Assessment of Quality of Life With 5 Different Scales in Patients Participating in Comprehensive Cardiac Rehabilitation After Acute Myocardial Infarction
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概要
- 論文の詳細を見る
Background Measures assessing quality of life (QOL) in patients participating in comprehensive cardiac rehabilitation (CCR) have not been established in Japan. Methods and Results To compare different types of QOL scales and to determine the impact of CCR on QOL in Japanese cardiac patients, 5 different types of questionnaires were assessed in 44 patients participating in CCR after acute myocardial infarction (AMI). After 3-month CCR, peak oxygen uptake (P^^.VO_2, p<0.01), Sickness Impact Profile (SIP) total score (p<0.05) and physical function-related QOL scores (Specific Activity Scale (SAS), p<0.01; SIP physical score, p<0.01) significantly improved, whereas psychosocial/mental aspect-related QOL scores (Ministry of Health and Welfare (MHW)-QOL score, SIP psychosocial score, State-Trait Anxiety Inventory, Self-rating Depression Scale) did not change on the average. However, patients with low P^^.VO_2 (<21.7ml・min^<-1>・kg^<-1>) showed significant improvements in all scores after CCR, whereas patients with preserved exercise capacity showed improvements only in physical function-related scores (SAS and physical SIP). Furthermore, patients with anxiety and depression showed significant improvements in these respective measures after CCR. Conclusion In patients with AMI, physical function-related QOL scores improve after a 3-month CCR program, but psychosocial/mental aspect-related QOL scores improve only in those with impaired exercise tolerance or anxiety/depression. Thus, changes in QOL after CCR depend on type of QOL scale used and the baseline status of the patient. In addition, in Japanese cardiac patients MHW-QOL mainly reflects psychosocial/mental aspect-related QOL, as well as overall QOL.
- 社団法人日本循環器学会の論文
- 2005-11-20
著者
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GOTO Yoichi
Division of Cardiology, National Cardiovascular Center
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Aihara Naohiko
Division of Cardiology, National Cardiovascular Center
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Aihara Naohiko
Division Of Cardiology Department Of Internal Medicine National Cardiovascular Center
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Tada Hiroshi
Division Of Cardiology Deparitment Of Internal Medicine National Cardiovascular Center
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Tsutsumi Yoshiaki
Genetics Division National Cancer Center Research Institute
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Tsutsumi Yoshiaki
Division Of Cardiology National Cardiovascular Center
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Sakuragi Satoru
Division of Cardiology, Department of Medicine, National Cardiovascular Center
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Yasumura Yoshio
Division of Cardiology, National Cardiovascular Center
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Yasumura Y
Cardiovascular Division Osaka Minami Medical Center
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Takaki Hiroshi
Division of Cardiology, National Cadiovascular Center
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Takagi Shuichi
Division of Cardiology, Department of Medicine, National Cardiovascular Center
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Yoshimuta Tsuyoshi
Division Of Cardiovascular Medicine
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Yasumura Y
Department Of Cardiovascular Medicine Osaka National Hospital
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Yasumura Yoshio
Division Of Cardiology National Cardiovascular Center
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Sakamaki Fumio
Division Of Cardiology National Cardiovascular Center
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Sakamaki Fumio
Division Of Cardiology And Pulmonary Circulation Department Of Medicine National Cardiovascular Cent
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Takaki Hiroshi
National Cardiovasucular Center
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Suzuki Shoji
Division of Cardiology, National Cardiovascular Center
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Takagi Satoru
The Second Department Of Internal Medicine School Of Medicine Sapporo Medical University
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Tamaki Shinji
Division Of Cardiology Department Of Medicine Kohka Public Hospital
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Yasumura Yoshio
Laboratory Of Molecular Genetics National Cardiovascular Center
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Takiuchi Shin
Division Of Hypertension And Nephrology National Cardiovascular Center
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Takashima Seiji
Department Of Molecular Cardiology Osaka University Graduate School Of Medicine
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Yamashita Yoshihisa
Kidney Disease Center Saitama Medical School Hospital
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Goto Yoichi
Division Of Cardiology Department Of Medicine National Cardiovascular Center
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Suzuki Shoji
Division Of Cardiology National Cardiovascular Center
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Yasumura Yoshio
Cardiology National Cardiovascular Center
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Sakuragi Satoru
Division Of Cardiology National Cardiovascular Center
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Yasumura Yoshio
Department Of Atherosclerosis And Diabetes National Cardiovascular Center
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Yoshimasa Yasunao
Department Of Internal Medicine National Cardiovascular Center
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Takaki Hiroshi
Division Of Cardiology National Cardiovascular Center
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Takagi Shuichi
Division Of Cardiology National Cardiovascular Center
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Yasumura Yoshio
Division Of Cardiology Department Of Internal Medicine National Cardiovascular Center
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Yoshimasa Yasunao
Laboratory Of Molecular Genetics National Cardiovascular Center
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Tsutsui Hiroshi
Division Of Cardiovascular Medicine National Cardio Vascular Center
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Suzuki Shoji
Department Of Cardiovascular Medicine National Cardiovascular Center
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Takaki Hiorshi
Division Of Cardiovascular Medicine National Cardio Vascular Center
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Sakuragi Satoru
Division Of Cardiology Iwakuni Clinical Center
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Sakuragi Satoru
Division Of Cardiology Department Of Medicine National Cardiovascular Center
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Yazaki Y
Department Of Gene Diagnostics And Therapeutics Research Institute International Medical Center Of J
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Aihara Naohiko
Division of Arrhythmia and Electrophysiology, Department of Cardiovascular Medicine, National Cerebral and Cardiovascular Center
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Takaki Hiroshi
Division of Arrhythmia and Electrophysiology, Department of Cardiovascular Medicine, National Cerebral and Cardiovascular Center
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