scholarly journals Exercise and Physical Activity Counseling Needs among Cardiac Rehabilitation Patients

2021 ◽  
Vol 10 (1) ◽  
pp. 61-67
Author(s):  
Yusshy Kurnia Herliani ◽  
Urip Rahayu ◽  
Hasniatisari Harun

Cardiac rehabilitation (CR) has  decreased in recurrent cardiac events. However, information related the needs of cardiac rehabilitation patients such as exercise and physical activities counseling are very limited. This study aims to identify the needs of cardiac rehabilitation patients such as exercise, physical activity counselling, and the relationship between them. It also applied a quantitative approach combined with a descriptive correlational method. 38 cardiac rehabilitation patients were recruited as samples and were selected using the convenience sampling technique. Data collection was performed using questionnaires filled out by the respondents (with a retrospective technique) at the end of the CR program, and the results were evaluated through descriptive correlational statistics. The results revealed that patients with CR required exercise (92.1%) and nurses' counseling for physical activities (86.9%).  It also indicates that there is a statistically positive relationship between exercise and physical activities counseling among CR patients (r = 0.485, p < 0.01). Consequently, most CR patients desire nurses to take part in their exercise and physical activities. The needs of CR patients  on exercise and physical activity counseling were correlated positively. Therefore, information regarding exercise and physical activity for CR patients should be provided simultaneously to complement each other.

2020 ◽  
Author(s):  
Shannon Wongvibulsin ◽  
Evagelia E Habeos ◽  
Pauline P Huynh ◽  
Helen Xun ◽  
Rongzi Shan ◽  
...  

BACKGROUND Cardiovascular disease (CVD) is the leading cause of death worldwide. Despite strong evidence supporting the benefits of cardiac rehabilitation (CR), over 80% of eligible patients do not participate. Digital health technologies (i.e. the delivery of care through the use of the internet, wearable devices, and mobile applications) have the potential to address the challenges associated with traditional facility-based CR programs but little is known about the comprehensiveness of these interventions to serve as digital approaches to CR. Overall, a systematic evaluation of the current literature on digital interventions for CR is lacking. OBJECTIVE The objective of this systematic literature review is to provide an in-depth analysis of the potential for digital health technologies to address the challenges associated with traditional CR. Through this review, we 1) summarize the current literature on digital interventions for CR, 2) identify the key components of CR that have been successfully addressed through digital interventions, and 3) describe gaps in research that need to be addressed for sustainable and scalable digital CR interventions. METHODS Our search strategy for identifying primary literature pertaining to CR with digital solutions (defined as technology employed to deliver remote care beyond the use of telephone) consisted of querying MEDLINE, Embase, CINAHL, and Cochrane databases for original studies published from January 1990 to October 2018 and consulting with an expert in the field of digital CR. RESULTS Our search returned 31 eligible studies, of which 22 were randomized controlled trials. The CR interventions reviewed primarily targeted physical activity counseling (100%; n=31), baseline assessment (97%; n=30) and exercise training (87%; n=27). The most common modalities used were smartphone/mobile devices (65%; n=20), online portals (58%; n=18), and email-SMS (35%; n=11). Approximately one third of studies addressed the CR core components of nutrition counseling, psychological management, and weight management. In contrast, less than a third of the studies addressed other CR core components including management of lipids, diabetes, smoking cessation, and blood pressure. CONCLUSIONS Digital technologies have the potential to increase access and participation in CR by mitigating the challenges associated with traditional, facility-based CR. However, interventions that have previously been evaluated are primarily focused on physical activity counseling and exercise training without the other core components of CR. Thus, further research is required with more comprehensive CR interventions and long-term follow-up in order to understand the clinical impact of digital interventions. CLINICALTRIAL


Author(s):  
Janusz Kocjan ◽  
Andrzej Knapik

AbstractBackground: Comprehensive cardiac rehabilitation (CR) is a process designed to restore full physical, psychological and social activity and to reduce cardiovascular risk factors. Fear of movement may contribute to the occurrence and intensification of hypokinesia, and consequently affect the effectiveness of therapy. The aim of the study was to determine the level of barriers of physical activity in patients undergoing cardiac rehabilitation. The relationship between selected determinants (age and health selfassessment) and the kinesiophobia level were also examined.Material/Methods: 115 people aged 40-84 years were examined: 50 females (x = 63.46; SD = 11.19) and 65 males (x = 64.65; SD = 10.59) - patients undergoing cardiac rehabilitation at the Upper-Silesian Medical Centre in Katowice. In the present study, the Polish version of questionnaires: Kinesiophobia Causes Scale (KCS) and Short Form Health Survey (SF-36) were used. Questionnaires were supplemented by authors’ short survey.Results: The patients presented an elevated level of kinesiophobia, both in general as well as in individual components. In women, the kinesiophobia level was higher than in men. The psychological domain was a greater barrier of physical activity than the biological one. Strong, negative correlations of psychological and biological domains of kinesiophobia to physical functioning (SF-36) were noted in women. In the case of men, correlations were weaker, but also statistically significant.Conclusions: 1. Sex differentiates patients in their kinesiophobia level 2. Poor self-assessment of health is associated with a greater intensification of kinesiophobia 3. A high level of kinesiophobia may negatively affect cardiac rehabilitation process


2008 ◽  
Vol 5 (3) ◽  
pp. 398-417 ◽  
Author(s):  
Jeff David Breckon ◽  
Lynne Halley Johnston ◽  
Andrew Hutchison

Background:Physical activity (PA) counseling is becoming commonplace in primary care settings, although there is a high degree of variation in the quality and quantity of this intervention. The purpose of this review was to examine the theory on which the intervention is based and the level of treatment fidelity applied at all stages of the intervention.Methods:A systematic review was carried out for interventions that reported an element of PA counseling. Results were mapped according to a treatment fidelity framework of intervention design, training, delivery, receipt, and enactment.Results:Most studies were underpinned by the transtheoretical model. Few studies described the frequency or duration of PA counseling training or competence level of the interventionist. The most common outcome measures were behavioral and physiological, with few studies including a cognitive outcome measure.Conclusions:Most research focuses on outcome and significance rather than intervention processes, with limited consideration of treatment fidelity. The design, training, delivery, and receipt of PA counseling should be reported more thoroughly.


2019 ◽  
Vol 1 (3) ◽  
pp. 314-323
Author(s):  
Leni DarmaWanti ◽  
Margaretta Erna Setianingrum

This study aims to determine the relationship between self-efficacy with anxiety facing matches in athletes at the Apac Inti soccer school. Anxiety will arise when faced with something new such as facing a match. Athletes who master physical, technical, and good tactics, but if an athlete's mind is disturbed by excessive negative things, it can interfere with concentration and not optimal in the competition, causing athletes to feel anxious. The population in this study were 40 male students of Apac Inti aged 15-18 years. This research uses a quantitative correlational method with saturated sampling technique. Based on the research results obtained correlation coefficient (r) = -0.547; p <0.05 and it can be concluded that there is a significant negative relationship between self-efficacy with anxiety facing the match in athletes at Apac Inti soccer school.


Sign in / Sign up

Export Citation Format

Share Document