THE EFFECTIVENESS OF MEDICAL REHABILITATION IN CORONARY HEART DISEASE AS A PART OF THE SPA RESORT TREATMENT
https://doi.org/10.38109/2225-1685-2017-2-28-32
Abstract
Medical rehabilitation (MR) has become one of the important tasks of treatment in patients with coronary heart disease (CHD).
The aim - assessment of the effectiveness of spa resort MR in patients with CHD under spa resort treatment (SRT) in view of the provisions of the "International Classification of Functioning, Disability and Health" (ICF).
Material and methods. The study included 117 CHD patients treated with SRT at Yalta resort. Selection of patients for the study was carried out with informed consent of patients and duration of treatment of at least 18 days. Methods of investigation and treatment were applied in accordance with the features of the functional state of the patient, the individual indications and the standards of SRT at CHD. Psychological research and evaluation of quality of life (by the tests of Reeder, Beck, Spielberger-Hanin, SF-36) were additionally conducted. The analysis of the results was carried out by methods of variation statistics.
Results and its discussion. Spa resort MR in patients with CHD is characterized by high efficiency. Reliable positive trends were set for a number of domains: the sensation of pain and dizziness (b280 and b2401), blood pressure (b420), tolerance to physical exercises (b455), general metabolic functions (b540) and the sensations associated with the functioning of the cardiovascular and respiratory systems (b4601).
Conclusions. Statistically significant (p<0,05) reduction of six domain’s value by the end of the course of treatment indicates positive rehabilitation potential of SRT in patients with CHD.
About the Authors
A. S. Ivashchenko
Academician Research Institute of Physical Methods of Treatment, Medical Climatology and Rehabilitation named after I.M. Sechenov
Russian Federation
Russian Federation
Director, MD, Academician Research Institute of Physical Methods of Treatment
298603, Russian Federation, Yalta, Muchin St, 10/3
phone/fax (3654) 23-51-91
V. V. Iezhov
Academician Research Institute of Physical Methods of Treatment, Medical Climatology and Rehabilitation named after I.M. Sechenov
Russian Federation
Russian Federation
Department of physiotherapy and medical climatology, chief, MD, DSc, professor,
298603, Russian Federation, Yalta, Muchin St, 10/3
N. A. Severin
Academician Research Institute of Physical Methods of Treatment, Medical Climatology and Rehabilitation named after I.M. Sechenov
Russian Federation
Russian Federation
Department of physiotherapy and medical climatology, chief, MD, DSc, professor
298603, Russian Federation, Yalta, Muchin St, 10/3
N. A. Prokopenko
Academician Research Institute of Physical Methods of Treatment, Medical Climatology and Rehabilitation named after I.M. Sechenov
Russian Federation
Russian Federation
Department of cardiology, researcher, MD
298603, Russian Federation, Yalta, Muchin St, 10/3
References
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For citations:
Ivashchenko A.S., Iezhov V.V., Severin N.A., Prokopenko N.A. THE EFFECTIVENESS OF MEDICAL REHABILITATION IN CORONARY HEART DISEASE AS A PART OF THE SPA RESORT TREATMENT. Eurasian heart journal. 2017;(2):28-32. (In Russ.) https://doi.org/10.38109/2225-1685-2017-2-28-32
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