Author/Editor		Keber, Irena; Gužič, Barbara; Škof, Erik; Špan, Matjaž
Title		Učinki nadzorovane rehabilitacije v koronarnem klubu na izvajanje sekundarne preventive po srčnem infarktu
Translated title		The effects of supervised rehabilitation in coronary club in secondary preventive measures after myocardial infarction
Type		članek
Source		Zdrav Vestn
Vol. and No.		Letnik 66, št. 6
Publication year		1997
Volume		str. 289-92
Language		slo
Abstract		Background. The principles of secondary prevention after myocardial infarction are well known, but there is lack of data about their use in medical practice. We investigated how long-lasting supervised rehabilitation in coronary club enhance the application and improve the efficacy of secondary preventive measures after myocardial infarction. Methods. 180 patients, 143 men and 37 women, aged 33 to 88 years (mean = 62 years) out of 350 patients who had participated in the out-patient rehabilitation program during convalescence after myocardial infarction at Trnovo Hospital of Internal Medicine in the period from 1.1.1989 to 31.12.1995 agreed to participate in the study. Eighty-eight patients continued the IIIrd phase of rehabilitation in coronary clubs (members) while 92 patients did not (nonmembers). The data were gathered by questionnaire, clinical examination and blood analyses. Results. There were significantly less smokers and more patients with protective diet and regular physical activity among the members than among the non-members, while no differences were found in other risk factors and in the preventive treatment with antithrombotic drugs and beta-blockers. (Abstract truncated at 2000 characters).
Summary		Izhodišča. S sekundarno preventivo lahko pomembno zmanjšamo umrljivost bolnikov po prebolelem srčnem infarktu. Dokrinarna stališča o tem so znana, le malo pa je podatkov, kako se izvajajo v praksi. V naši raziskavi smo proučevali, ali trajna vzdrževalna rehabilitacija v koronarnem klubu izboljša izvajanje sekundarne preventive po srčnem infarktu. Metode. od 350 bolnikov, ki so bili v obdobju od 1.1.1989 do 31.12.1995 v času rekonvalescence po akutnem koronarnem dogodku vključeni v ambulantno rehabilitacijo na Interni kliniki Trnovo, se je vabilu k sodelovanju odzvalo 180 preiskovancev, starih od 33 do 88 (povprečno 62) let (143 moških, 37 žensk). Med njimi je 88 bolnikov nadaljevalo nadzirano trajno rehabilitacijo v koronarnem klubu, 92 bolnikov pa ne. Podatke smo zbrali z anketo, kliničnim pregledom in krvnimi analizami. Rezultati. Med člani koronarnega kluba je bilo pomembno manj kadilcev, več jih je imelo varovalno prehrano in jih je bilo redno telesno dejavnih kot med nečlani. Ni pa bilo razlik v drugih koronarnih dejanikih tveganja in zdravljenja z antitrombotičnimi zdravili in beta-adrenergičnimi zaviralci. Kajenje je opustilo 91% kadilcev, med člani kluba je še vedno kadil le en bolnik, med nečlani pa je bilo 9 kadilcev (p<0,05). Redno telesno dejavnih je bilo med člani kluba 65%, med nečlani 34% (p<0,05). Varovalno prehrano je imelo 78% članov in 61% nečlanov (p<0,05). (Izvleček prekinjen pri 2000 znakih.)
Descriptors		MYOCARDIAL INFARCTION RISK FACTORS RETROSPECTIVE STUDIES ADULT MIDDLE AGE AGED