Izvorni znanstveni članak
Impact of outpatient cardiac rehabilitation on depression in patients after percutaneous coronary intervention
Tea Jurić
; Sveučilišni odjel zdravstvenih studija Sveučilišta u Splitu
Ivica Vuković
; Zavod za bolesti srca i krvnih žila, KBC Split, Medicinski fakultet Split
Dinko Pivalica
; Zavod za fizikalnu medicinu i rehabilitaciju s reumatologijom, KBC Split, Sveučilišni odjel zdravstvenih studija Sveučilišta u Splitu
Sažetak
Introduction: Coronary heart disease is accompanied by negative psychological conditions occurring in patients after percutaneous coronary intervention (PCI), while cardiac rehabilitation happened to be effective in reducing symptoms and improving the quality of life.
Objective: To examine the existence of the symptoms of depression, as well as to examine risk factors along with the subjective assessment of health quality in patients who underwent percutaneous coronary intervention and to examine the effects of ambulatory cardiac rehabilitation in reducing the depression and risk factors 5 weeks after the operation.
Methods: A prospective cohort study included 50 male subjects who underwent PCI divided into two equal groups. The trial group consisted of patients who underwent the PCI and who, after hospital discharge, took medication therapy together with organized outpatient cardiac rehabilitation. The control group consisted of patients who underwent PCI and who, after hospital discharge, took medication therapy without outpatient cardiac rehabilitation. The survey was conducted immediately after PCI and 5 weeks after the intervention with the Beck Depression Inventory and SF-36 Questionnaire measurement instruments.
Results: After 5 weeks, the rehabilitation program led to statistical changes in lowering blood pressure, hyperlipidemia and smoking. In the group that conducted the rehabilitation program there were statistically significant changes in the overall outcome of Beck’s inventory of depression and its components (better mood, the feeling of acceptance, as well as the lack of guilt, self-hate, indecision and negative self-image in general, sleep and appetite improved and the expression of hypochondria decreased) and in the SF-36 questionnaire (better physical state, perception of general health, energy and vitality appeared to be improved). Statistically significant changes occur in the group without outpatient cardiac rehabilitation: indecision was found in the Beck inventory component and the changes in general health
perception occurred in the components of the SF-36 questionnaire.
Conclusion: Outpatient cardiac rehabilitation is effective in reducing the
symptoms of depression and risk factors as well as in improving of the quality of life in patients undergoing PCI.
Ključne riječi
coronary heart disease; cardiac rehabilitation; depressive disorder; percutaneous coronary intervention.
Hrčak ID:
235520
URI
Datum izdavanja:
20.12.2019.
Posjeta: 765 *