有阻力训练和无阻力训练的吸气肌训练对 II 期心脏康复患者功能能力和生活质量的影响

Maham Ashfaq, Q. Ain, Mohsana Tariq, Misdaq Batool, Sidra Faisal, T. Ghaffar, Zara Fatima
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引用次数: 0

摘要

背景:在术后早期,吸气肌准备是一种受保护的调解手段,可提高患者的活动能力,呼吸肌力量可帮助患者参加日常生活锻炼。研究目的本研究旨在确定有阻力训练和无阻力训练的吸气肌训练对心脏康复二期患者的功能能力和生活质量的影响。方法:这是一项随机对照试验:这是一项随机对照试验。数据收集自奇尼奥特的齐亚-雷曼博士心脏中心。在这项研究设计中,20 名年龄在 40-60 岁之间的受试者被随机分配。研究对象包括心脏病患者、正在接受心脏手术的患者、至少在 3 周前接受过 CABG 手术的患者以及非吸烟者。在治疗前后,对住院期间无并发症的临床过程进行格利特-ADL 测试和明尼苏达心力衰竭患者生活调查问卷评分。上肢和下肢阻力训练时间为 20 分钟,每组 10 次,共 3 组。结果对治疗前和治疗后的明尼苏达心力衰竭患者生活状况问卷进行了独立样本 t 检验,两组间差异有统计学意义(P < 0.05)。采用配对样本 t 检验比较各治疗组的 Glittre-ADL 测试,结果显示两组的差异具有统计学意义(P< 0.05),其中呼吸肌训练组与阻力训练组的差异更大。各治疗组的 MLHFQ 比较采用配对样本 t 检验,结果表明两组的差异在统计学上具有重要意义(P< 0.05),其中阻力训练组的差异更大。实际意义:研究表明,CABG 患者在参加吸气肌训练后,其个人满意度、不安和悲伤情绪无疑会减少。结论:阻力训练中的吸气肌训练对二期心脏康复患者的功能能力和生活质量更有效。关键词:吸气肌训练 阻力训练 功能能力 心脏康复
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Effects of Inspiratory Muscle Training with and without Resistance Training on Functional Capacity and Quality of Life in Patients with Phase II Cardiac Rehabilitation
Background: Inspiratory muscle preparing is a protected mediation in early postoperative period which cause enhancements in utilitarian limit and respiratory muscle strength might lead patients to take part in exercises of everyday living. Objective: The objective of study was to determine the effects of Inspiratory muscle training with and without resistance training on Functional capacity and quality of life in patients with phase II cardiac rehabilitation. Methods: It was randomized controlled trial. Data was collected from Dr. Zia ul Rehman Heart Center, Chiniot. 20 subjects Aged between 40-60 years were randomized in this study design. Cardiac Patients, Undergoing Cardiac surgery Patients, Patients undergoing CABG at least 3 weeks prior and Presently non-smokers were included in the study. Clinical course without complications during hospital stay was scored on Glittre-ADL test and Minnesota living with heart failure questionnaire before and after end of treatment session. Upper and lower limb resistance training was performed for 20 minutes, with 3 sets of 10 repetitions. Results: Independent sample t-test was applied to compare pre-treatment and post-treatment Minnesota Living with Heart Failure Questionnaire here was statistically significant difference between two groups with P < 0.05. Comparison of Glittre-ADL test within each treatment group applied paired sample t-test which showed statistically important variation for both groups (P< 0.05) with greater difference seen in group Inspiratory Muscle Training with Resistance Training. Comparison of MLHFQ within each treatment group applied paired sample t-test which showed statistically important variation for both groups (P< 0.05) with greater difference seen in group Inspiratory Muscle Training with Resistance Training. Practical Implication: it was shown that CABG patients whose personal satisfaction, uneasiness, and sorrow were undeniably diminished subsequent to taking part in inspiratory muscle preparing. Conclusion: Inspiratory muscle training with resistance training is more effective on functional capacity and quality of life in patients with phase II cardiac rehabilitation. Keywords: Inspiratory Muscle Training, Resistance training, Functional capacity, Cardiac rehabilitation.
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