EFEKTI KARDIOVASKULARNE REHABILITACIJE NA TOLERANCIJU FIZIČKOG NAPORA I KVALITET ŽIVOTA KOD STARIJIH BOLESNIKA SA KORONARNOM ARTERIJSKOM BOLEŠĆU

  • Milovan M Stojanović Institut za lečenje i rehabilitaciju Niška Banja
  • Marija Stanković
  • Marina Deljanin Ilić
  • Aleksa Vuković
  • Jelena Igrutinović Novković
  • Igor Igić
  • Stevan Ilić
  • Dejan Petrović
Ključne reči: koronarna arterijska bolest, kardiovaskularna rehabilitacija, tolerancija fizičkog napora, kvalitet života, pol

Sažetak


Uvod/cilj. Cilj našeg rada bio je da ispitamo da li stariji pacijenti sa koronarnom arterijskom bolešću (KAB) imaju jednaku korist od kardiovaskularne rehabilitacije (KVR) programa kao i pacijenti mlađeg uzrasta. Metode. Studijom je obuhvaćeno 1697 pacijenata upućenih na program KVR nakon preživljenog infarkta miokarda, perkutane koronarne intervencije ili hirurške revaskularizacije miokarda. Bolesnici su podeljeni u dve grupe – u I grupi su bili pacijenti mlađi od 65 godina (1099 pacijenata, 64,76%), a u grupi II pacijenti stariji od 65 godina (598 pacijenata, 35,24%). Na početku i na kraju KVR urađeni su testovi fizičkim opterećenjem (TFO1 i TFO2). Takođe, kvalitet života je procenjen na početku i na kraju kVR validiranim upitnikom Short-Form 36 Health Status Survei (SF-36). Rezultati su upoređeni između grupa. Rezultati. Mlađi pacijenti su pokazali bolju toleranciju fizičkog napora na TFO1 i TFO2. Međutim, obe grupe su pokazale bolju toleranciju napora na TFO2. Naime, u obe grupe pacijenti su dostigli veći nivo opterećenja i duže trajanje na TFO2 u odnosu na TFO1. Takođe, veći procenat pacijenata je završio test postizanjem submaksimalne srčane frekvence na TFO2 u poređenju sa TFO1. Takođe, naši pacijenti su pokazali značajno poboljšanje u svim oblastima kvaliteta života osim graničnog statistički značajnog ograničenja zbog emocionalnog zdravlja kod pacijenata ≥65 godina. Zaključak. Naša studija je pokazala da kVR poboljšava kvalitet života i toleranciju fizičkog napora kod starijih pacijenata sa KAB. Zbog toga treba energično podsticati participaciju ovih pacijenata u programima KVR.

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Objavljeno
2025/11/20
Rubrika
Originalni rad / Original article