Физическая активность и качество жизни больных с хронической недостаточностью кровообращения на фоне физической реабилитации

Abstract

The purpose of this study: to assess the quality of life and exercise tolerance against the background of the use of physical rehabilitation in patients with CHF. Methods. The article presents the results of a study of the quality of life of 50 patients (20 men and 30 women) with coronary heart disease (CHD) complicated by CHF I-III FC observed in the framework of the Disease management programs (DMPs). The average age of the patients was 61.5±1.5 years. The QoL of patients was assessed using the SF-36 questionnaire before and 6 months after the rehabilitation measures. Within 6 months, both groups received standard basic therapy. Group 1, in addition, was engaged in the generally accepted version of the complex of physical exercises, which included morning exercises, aerobic training in the form of dosed walking. The work was carried out according to the standards of the operating procedures of the office of the DMPs, including the selection of a physical activity regime and a self-management program providing for the patient's participation in the preparation of an action plan. Results. The results showed that the clinical condition of the patients of both groups improved against the background of the therapy. However, in group 1, these results on the SHOCK scale and on the distance of a 6-minute walk were significantly better. A comparative analysis of the data in groups 1 and 2 after treatment revealed more significant changes in the parameters of QoL in group 1 (the increase in PF was by 48.6%, RP by 66.1%, RE by 48.6% and VT by 52.4%), while in group 2 these values they were slightly lower and corresponded to PF -39%, RP-48.2%, RE -35.7% and VT - 37.2 (p<0.05), which indicates a positive effect of the use of physical activity in the rehabilitation of patients with CHF. Conclusion. Assessment of the clinical condition of patients with chronic circulatory insufficiency using the SHOCK and exercise tolerance scale. revealed an improvement in performance after the use of metered physical activity . The results of the use of physical training in the system of coordinated and integrated medical interventions in the DMPs for the rehabilitation of patients with CHF in a polyclinic indicates the possibility of improving the quality of life due to PF, RP, VT and RE.