ORIGINAL PAPER
Impact of exercise-based cardiac rehabilitation on attitude to the therapy, aims in life and professional work in patients after myocardial infarction
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1
Institute of Cardiology, Warsaw, Poland (Department of Cardiac Rehabilitation and Noninvasive Electrocardiology)
2
Institute of Cardiology, Warsaw, Poland (Department of Arrhythmia)
Online publication date: 2018-12-14
Corresponding author
Iwona Korzeniowska-Kubacka
Institute of Cardiology, Department of Cardiac Rehabilitation
and Noninvasive Electrocardiology, Alpejska 42, 04-628 Warsaw, Poland
Med Pr Work Health Saf. 2019;70(1):1-7
KEYWORDS
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ABSTRACT
Background: Comprehensive cardiac rehabilitation aims to restore pathophysiological and psychosocial consequences of myocardial
infarction (MI). The aim of the study was to assess how exercise-only-based cardiac rehabilitation (ECR) influences the attitude
to the therapy (ATT), to the aims in life and professional work (AAL) amongst men and women after MI. Material and Methods: The study comprised 44 post-MI patients: 28 men and 16 women, mean age 58±10 years old, referred to ECR. Patients underwent 24
interval cycle ergometer trainings 3 times a week. At the beginning and after the training program (TP) each patient underwent exercise
stress test (EST) and was scored to ATT and ALL based on the Psychological Effects of Rehabilitation Score Scale (PERSS) according
to Tylka and Makowska. The analysis covered: 1) EST findings: maximal workload and test duration (min), 2) ATT and AAL
based on PERSS, 3) resuming professional work. Results: Exercise capacity improved significantly after TP. Attitude to the aims
in life and professional work significantly increased in the whole group (4.4±2.8 vs. 5.1±2.4, p < 0.01) and separately in men (4.5±2.9
vs. 5.1±2.5, p < 0.05) and women (4.3±2.6 vs. 5.0±2.0, p < 0.05). Attitude to the therapy did not change significantly in the whole
group (5.6±2.8 vs. 6.0±2.8) and in men (5.9±2.9 vs. 6.0±2.9), but increased significantly in women (5.0±2.5 vs. 6.1±2.7, p < 0.05).
Professional work was resumed, averagely by 86.4% of all patients (85.7% men and 87.5% women). Conclusions: Physical training
beneficially influenced post-MI men’s and women’s attitude to the aims in life, professional work and attitude to the therapy in
women. Med Pr. 2019;70(1):1–7