scholarly journals Longitudinal evaluation of the effects of illness perceptions and beliefs about cardiac rehabilitation on quality of life of patients with coronary artery disease and their caregivers

2020 ◽  
Vol 18 (1) ◽  
Author(s):  
Patricia Thomson ◽  
Neil J. Angus ◽  
Federico Andreis ◽  
Gordon F. Rushworth ◽  
Andrea R. Mohan ◽  
...  
2019 ◽  
Vol 35 (3) ◽  
pp. 352-364 ◽  
Author(s):  
Troy Francis ◽  
Nader Kabboul ◽  
Valeria Rac ◽  
Nicholas Mitsakakis ◽  
Petros Pechlivanoglou ◽  
...  

BMJ Open ◽  
2020 ◽  
Vol 10 (6) ◽  
pp. e036089
Author(s):  
Gordon McGregor ◽  
Richard Powell ◽  
Peter Kimani ◽  
Martin Underwood

ObjectivesTo determine the effect of contemporary exercise-based cardiac rehabilitation on generic and disease-specific health related quality of life for people with coronary artery disease.DesignSystematic review and meta-analysis.Study eligibility criteriaRandomised controlled trials testing exercise-based cardiac rehabilitation versus no exercise control that recruited after 31 December 1999. On 30 July 2019, we searched the Cochrane Central Register of Controlled Trials, MEDLINE (Ovid), Embase (Ovid) and CINAHL (EBSCO) databases.Study appraisal and synthesisStudies were screened for inclusion by two independent reviewers. Risk of bias was assessed using the Cochrane risk of bias tool. Data were reported as pooled means (95% CI for between-group difference.ResultsWe identified 24 studies (n=4890). We performed meta-analyses for 15 short-term and 9 medium-term outcomes (36-Item Short Form Survey Instrument (SF-36), EuroQol-5D (EQ-5D) and MacNew, a cardiac-specific outcome). Six short-term and five medium-term SF-36 domains statistically favoured exercise-based cardiac rehabilitation. Only for two short-term SF-36 outcomes, ‘physical function’ (mean difference 12.0, 95% CI 4.4 to 19.6) and ‘role physical’ (mean difference 16.9, 95% CI 2.4 to 31.3), did the benefit appear to be clinically important. Meta-analyses of the short-term SF-36 physical and mental component scores, EQ-5D and MacNew and the medium-term SF-36 physical component score, did not show statistically significant benefits. Only two studies had a low risk of bias (n=463 participants).Conclusions and implications of key findingsThere is some evidence of a short-term benefit of contemporary exercise-based cardiac rehabilitation on quality of life for people with coronary artery disease. However, the contemporary data presented in this review are insufficient to support its routine use.


2020 ◽  
Vol 12 (1) ◽  
pp. 152
Author(s):  
N. Mouine ◽  
G. Amah ◽  
C. Guiti ◽  
S. Gagey ◽  
M. Duval ◽  
...  

2018 ◽  
Vol 2 (1) ◽  
pp. 20
Author(s):  
Nurul Fatimah Saripudin ◽  
Etika Emaliyawati ◽  
Irman Somantri

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


2020 ◽  
Vol 41 (Supplement_2) ◽  
Author(s):  
M Deljanin Ilic ◽  
M Stojanovic ◽  
J Igrutinovic Novakovic ◽  
A Vukovic ◽  
I Igic ◽  
...  

Abstract Background Quality of life is an important factor in the etiology and prognosis of coronary artery disease (CAD) as well as to evaluate effects of different interventions in cardiovascular diseases. Improvement in quality of life (QOL) is an important goal for patients (pts) participating in cardiac rehabilitation (CR). Purpose To examine whether women and men benefit equally from comprehensive CR in terms of QOL and exercise tolerance in pts with CAD. Methods We enrolled 1362 CAD patients (mean age 60.4±9.5 years). All patients participated in a comprehensive three weeks CR program at residential center and in all pts before and after CR exercise test was performed. Psychological dimensions were assessed at baseline and post-CR by validated questionnaire Short-Form 36 Health Status Survey (SF-36). All data were analyzed based on gender. Results Women participate in CR in lower percentage than man: 336 (24.7%) women vs 1026 (75.3%) men. Out of 1362 CAD pts, SF-36 was performed in 119 pts (75.6% men and 23.5% women). Before CR, physical function (PF), fatigue (F) and social functioning (SF) were significantly higher in men than in women (P<0.001; <0.05 and <0.01). After CR, scores of all domains of the SF-36 were significantly improved in all 119 pts (P<0.001). However, compared to the baseline, and based on gender, women had greater improvement than men in PF: 36.6%vs 11.4%, physical limitation (PL): 119.6 vs 52.2%, emotional well-being (EWB): 12.9% vs 7.5%, SF: 23% vs 4.9%, body pain (BP): 16.4%vs 4.9%, F: 14.3%vs 10.9% and health change (HC): 34%vs 17.9%. At the end of stationary CR there was no significant difference in domains of the SF-36 between men and women. At baseline men had significantly higher level and duration of exercise test than women (both P<0.001). After CR, level and duration of exercise test increased significantly in 1026 men ( by 12% and by 16.5%; both P<0,001), and 336 women (by 18% and by 21%; both P<0.001), and it was still higher in men than women after CR (both P<0.001). Conclusions Study demonstrated that women are generally less participate in CR than men. Results indicated that CR improve QOL in CAD pts, especially in women, which was expressed through higher improvement in PF, PL, EWB, SF,BP, F and HC than in men. Those positive changes in QOL were associated with significant improvement in exercise capacity in men as well as in women. CR needs to improve in referral and participation of women. Funding Acknowledgement Type of funding source: None


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