scholarly journals Home-based cardiac rehabilitation during COVID-19 pandemic: effectiveness of an educational intervention

2021 ◽  
Vol 28 (Supplement_1) ◽  
Author(s):  
BV Silva ◽  
I Aguiar Ricardo ◽  
P Alves Da Silva ◽  
T Rodrigues ◽  
N Cunha ◽  
...  
Keyword(s):  
Coronary Artery Disease ◽  
Coronary Artery ◽  
Online Education ◽  
Cardiac Rehabilitation ◽  
Educational Intervention ◽  
Health Knowledge ◽  
Lifestyle Changes ◽  
Home Based ◽  
Artery Disease ◽  
Cv Disease

Abstract Funding Acknowledgements Type of funding sources: None. Introduction Patient education is considered a core component of cardiac rehabilitation (CR) and nowadays, particularly during the COVID-19 pandemic, online education programs are critical. However, the best strategy for implementing these digital programs to increase patients’ adherence and learning is not fully established. Purpose To assess the uptake and effectiveness of an educational intervention transmitted through video sessions integrated into a home-based CR program (CR-HB). Methods Prospective cohort study including patients (pts) who were participating in a centre-based CR program and accepted to participate in a CR-HB program during COVID-19 pandemic. The CR-HB  program consisted of a multidisciplinary online program with educational videos for pts and family members / caregivers, that aimed to educate on necessary behavioural and lifestyle changes. Weekly, a 15-minute video was uploaded and lectured by the correspondent health professional from the CR team. The educational sessions covered the following topics: COVID-19 and cardiovascular (CV) disease, coronary artery disease, hypertension, dyslipidemia, smoking cessation, diabetes, medical therapy and adherence, healthy diet, exercise and physical activity, sedentary behaviour and sexual dysfunction and CV disease. At the end of the program we applied a 10 questions questionnaire to evaluate the knowledge of pts about the topics of educational sessions. All the pts answered the questionnaire and results were compared between the pts who attended the educational sessions and the ones who didn’t. Results   116 pts with CV disease were included in the CR-HB program (62.6 ± 8.9 years, 95 males). Almost 90% (n = 103) of the participants had coronary artery disease and the mean LVEF was 52 ± 11%. Obesity was the most common risk factor (75%) followed by hypertension (60%), family history of CV disease (42%), dyslipidemia (38%), diabetes (18%), and smoking (13%). The pts participated, on average, in 1.45 ± 2.6 education sessions (rate participation of 13.2%). About half of the pts (49%) attended, at least, one session and these pts attended, on average, 3 sessions (2.96 ± 3.0). The questionnaire results were better in pts who attended at least 1 educational session than in those who did not attend any (7.4 ± 1.9 vs 7,1 ± 1.7), however this difference was not statistically significant. Regarding education status, 33 pts (45.2%) had a bachelor degree and this group of pts had a significant higher result in questionnaire (7.8 ± 1.9 vs 6.7 ± 1.8; p = 0.015) and tended to participate more often in education sessions (2.13 vs 1.6, p = 0.06). Conclusions Our study showed a low rate of participation in sessions, highlighting the importance of developing strategies to increase motivation and adherence to online educational programs. Also, more literate patients had significantly greater health knowledge and adherence to educational sessions, suggesting that this population could benefit more from this type of programs.

scholarly journals Home-based exercise with telemonitoring guidance in patients with coronary artery disease: Does it improve long-term physical fitness?

2019 ◽  
Vol 27 (4) ◽  
pp. 367-377 ◽  
Author(s):  
Andrea Avila ◽  
Jomme Claes ◽  
Roselien Buys ◽  
May Azzawi ◽  
Luc Vanhees ◽  
...  
Keyword(s):  
Physical Activity ◽  
Coronary Artery Disease ◽  
Coronary Artery ◽  
Cardiac Rehabilitation ◽  
Exercise Capacity ◽  
Phase Ii ◽  
Home Based ◽  
Artery Disease ◽  
One Year

