افرادي كه به علت سكته قلبي بستري شده اند ممكن است افسرده و مضطرب شوند ، چون فكر مي كنند كه ديگر قادر به هيچ فعاليت مثبت اجتماعي نيستند و با احتياط بايد منتظر سپري شدن سال هاي پاياني عمر خود باشند . اين افراد درباره توانا يي انجام فعاليت هاي جسمي ، اجتماعي ، حرفه اي و جنسي خود نگران هستند . در حالي كه اين يك تصور نادرست است . به جز موارد سكته قلبي بسيار شديد و عضله قلب خيلي ضعيف كه فعاليت ها بايد محدود شود، اكثر افرادي كه دچار سكته قلبي شده اند اگر به موقع و صحيح مراقبت شوند، مي توانند مانند قبل فعاليت هاي خود را انجام دهند.
ميزان فعاليت هر فرد بر اساس وضعيت قلب او تعيين مي شود. سكته قلبي همانند بسياري از بيماري هاي ديگر، امري است گذرا و بيمار بعد از بهبودي برحسب شدت بيماري مي تواند براى يك زندگي فعال و تقريباً طبيعي برنامه ريزي كند . بنابراين براى بيماران دچار سكته قلبي بهبود يافته ، محدوديت تحرك و استراحت بيش از اندازه توصيه نمي شود. اين بيماران بايد براساس برنامه اي مشخص و بر حسب شرايط خود به تدريج به زندگي طبيعي بازگردند تا حدي كه تمام توانايي ها و فعاليت هاي قبل از سكته خود را باز يابند . بخشي از اين برنامه بازتواني از همان روزهاي اول بعد از سكته در بيمارستان آغاز مي شود و بخش بيشتر آن بعد از مرخص شدن ادامه مي يابد.
ارايه برنامه باز تواني به عهده پزشك متخصص قلب است. معمولاً بيمار به علت اين كه تحمل فعاليت و ورزش را ندارد و از بروز مجدد درد قلبي وحشت دارد ، در بستر مي ماند و حركت نمي كند.
هدف از بازتوانی بیماران سکته قلبی
هدف از بازتواني بيماران قلبي ، بهبود ظرفيت عملكرد وكاهش علايم و نشانه هاي بيماري، تطبيق با شرايط زندگي جديد و برگرداندن فرد به جامعه است .
برنامه بازتواني براساس نياز بيمار تهيه مي شو د. مراحل اوليه بازتواني بايد در بيمارستان انجام شود . در بيمارستان مي توان مهارت هاي حركتي مناسب با شرايط جديد را تمرين كرد. بيماري كه سكته قلبي كرده است يا جراحي قلب داشته است ، نياز به برنامه فعاليتي دارد كه به تدريج افزايش يابد و محدوديت هاي حركتي او را كاهش و تحمل فعاليت او را افزايش دهد . در اين برنامه بيماران ياد مي گيرند كه علايم ناخواسته اي كه ممكن است طي فعاليت و تحرك رخ دهد را بشناسند.
برای آشنایی با فواید برنامه توانبخشی برای بیماران سکته قلبی کلیک کنید.
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