循環器疾患患者の運動療法における心身医学的研究(その1) : 虚血性心疾患患者について

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In 1977,an exercise training program for the patients with ischemic heart disease (IHD) was initiated at The Life Planning Center. Since then, effects of the program on and the problems specifically related to psychosomatic aspects of IHD have been studied. The purpose of this study is to report our system and procedures to analyze and manage psychosomatic problems found in patients with IHD.From November, 1977 to November, 1980,30 post-hospital male patients with acute myocardial infarction (average age of 53.7±9.2) were included in the study. The training program consisted of one medically supervised training session at the institute and at least two other sessions of unsupervised home self-training during the week for 12 weeks. Before and after the 12 week-training, physical fitness was assessed by multiphasic Treadmill stress testing. Social and psychological problems were also assessed by interviews time study, YG-test and Heinzelmann's scoring system.After the 12-week exercise training, not only physical fitness but also self-confidence in health and activities in social life have been significantly improved. We have found neither serious psychological nor psychiatric problems throughout the training period that have often been reported in U.S.A.. These results may suggest the differences existing in cultural and social backgroungs between the two countries. However, it was also recognized that in addition to the severity of the disease such factors at personality, behavior patterns, economical state, social position and family relations greatly influenced the effectiveness of the exercise training. Especially favorable relations with the spouse and good cooperation with other family members were thought to be indispensable for the success of the program. It is emphasized that psychosomatic approaches are much valuable to perform the exercise training effectively.
日本心身医学会の論文
1982-06-01

循環器疾患患者の運動療法における心身医学的研究(その1) : 虚血性心疾患患者について

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