Differences in sustainability of exercise and health-related quality of life outcomes following home or hospital-based cardiac rehabilitation

Smith, Kelly M.; Arthur, Heather M.; McKelvie, Robert S.; Kodis, Jennifer

doi:10.1097/01.hjr.0000136414.40017.10

Cited by 88 publications

(149 citation statements)

References 17 publications

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“…These include early discharge, less complications for inpatients, cost-effective management, and better achievement in post discharge drug compliance and better quality of life [12][13][14] . Being autonomous and independent, CV patients usually achieve higher self-confidence, which, in turn, could encourage healthier life style and better productive life [15][16][17] .…”

Section: Introductionmentioning

confidence: 99%

Tool validation: Health professionals’ perception of the role for a cardiac rehabilitation program

Salahat

Faris

2014

JNEP

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Background: Complications from cardiovascular diseases represent a major concern to health professionals worldwide.Cardiac rehabilitation programs have proven to decrease disease progression, improve outcomes, and promote a healthy lifestyle. Similar evidence, however, has not been established in many countries, including Jordan. Exploring the health professionals' understanding of the impact that a cardiac rehabilitation program (CRP) can make is necessary to increase stakeholder acceptance. One approach is to use a valid tool is that is focused on establishing a common understanding.Purpose: This study purpose was to validate a new composite tool that measured the health care professionals' perceived role of cardiac rehabilitation programs, and factors influencing their establishment.Methods: A purposive sample of 110 health professionals working in clinical settings within Amman, Jordan completed a questionnaire, which was statistically examined for reliability and validity. Discussion:The resulting five themes (factors) from the internal consistency, principal component analysis and construct validity indicated that the questionnaire is valid and reliable. The emerging factors were: purpose of CRP; factors influencing establishing a CRP; definition of CRP; influence of CRP on health professionals' scope of practice; and how does absence of CRP affect health professionals' practice and patient outcome. Conclusion:Although the questionnaire is valid and reliable, it needs further study to ensure stability on retesting. There is a need to establish rehabilitation programs that on one hand expand the concept of health care and on the other expand the scope of practice and utilize the resources available within the community.

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Section: Introductionmentioning

confidence: 99%

Tool validation: Health professionals’ perception of the role for a cardiac rehabilitation program

Salahat

Faris

2014

JNEP

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“…Smith et al 45 Two cardiac rehabilitation programs were conducted for 6 months: one group at home and the other in the hospital. After the program, individuals were instructed to continue aerobic exercises for at least 5 times/week (40-75 min).…”

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Associação entre atividade física e qualidade de vida em adultos

et al. 2012

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“…Many published studies have revealed improvements in the health-related QOL of patients with CHD after CR programs, either the residential model or ambulatory CR (ACR). [12][13][14][15][16][17][18][19][20][21][22][23] The aim of this study was to evaluate the impact of different models of CR, residential vs ambulatory, on healthrelated QOL according to the exercise capacity of patients with CHD. …”

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confidence: 99%

Health-Related Quality of Life in Patients With Coronary Heart Disease After Residential vs Ambulatory Cardiac Rehabilitation

Jegier¹,

Szmigielska²,

Bilińska³

et al. 2009

Circ J

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he number of people who survive myocardial infarction or undergo percutaneous coronary intervention (PCI) or coronary artery bypass graft surgery (CABG) is growing. These people require adequate treatment and care not only pharmacologically but also nonpharmacologically: physiotherapeutic, psychological and educational. Comprehensive cardiac rehabilitation (CR) is designed to support patients with coronary heart disease (CHD) in their physical, psychological and emotional recovery after acute coronary events and to help them change lifestyle and risk factors, as well as to make their lives longer and improve their quality.Most published studies analyzing the effects of CR have revealed a reduction in total mortality by an average of 30% and cardiovascular mortality by an average of 40% [1][2][3][4][5][6][7][8][9][10] and also reduction in cardiovascular events risk. 1,4,11 Recently, not only mortality and morbidity but also healthrelated quality of life (QOL) has become a key goal for patients with CHD. Many published studies have revealed improvements in the health-related QOL of patients with CHD after CR programs, either the residential model or ambulatory CR (ACR). [12][13][14][15][16][17][18][19][20][21][22][23] The aim of this study was to evaluate the impact of different models of CR, residential vs ambulatory, on healthrelated QOL according to the exercise capacity of patients with CHD. MethodsThis study was designed as a nonrandomized prospective multicenter study in Poland: the National Program of Prevention and Therapy of Cardiovascular Diseases (POLKARD). We studied 562 patients with CHD from 9 centers of CR in Poland. Consecutive patients were referred to 3 ACR and 6 residential CR (RCR) centers no longer than 2 weeks after myocardial infarction or PCI, and no longer than 6 weeks after CABG.The reason for the choice of ACR or RCR center was not the patient's clinical state or risk profile for cardiovascular events, but which type of CR was available where the patient lived. Therefore, randomization in our study was impossible.The first group consisted of 313 patients aged 56.1±8.8 (Received April 24, 2008; revised manuscript received October 8, 2008; accepted October 26, 2008; released online January 29, 2009) Background: The aim of this study was to evaluate the influence of residential (RCR) vs ambulatory (ACR) cardiac rehabilitation (CR) on health-related quality of life (QOL) connected with changes in exercise capacity of patients with coronary heart disease (CHD). Methods and Results:The 562 patients with CHD were studied: 313 participants in RCR and 249 participants in ACR. The examination was performed at the beginning of CR and after 8 weeks. QOL was assessed using the EuroQuol 5D (EQ-5D) and SF36 questionnaires. Exercise testing was performed with evaluation of workload during the last stage of the test and rate of perceived exertion intensity. In the first examination, patients from both groups did not differ significantly. After 8 weeks, a similar improvement in QOL was observed in bo...

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Differences in sustainability of exercise and health-related quality of life outcomes following home or hospital-based cardiac rehabilitation

Abstract: This follow-up study suggests that low-risk patients whose CR is initiated in the home environment may be more likely to sustain positive physical and psychosocial changes over time than patients whose program is initially institution-based.

Cited by 88 publications

References 17 publications

Tool validation: Health professionals’ perception of the role for a cardiac rehabilitation program

Tool validation: Health professionals’ perception of the role for a cardiac rehabilitation program

Associação entre atividade física e qualidade de vida em adultos

Health-Related Quality of Life in Patients With Coronary Heart Disease After Residential vs Ambulatory Cardiac Rehabilitation

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