Objective : To evaluate the level of health related-quality of life(HRQOL), life satisfaction, and present status of cognizance of cardiac rehabilitation(CR) services in people with cardiovascular disease in Chungnam province.
Method : This study was designed as a questionnaire survey. Data were collected through a questionnaire answered by 53 patients(65.7짹11.6 years, 33 men) with unstable angina, myocardial infarction, and heart failure. The questionnaire included the Medical Outcome Study 36-item Short-Form Health Survey(MOS SF-36), life domain satisfaction measure(LDSM), the recognition and degree of CR services.
Results : The average scores of physical component summary(PCS) were 47.7짹18.5 and mental component summary(MCS) were 56.5짹19.5. There were significant mean difference in physical role(F=4.2, p=0.02), vitality(F=10.7, p<0.001), mental health(F=15.9, p<0.001), PCS(F=3.6, p=0.034), MCS(F=11.9, p<0.001) among disease categories. The average score of LDSM was 4.7짹1.5. Age and disease duration had a negative correlation with multiple areas of HRQOL(p<0.05). Monthly income, ejection fraction, and LDSM had positive correlation with several items of MOS SF-36 (p<0.05). However, number of modifiable risk factors and medication had no significant correlations. Thirty seven subjects(69.8%) answered that they had not been heard about CR services. Seventeen patients(32.1%) reported that they will participate CR services actively. Most of the people said proper monthly payment is below 100,000won.
Conclusion : In cardiac disease, physical component seems to be affected more than mental health. CR needs to be focus about that area. There is little recognition about CR services. Physiatrists should take an active participation to the cardiovascular community for extension of recognition and role of rehabilitation medicine.