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심혈관질환자에서 심폐운동능력검사의 호흡곤란 종료 사유에 대한 예후적 유용성
김세윤(Se Youn Kim),윤정호(Jung Ho Yoon),홍수인(Su In Hong),고은희(Eun Hee Ko) 대한심장호흡물리치료학회 2021 대한심장호흡물리치료학회지 Vol.9 No.1
Purpose : Exercise capacity has clinical significance in patients with cardiovascular disease (CVD). Cardiopulmonary exercise testing (CPET) can determine maximum oxygen consumption, end-tidal carbon dioxide partial pressure, and minute ventilation/carbon dioxide production slope. In addition, CPET can confirm the cause of dyspnea. Therefore, in this study, we investigated the prognostic significance of the reasons for CPET termination due to dyspnea in patients with CVD. Methods: We conducted a retrospective study by analyzing the results of 243 patients (161 men and 82 women) diagnosed with CVD. We performed one-way analysis of variance to determine the mean difference between groups. For categorical data, chi-square test was performed to examine the differences between the groups. In addition, Kaplan- Meier analysis was used to investigate factors influencing the length of readmission. We considered the results to be significant at p < .05, and SPSSWIN 25.0 program was used for statistical analysis of data. Results : Differences existed between patient characteristics and reasons for CPET termination. However, significant differences were not found in all variables, including age, body mass index, skeletal muscle mass, and body fat percentage (p < 0.5). The reason for termination according to patients’ exercise level was significantly different (p < 0.5). The trend of readmission due to CP ET termination was not s tatistically s ignificant (=.014, df = 1 , p > .05). Conclusion : Dyspnea did not show a significant difference in patient characteristics, but reasons for CPET termination and level of exercise capacity were significant. We did not determine whether a high correlation with dyspnea exists, and the difference between reasons for CPET termination and trend of readmission was not significant.
심부전 환자의 신체적 수행 능력에 따른 도구적 일상생활 수준과 인지 수준의 연관성
김세윤(Se-Youn Kim),정영준(Young-June Jeong),박민영(Min-Young Park),윤정호(Jung-Ho Youn) 대한심장호흡물리치료학회 2022 대한심장호흡물리치료학회지 Vol.10 No.1
Purpose: This study aimed to investigate the level of physical functional ability in patients with heart failure and to suggest the correlation between cognitive level and instrumental daily activity level with physical function ability. Methods: The study included individuals who were diagnosed with heart failure and those who were not diagnosed with stroke. Among 66 patients who were tested for weakness at S Hospital located in Gyeonggi-do from June 2021 to April 2022, data from 56 patients were selected and analyzed. Results: In the correlation between MMSE-K and SPPB, balance (r = .381, p < .01), gait speed (r = .368, p < .01), chair stand (r = .245, p >.05), and total score (r = .387, p < .01) showed a positive correlation except for the chair stand. In the correlation between K-IADL and SPPB, balance (r = −.532, p < .01), gait speed (r = −.644, p < .01), chair stand (r = −.391, p < .01), and total score (r = −.600, p < .01) showed a negative correlation. The higher the simple physical function, the higher the cognitive level and the lower the level of need for help in the level of instrumental daily activities. Conclusion: A correlation was found between the level of physical function and the level of cognitive and instrumental daily activities in patients with heart failure; thus, its evaluation is essential.