Akut koroner sendrom geçiren hastalarda fonksiyonel kapasite, günlük yaşam aktiviteleri ve yaşam kalitesinin değerlendirilmesi

Abstract

Oflazoğlu, M. Evaluation of Functional Capacity, Quality of Life And Activities of Daily Living in patients with Acute Coronary Syndrome. Health Sciences Institute, Cardiopulmonary Rehabilitation Program, Master of Science Thesis, Ankara, 2018. Physical, psychological and emotional impact of acute coronary syndrome (ACS) can cause a decline in quality of life in the middle and long term. The aim of the study was to assess the impact of ACS on functional capacity, activities of daily living, psychosocial status, and quality of life and to compare the results with a control group. Forty-six patients with acute coronary syndromes and 46 asemptomatic people were included in the study. Functional capacity using 6-minute walking test (6MWT), activities of daily living using Canadian Occupational Performance Measure (COPM) and Glittre Activities of Daily Living test (Glittre ADL), quality of life using Nottingham Health Profile (NHP) and Short Form-36 (SF-36), anxiety and depression levels using Hospital Anxiety and Depression Scale (HADS) were evaluated. In this study, the ACS group was found to have a significantly lower 6MWT distance and COPM scores, a higher Glittre ADL test duration and higher HADS scores than the control group of individuals (p˂0,05). All scores NHP, except for social isolation, and all SF-36 scores were statistically significant in favor of the control group (p˂0,05). There was a positive correlation between COPM scores and 6MWT distance and all scores of SF-36 (p˂0,05). There was a negative correlation between COPM scores and Glittre ADL test duration, HADS all scores, NHP scores (excluding social isolation) (p˂0,05). The results showed that in comparison with control group, functional capacity, activities of daily living performance and quality of life were reduced, anxiety and depression levels were higher in patients with ACS. For this reason, it is very important to evaluate ACS patients in terms of these concepts, to determine their limitations and to participate in appropriate rehabilitation programs. Key Words: acute coronary syndrome, functional capacity, activities of daily living, quality of life, depression