Background Home-based interventions might facilitate the lifelong uptake of a physically active lifestyle following completion of a supervised phase II exercise-based cardiac rehabilitation. Yet, data on the long-term effectiveness of home-based exercise training on physical activity and exercise capacity are scarce. Objective The purpose of the TeleRehabilitation in Coronary Heart disease (TRiCH) study was to compare the long-term effects of a short home-based phase III exercise programme with telemonitoring guidance to a prolonged centre-based phase III programme in coronary artery disease patients. The primary outcome was exercise capacity. Secondary outcomes included physical activity behaviour, cardiovascular risk profile and health-related quality of life. Methods Ninety coronary artery disease patients (80 men) were randomly assigned to 3 months of home-based (30), centre-based (30) or a control group (30) on a 1:1:1 basis after completion of their phase II ambulatory cardiac rehabilitation programme. Outcome measures were assessed at discharge of the phase II programme and after one year. Results Eighty patients (72 (91%) men; mean age 62.6 years) completed the one-year follow-up measurements. Exercise capacity and secondary outcomes were preserved in all three groups ( Ptime > 0.05 for all), irrespective of the intervention ( Pinteraction > 0.05 for all). Eighty-five per cent of patients met the international guidelines for physical activity ( Ptime < 0.05). No interaction effect was found for physical activity. Conclusion Overall, exercise capacity remained stable during one year following phase II cardiac rehabilitation. Our home-based exercise intervention was as effective as centre-based and did not result in higher levels of exercise capacity and physical activity compared to the other two interventions. Trial registration ClinicalTrials.gov NCT02047942. https://clinicaltrials.gov/ct2/show/NCT02047942

scholarly journals Hambatan Pasien Penyakit Jantung Koroner (PJK) Untuk Menjalani Rehabilitasi Jantung

2018 ◽  
Vol 2 (1) ◽  
pp. 20
Author(s):  
Nurul Fatimah Saripudin ◽  
Etika Emaliyawati ◽  
Irman Somantri
Keyword(s):  
Quality Of Life ◽  
Coronary Artery Disease ◽  
Coronary Artery ◽  
Cardiac Rehabilitation ◽  
Quantitative Method ◽  
Sampling Technique ◽  
Mean Value ◽  
Home Based ◽  
Artery Disease

AbstrakTingkat kepatuhan dan partisipasi pasien Penyakit Jantung Koroner (PJK) jantung pasca revaskularisasi dalam menjalani rehabilitasi jantung masih sangat rendah yang dipengaruhi oleh berbagai hambatan. Hal ini dapat menyebabkan terjadinya kekambuhan penyakit serta menurunkan kualitas hidup pasien. Penelitian ini bertujuan untuk mengetahui hambatandari pasien PJK dalam menjalani rehabilitasi jantung di Poliklinik Jantung RSUP Dr. Hasan Sadikin Bandung. Metoda penelitian menggunakan deskriptif kuantitatif dengan sampel sebanyak 42 responden yang menggunakan accidental sampling selama 1 bulan. Instrumen penelitian menggunakan kuisioner Cardiac Rehabilitation Barrier Scale dari Grace et.al tahun 2011 yang telah diterjemahkan. Analisa data menggunakan distribusi frekuensi dan rerata skor. Hasil penelitian diperoleh bahwa hambatan berdasarkan aspek logistik menjadi hambatan dengan rata-rata skor (mean) tertinggi yaitu 2,29. Selanjutnya adalah hambatan berdasarkan aspek waktu dengan rerata skor 2,24, kemudian berdasarkan aspek pelayanan kesehatan dengan rerata skor 2,19 dan yang paling rendah memperoleh rerata skor adalah berdasarkan status fungsional pasien yaitu 2,14. Jarak dan ketidaktahuan pasien mengenai rehabilitasi jantung menjadi dua hambatan yang memiliki rerata skor tertinggi yaitu 2,52 dan 2,38. Hambatan berdasarkan aspek logistik yaitu jarak menjadi hambatan yang paling banyak terjadi. Maka dari itu, peneliti menyarankan untuk dapat menerapkan rehabilitasi jantung dengan setting rumah yang disesuaikan dengan karakteristik pasien. Kata Kunci: Hambatan, PJK, Rehabilitasi Jantung AbstractBarrier Of Coronary Artery Disease (Cad)Patient Who Undergoing Cardiac Rehabilitation At Cardiac Clinicrsup Dr. Hasan Sadikin Bandungthe. The level of adherence and participation of patients coronary artery disease (CAD) post revascularization  who undergoing cardiac rehabilitation was still very low which is influenced by various barriers.  This may lead a recurrence of disease  and decrease of the quality of life . This research aims to know about barrier of CAD patient who undergoing cardiac rehabilitation in Cardiac Clinic RSUP Dr. Hasan Sadikin Bandung. This research used a descriptive quantitative method and involved 42 respondent were taken by accidental sampling technique which held in a month.  The research instrument used Cardiac Rehabilitation Barrier Scale from Grace et.al in 2011 that has been translated into Indonesian.  Analysis of  data used  distribution of frequencies and mean score. The results obtained that the barrier  based on logistic aspect with mean 2.29 become highest mean score . Then the barriers based on  aspect of time with mean value score 2.24, then based on the aspect of health care with mean score 2.19 and the lowest mean score is based on the patient's functional status 2.14. Distance and patient's ignorance about cardiac rehabilitation came in two barriersand the  highest mean value was 2.52 and 2.38. The barriers based on the logistic aspect was  distance, the most happened in cardiac rehabilitation. Researchers suggested that for apply the home based cardiac rehabilitation with adjusted of characteristic patient.  Keyword: Barriers, CAD, cardiac rehabilitation

