Issue: 2024, Vol. 29, No. 3
THE RELATIONSHIP PSYCHOLOGICAL PARAMETERS OF A PATIENTS WITH A CARDIOLOGICAL PROFILE AND THE RESULTS OF THE SIX-MINUTE WALK TEST
- Keywords
- сardiac rehabilitation, six-minute walk test, exercise tolerance, personality profile
- Abstarct
- The 6-minute walk test can be used to assess functional performance, the effectiveness of therapy, and as a predictor of mortality in patients with chronic heart failure and significantly correlates with the cardiopulmonary exercise testing results and the functional class of chronic heart failure according to the New York Heart Association (NYHA) classification. However, physiological and psychological characteristics of the patient may affect its results. The aim of the study was to study the relationship between the results of the 6-minute walk test and the level of limitation of daily activity, indicators of cognitive function, and personality profile. Material and methods. Тhe study involved 37 patients with myocardial infarction undergoing medical rehabilitation. The patients were assessed for their current psychological state using the abbreviated multifactorial personality questionnaire (SMOL); Screening of cognitive impairment using the Montreal Cognitive Assessment (MoCA), the physical activity limitation scale of the SAQ (Seattle Angina Questionnaire) was used to assess the level of limitation of daily activities. Before the start of the rehabilitation program, all patients underwent a six-minute walk test (SMT) using the Accordix telemedicine system (Neurosoft LLC, Ivanovo). Results and discussion. During the SMT, patients walked a distance, the median of which was 368 [328; 476] m. The examined patients had difficulty jogging, engaging in active sports, climbing hills or stairs without stopping, which led to a decrease in the quality of life. When assessing the cognitive function, half of the examined patients (20 people – 54,1 %) had mild impairments, and every fourth patient had moderate impairments (10 people – 27 %). Most patients were characterized by excessive activity, increased distractibility and overestimation of their capabilities. They were more often prone to anxiety, timidity, shyness, were unable to make an independent decision. Conclusion. Thus, when assessing tolerance to physical activity during cardiac rehabilitation, it is necessary to take into account the patient’s personality profile, cognitive impairment, comorbid status, which can significantly affect the results of its passage.
Vestnik_3_2024-35-43