Effects of cardiac rehabilitation on the recovery outcomes of older adults after coronary artery bypass surgery.
Effects of cardiac rehabilitation on the recovery outcomes of older adults after coronary artery bypass surgery.
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DOI：
10.1097/00008483-200407000-00005
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发表时间：
2004-07-01
期刊：
影响因子：
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通讯作者：
Moore, Shirley M
中科院分区：
文献类型：
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作者：
Dolansky, Mary A;Moore, Shirley M
目得：本研究的目的是检查在冠状动脉搭桥手术（CABS）后，参加2期心脏康复计划（CRP）（n = 32）和未参加CRP（n = 33）的70岁或70岁以上的成年人之间下肢功能以及对身体和精神功能的感知的差异。在这项两组纵向比较研究中，在基线（6周）和CABS后6个月测量的恢复结果在参与和未参与CRP的老年人之间进行了比较。在CRP之前等效的研究组中，协方差分析（控制基线评分）显示，出院后6个月，参加CRP的患者下肢力量更强，（F = 3.9; P = 0.04），踝关节活动范围更大（F = 4.2; P =.02），更好的动态平衡（F = 8.2; P =.003），静态平衡更好（F = 3.3; P = 0.04）、更好的步态（F = 4.7; P = 0.02）和更好的身体功能感知（F = 14.8; P = 0.00）。当控制社会支持、自我效能、抑郁、合并症、心功能状态和性别对除静态平衡外的所有变量的影响时，结果保持不变。研究组之间没有发现与心理功能感知相关的差异（F = 0.10; P =.结论：老年人参与CRP可改善下肢功能（预防残疾的一个重要方面）和身体功能感知。心脏康复计划可用于优化CABS后老年人的恢复结果。
PURPOSE: This study aimed to examine differences in lower extremity function as well as perception of physical and mental function between adults 70 years of age or older who participated in a phase 2 cardiac rehabilitation program (CRP) (n = 32) and those who did not participate in a CRP (n = 33) after coronary artery bypass surgery (CABS).METHODS: In this two-group longitudinal comparative study, recovery outcomes measured at baseline (6 weeks) and 6 months after CABS were compared between older adults who participated and those who did not participate in a CRP.RESULTS: In study groups that were equivalent before the CRP, analysis of covariance (controlling for baseline scores) showed that 6 months after hospital discharge, those who participated in a CRP had greater lower extremity strength (F = 3.9; P =.04), greater ankle range of motion (F = 4.2; P =.02), better dynamic balance (F = 8.2; P =.003), better static balance (F = 3.3; P =.04), better gait (F = 4.7; P =.02), and perceptions of better physical function (F = 14.8; P =.00). The results remained the same when control was used for the effects of social support, self-efficacy, depression, comorbidity, cardiac functional status, and gender for all the variables except static balance. No difference related to perception of mental function was found between the study groups (F =.10; P =. 74).CONCLUSIONS: Participation in a CRP by older individuals improves lower extremity function (an important dimension in preventing disability) and perception of physical function. Cardiac rehabilitation programs can be used to optimize the recovery outcomes of older individuals after CABS.