scholarly journals The Response of Hematological Factors to Home-Based Exercise Rehabilitation and Center-Based Cardiac Rehabilitation in Coronary Artery Disease

2020 ◽  
Vol 9 (1) ◽  
pp. 37-48
Author(s):  
Azam Moosavi Sohroforouzani ◽  
Fahimeh Esfarjani ◽  
Masoumeh Sadeghi ◽  
Samaneh Talebie Tadi ◽  
◽  
...  
Keyword(s):  
Coronary Artery Disease ◽  
Coronary Artery ◽  
Cardiac Rehabilitation ◽  
Exercise Rehabilitation ◽  
Home Based ◽  
Artery Disease

Effects of outpatient followed by home-based telemonitored cardiac rehabilitation in patients with coronary artery disease

2015 ◽  
pp. 1101-1107 ◽  
Author(s):  
Dominika Szalewska ◽  
Piotr Zieliński ◽  
Jarosław Tomaszewski ◽  
Małgorzata Kusiak-Kaczmarek ◽  
Lidia Łepska ◽  
...  
Keyword(s):  
Coronary Artery Disease ◽  
Coronary Artery ◽  
Cardiac Rehabilitation ◽  
Home Based ◽  
Artery Disease

Evaluation of a newly designed shirt-based ECG and breathing sensor for home-based training as part of cardiac rehabilitation for coronary artery disease

2013 ◽  
Vol 21 (11) ◽  
pp. 1332-1340 ◽  
Author(s):  
Erik Skobel ◽  
Alvaro Martinez-Romero ◽  
Britta Scheibe ◽  
Patrick Schauerte ◽  
Nikolaus Marx ◽  
...  
Keyword(s):  
Coronary Artery Disease ◽  
Coronary Artery ◽  
Cardiac Rehabilitation ◽  
Home Based ◽  
Artery Disease

scholarly journals The influence of cardiac rehabilitation on heart rate variability indices in men with type 2 diabetes and coronary artery disease

2021 ◽  
Vol 18 (3) ◽  
pp. 147916412110201
Author(s):  
Katarzyna Szmigielska ◽  
Anna Jegier
Keyword(s):  
Type 2 Diabetes ◽  
Coronary Artery Disease ◽  
Heart Rate ◽  
Heart Rate Variability ◽  
Coronary Artery ◽  
Cardiac Rehabilitation ◽  
Interval Training ◽  
Patients With Diabetes ◽  
Artery Disease

The study evaluated the influence of cardiac rehabilitation (CR) on heart rate variability (HRV) in men with coronary artery disease (CAD) with and without diabetes. Method: The study population included 141 male CAD patients prospectively and consecutively admitted to an outpatient comprehensive CR program. Twenty-seven patients with type-2 diabetes were compared with 114 males without diabetes. The participants performed a 45-min cycle ergometer interval training alternating 4-min workload and a 2-min active restitution three times a week for 8 weeks. The training intensity was adjusted so that the patient’s heart rate achieved the training heart rate calculated according to the Karvonen formula. At the baseline and after 8 weeks, all the patients underwent the HRV assessment. Results: HRV indices in the patients with diabetes were significantly lower as compared to the patients without diabetes in SDNN, TP, LF parameters, both at the baseline and after 8 weeks of CR. After 8 weeks of CR, a significant improvement of TP, SDNN, pNN50% and HF occurred in the patients without diabetes, whereas in the patients with diabetes only HF component improved significantly. Conclusions: As regards HRV indices, CR seems to be less effective in patients with CAD and type-2 diabetes.

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