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Early Exercise-Based Rehabilitation Improves Health-Related Quality of Life and Functional Capacity After Acute Myocardial Infarction: A Randomized Controlled Trial

医学 物理疗法 心肌梗塞 康复 随机对照试验 生活质量(医疗保健) 急诊医学 内科学 护理部
作者
Thatiana C.A. Peixoto,Isis Begot,Douglas W. Bolzan,Laís Teles Lima Machado,Michel Silva Reis,Valéria Papa,Antônio Carlos C. Carvalho,Ross Arena,Walter J. Gomes,Solange Guizilini
出处
期刊:Canadian Journal of Cardiology [Elsevier BV]
卷期号:31 (3): 308-313 被引量:98
标识
DOI:10.1016/j.cjca.2014.11.014
摘要

The purpose of this study was to evaluate the influence of an early cardiac rehabilitation (CR) program on health-related quality of life (HRQL) and functional capacity in patients who recently experienced an acute myocardial infarction (AMI). This program was initiated in the inpatient setting and was followed by an unsupervised outpatient intervention.After the same inpatient care plan, low-risk patients who experienced an AMI were randomized into 2 groups: (1) a control group (CG) (n = 43) entailing usual care and (2) an intervention group (IG) (n = 45) entailing outpatient (unsupervised) CR primarily centered on a progressive walking program. Initially, all patients underwent a supervised exercise program with early mobilization beginning 12 hours after an AMI. On hospital discharge, all patients were classified according to cardiovascular risk. Quality of life was evaluated by the MacNew Heart Disease HRQL questionnaire 30 days after discharge. Functional capacity was determined by a 6-minute walk test (6MWT) distance on the day of inpatient discharge as well as 30 days afterward.The HRQL global score was higher in the IG compared with the CG 30 days after discharge (P < 0.001); physical and emotional domain scores were both significantly higher in the IG (P < 0.001). Furthermore, the IG showed a greater 6MWT distance compared with the CG (P < 0.001).A CR program based on early progressive exercises, initiated by supervised inpatient training and followed by an unsupervised outpatient program, improved HRQL and functional capacity in patients at low cardiovascular risk who recently experienced an AMI.
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