Cardiac rehabilitation outcomes: modifiable risk factors

Chatziefstratiou, Anastasia A.; Giakoumidakis, Konstantinos; Brokalaki, Hero

doi:10.12968/bjon.2013.22.4.200

Cited by 15 publications

(10 citation statements)

References 22 publications

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“…This supported them to overcome a demanding initial uncertainty and made them capable of leading a more satisfactory everyday life with physical activity and better awareness on their personal needs. This is in line with other recent studies that showed that cardiac patients achieve increased knowledge and behaviour changes through educational interventions (Ghisi, Abdallah, Grace, Thomas, & Oh, 2014 ; Sol, Van der Graaf, Van Petersen, & Visseren, 2011 ) and that CR and ECR improve self-care and ability to reduce risk factors by incorporating an active lifestyle (Chatziefstratiou, Giakoumidakis, & Brokalaki, 2013 ; Heran et al, 2011 ). It is also supported by a study showing that CR by informational, psychological, and social support was imperative in enabling patients to recover from acute coronary syndrome (Pryor, Page, Patsamanis, & Jolly, 2014 ).…”

Section: Discussionsupporting

confidence: 89%

Empowered to gain a new foothold in life—A study of the meaning of participating in cardiac rehabilitation to patients afflicted by a minor heart attack

Simonÿ

Dreyer

Pedersen

et al. 2015

International Journal of Qualitative Studies on Health and Well

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This study aimed to investigate what it means to patients afflicted by a minor heart attack to participate in cardiac rehabilitation (CR). CR is well-established internationally to support patients towards moving forward in satisfying, healthy, and well-functioning lives. Studies indicate that patients achieve improvement in quality of life when participating in CR. However, knowledge of how patients are supported during CR is sparse. Moreover, knowledge of what participating in CR means to patients afflicted by a minor heart attack is lacking. In-depth knowledge in this area is crucial in order to understand these patients’ particular gains and needs. In a phenomenological-hermeneutic frame field observations, focus group interviews, and individual interviews were conducted among 11 patients during and after their participation in CR. Field notes and transcribed interviews underwent three-phased interpretation. It was found that patients were supported to gain renewed balance in their lives during CR. Three themes were identified: (1) receiving a helpful but limited caring hand, (2) being supported to find new values in life, and (3) developing responsibility for the remaining time. The patients were carefully guided through a difficult time and supported to continue in healthy everyday lives. They were given hope which enabled them to find themselves a new foothold in life with respect to their own sense of well-being. This guidance and a sense of hopefulness were provided by heart specialists and more seasoned heart patients. In conclusion, patients were empowered to achieve a healthier lifestyle and improve their personal well-being during CR. However, structural barriers in the programme prevented adequate support regarding the patients’ total needs. Knowledge of the benefits of CR emphasizes the significance of the programme and highlights the importance of high inclusion. Efforts should be made to develop more flexible and longer lasting programmes and further involvement of relatives must be considered.

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Section: Discussionsupporting

confidence: 89%

Empowered to gain a new foothold in life—A study of the meaning of participating in cardiac rehabilitation to patients afflicted by a minor heart attack

Simonÿ

Dreyer

Pedersen

et al. 2015

International Journal of Qualitative Studies on Health and Well

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“…Prior studies revealed that cardiac rehabilitation improves patient self-care and helps them to increase their physical activity [ 26 ]. To control for this effect, patients were asked to indicate whether they had participated in any other type of (inpatient or outpatient) cardiac rehabilitation programme.…”

Section: Discussionmentioning

confidence: 99%

Supporting cardiac patient physical activity: a brief health psychological intervention

Platter

Höfer

Hölzl

et al. 2016

Wien Klin Wochenschr

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SummaryBackgroundOne of the most important risk factors for coronary artery disease is physical inactivity. Health psychological research demonstrates the importance of planning for behaviour change success. Consequently, a health action process approach (HAPA) model-based design to support the uptake of physical activity was initiated for the first time in an acute cardiac ward.MethodsFor impact evaluation, a control group (CG) and an intervention group (IG) of coronary artery disease patients were compared in a controlled longitudinal study. Baseline assessment included socio-demographic variables, intentions regarding physical activity, and actual physical activity prior to the coronary artery disease event. Follow-up data were collected 2 and 6 months after discharge.ResultsIn total, 193 patients participated in this controlled longitudinal study (63 ± 9 years; CG: N = 78; IG: N = 115). The IG reported a higher increase in physical activity (p < 0.05), intentions, and coping planning (p < 0.05), and also in action planning and control (p < 0.01) 2 months after discharge. Both CG and IG increased their physical activity 6 months after discharge to the point of no significant difference (p = 0.664).ConclusionsA HAPA model-based health psychological intervention on an acute cardiac ward is able to increase patients’ physical activity over the short term. However, integration of follow-up interventions (preferable in cardiac rehabilitation settings) would be necessary to support sustained physical activity.

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“…[1,2] CR reduces modifiable risk factors, cardiovascular morbidity and mortality. [3][4][5] To optimize the effect of CR it is recommended, that CR is planned as a longterm course, which among other includes patient education and behavioural interventions. the importance of smoking cessation.…”

Section: Introductionmentioning

confidence: 99%

Depression and maintenance of smoking cessation after myocardial infarction with focus on education

Hald

Rasmussen²,

Kirkegaard

et al. 2016

Clinical Nursing Studies

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Objective: The aim of the study was to investigate the association between depression and maintenance of smoking cessation at 1-year follow-up in patients admitted with first-incidence acute myocardial infarction (MI) with a focus on educational level. University Hospital in Denmark with first-incidence MI. The patients were screened for depression 6 weeks after admission and offered cardiac rehabilitation (CR). Patients were included if they stopped smoking at admission or in the next 6 weeks, if they were screened for depression and if they gave information concerning smoking status.Results: A quarter of the patients were screened positive for depression. There was no significant difference in the participation at the smoking cessation part of the rehabilitation for patients screened positive or negative for depression, whether the results were adjusted for gender and educational level (OR = 0.84; p-value = .75) or not (OR = 0.75; p-value = .56). There was a significant association between a positive depression screening and failing to maintain a smoking cessation in men (OR = 7.67; p-value = .03) at 1-year follow-up. When adjusted for educational level a significant association was still seen (OR = 7.48; p-value = .01).Conclusions: There was a significant association between a positive depression screening and failing to maintain a smoking cessation in men at 1-year follow-up. The result was consistent after adjusting for educational level.

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Cardiac rehabilitation outcomes: modifiable risk factors

Cited by 15 publications

References 22 publications

Empowered to gain a new foothold in life—A study of the meaning of participating in cardiac rehabilitation to patients afflicted by a minor heart attack

Empowered to gain a new foothold in life—A study of the meaning of participating in cardiac rehabilitation to patients afflicted by a minor heart attack

Supporting cardiac patient physical activity: a brief health psychological intervention

Depression and maintenance of smoking cessation after myocardial infarction with focus on education

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