACR underwent 170 patients, aged 59 (53-66 years), predominately males (74.7%). At both genders, median duration of
ACR was 12 weeks, with reduction of anxiety and depression scores and improvement in almost all components of QoL (P<0.05),
except in mental health and bodily pain in males and females, respectively.
After ACS (63.5%), ACR lasted 12 weeks, with reduction of anxiety and depression scores and improvement in all components of
QoL (P<0.05). After elective revascularization (14.1%), ACR lasted 12 weeks, with reduction of anxiety score and improvement in
almost all components of QoL (P<0.05), except mental health. At OTHERS (22.4%), ACR lasted 4 weeks, with improvement in
almost all components of QoL (P<0.05), except mental health; ACR duration negatively correlated with anxiety and depressive
scores (P<0.05).
Conclusion: ACR during 3-month results with improvement of anxiety, depression and QoL at patients with various cardiac
pathology.
Ključne riječi
ambulatory cardiac rehabilitation; anxiety; depression; quality of life
Hrčak ID:
262626
URI
Datum izdavanja:
18.11.2020.
Posjeta: 291 *