[Early post-hospital rehabilitation and quality of life in patients with acute coronary syndromes].
Cardiac rehabilitation means a complex use of medical, social and educational measures in order to prepare the patient with coronary artery disease to a new style of life. Diseases of cardiovascular system, and among them acute coronary syndromes, are the most prevalent diseases in human population. Apart from lengthening the lifetime, the aim of their treatment is to improve the quality of life.


OBJECTIVE
To evaluate the influence of early post-hospital cardiac rehabilitation on the quality of life in patients with acute coronary syndromes.


METHODS
The WHO's definition of quality of life was accepted in this study. 210 patients with acute coronary syndromes (ACS) were included. The assessment of the quality of life was carried out in the fourth day of hospitalization (phase I) and half a year after its end (phase II). The analysis of medical documentation and questionnaire SF-36 v2 were used in the study. The obtained results were statistically analyzed with the use of statistical packet SPSS/PC v.12.


RESULTS
The examination carried out one year after hospitalization certified that the quality of life in patients being subject to stationary rehabilitation was better than in patients being subject to non-stationary rehabilitation. Comparing the results from the I and II examination it was stated, that the quality of life in patients taking part in sanatorium rehabilitation improved in 10 scales, while the quality of life in patients who did not undergo this type of rehabilitation improved only in 3 assessment scales and deteriorated in 8 scales.


CONCLUSIONS
Patients with ACS rehabilitated in sanatoria conditions assessed their standard of life better than patients who did not undergo this type of rehabilitation. Sanatory rehabilitation was connected with life quality improvement one year after hospitalization as well. The influence of the type of undertaken cardiac rehabilitation on the reduction of therapy costs in patients with acute coronary syndromes requires further studies.
Celiński
Rafal
R
University of Rzeszow, Institute of Physiotherapy, Poland. rcelinski@op.pl
Grzywa-Celińska
Anna
A
D054058:Acute Coronary Syndrome / Q000534:rehabilitation*; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011788:Quality of Life; D055815:Young Adult