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  • 1 Állami Szívkórház Balatonfüred Gyógy tér 2. 8230
  • 2 Pécsi Tudományegyetem, Általános Orvosi Kar Magatartástudományi Intézet Pécs
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A hatperces járásteszt (6MWT) jól használható, nem költséges felmérő eszköz a cardiovascularis betegek aktuális fizikai teljesítőképességének jellemzésére akkor, amikor ergometriás vizsgálat nem kivitelezhető, mint pl. ACBG-műtét utáni 6 héten belül. Mivel a teszt a betegek kooperációját is igényli, így valószínűleg nemcsak testi, hanem lelki tényezők is befolyásolják az eredményt. Prospektív vizsgálatunkban 358 ACBG-műtét utáni II. fázisú intézeti rehabilitációs kezelésre érkező betegnél kerestünk kapcsolatot az érkezéskor és távozáskor végzett 6MWT során megtett távolság és a pszichológiai vizsgálat eredményei között (Kórházi szorongás- és depresszió-kérdőív – HADS-kérdőív szorongás és depressziós értékei, D-típusú személyiségteszt). Eredmények: A D-típusú személyiséggel bíró betegek (8,5%) jelentősen rövidebb távot tettek meg a kiindulási teszt során (255 ± 91 m vs 319 ± 106 m, p < 0,01) és távozás előtt is (361 ± 91 m vs 411 ± 106 m, p < 0,05), mint a nem D-típusú személyiségűek, míg a szívfrekvencia és Borg-skála értékei nem különböztek. A HADS szerint szorongó betegek (16,5%) az érkezési, majd távozási tesztnél is rövidebb távolságot tettek meg, mint a kóros szorongástól mentes betegek (274 ± 97 m vs 320 ± 106 m, p < 0,01, illetve 374 ± 110 m vs 413 ± 104 m, p < 0,05), a vizsgálatot a Borg-skála alapján nehezebbnek értékelték (12,5 ± 1,1 vs 11,9 ± 1,4, p < 0,05, illetve 11,7 ± 0,8 vs 11,3 ± 1,3, p < 0,05). A HADS-skála szerint depressziós betegek (14%) kisebb távolságot tettek meg, mint nem depressziós társaik mind érkezés után (267 ± 88 m vs 320 ± 107 m, p < 0,01), mind távozás előtt (347 ± 99 m vs 416 ± 104 m, p < 0,001) végzett vizsgálat során. Nem találtunk lényeges különbséget a pszichológiai eltéréssel bíró, illetve attól mentes betegek lényeges testi funkcióiban. Következtetés: Pszichológiai tényezők (D-típusú személyiség, szorongás, depresszió) jelentősen befolyásolják a 6MWT eredményeit ACBG-műtét utáni korai rehabilitáció során.

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