Analyses of Studies on Cardiac Rehabilitation for Patients with Cardiovascular Disease in Korea

Abstract

Purpose:This study was to analyze research reports published in Korea on cardiac rehabilitation for patients with cardiovascular disease. Methods: Based on inclusion criteria, 19 research reports were included in this review. Published year of selected articles was between 1996 and 2008. Nineteen studies were analyzed by guidelines of the cardiac rehabilitation programs done by the American Heart Association (AHA) and Scottish Intercollegiate Guidelines Network (SIGN). Results: The characteristics of patients were mostly of ischemic heart disease, 50-59 yr old, and male. Educational sessions were administered twice, and each lesson lasted less than 30 min. Exercise was done 3 times per week for 6 weeks. Most educational content were about risk factors, but there was no information, such as coping with feelings. Most exercise was performed as ROM, treadmill, and cycle ergometer. A large percentage of outcome indicators were health behavior, hemodynamic changes, and exercise capacity. There was more 'no effect' than 'positive effect' in trait anxiety and depression, whereas similar in physiologic domain. Conclusion: Various types of cardiac rehabilitation in Korea were performed by researchers. Therefore, we need to develop the standard protocol, to add psychosocial intervention, and to study cost effectiveness of cardiac rehabilitation. (Table 1). 각각 1편(7.7%)과 2편(15.4%)이었고, 무언급은 1편(7.7%)으로, 연구 방법

Learning needs of patients with heart failure a descriptive, exploratory study

“…Korean health providers also tended not to make an effort to find out patients’ needs because of these paternalistic influences framed Korean medicine, and Korean education programmes for patients with CABG were developed based not on patients’ learning needs but healthcare providers’ learning needs (Lee & Choe 2007). The content of Korean HF management and education programmes mainly consists of categories and information presented by the American Heart Association, which does not address cultural influences, thus Korean‐specific guidelines for cardiac rehabilitation is needed (Song 2009).…”

“…This indicates that cardiac education programmes are based on the healthcare providers’ perceptions of what the patients need to know about their health. Moreover, HF management and education programmes in Korea were not developed using a needs‐based approach, but instead are based on a modification of Western HF management and education programmes (Song 2009) without consideration of cultural differences and characteristics. Accordingly, the goals of this study were to describe the learning needs of patients with HF in Korea to inform the development of educational programmes based on these learning needs.…”

Effect of Cardiac Rehabilitation on Quality of Life, Depression and Anxiety in Asian Patients

“…There is also a lack of consistent and robust Asian literature to support the use of cardiac rehabilitation. Cardiac rehabilitation did not show convincing results in Asian samples in Korea [ 20 ], while other Asian studies only investigated physical [ 21 ] and physiological outcomes [ 22 , 23 ], such studies were done in Singapore [ 21 ], China [ 22 ], and Korea [ 23 ]. In a recent Asian study that was done in Malaysia [ 24 ], cardiac rehabilitation was shown to increase physical quality of life, but mental quality of life decreased.…”

Inpatient cardiac rehabilitation programs’ exercise therapy for patients undergoing cardiac surgery: National Korean Questionnaire Survey

“…Several studies abroad ( Filbay et al, 2012 ; Overend et al, 2010 ; Westerdahl and Möller, 2010 ; Westerdahl and Olsén, 2011 ) published surveys of the current practice of ICR in each nation presenting baseline data with which ICR systems between countries can be compared. According to domestic research ( Song, 2009 ) that evaluated outpatient cardiac rehabilitation programs, cardiac rehabilitation practiced in Korea varies in methods, durations, and teams. Intervention contents are also reportedly practiced in many forms depending on subjects.…”