scholarly journals Depression, Recurrence, and Perceptions of Physical Fitness among CHD Patients: A Comparison based on Participation in Phase II Cardiac Rehabilitation Program

2020 ◽  
Vol 8 (3) ◽  
Author(s):  
Aan Nuraeni ◽  
Atlastieka Praptiwi ◽  
Ikeu Nurhidayah
Keyword(s):  
Chest Pain ◽  
Physical Fitness ◽  
Cardiac Rehabilitation ◽  
Phase Ii ◽  
Comparative Method ◽  
Psychosocial Interventions ◽  
Rehabilitation Program ◽  
Significant Difference ◽  
Depression Level ◽  
Fitness Levels

Coronary heart disease (CHD) patients experience various physical and psychological changes after an acute attack. Depression has been identified as a substantive psychological problem in CHD patients. Cardiac rehabilitation (CR) intends to restore optimal physical and psychological condition of the patients. However, less attention is bestowed towards the psychological aspect of CR. Research on the effects of CR on patient psychological problems has not been discussed in many studies in Indonesia. This study aimed to compare depression, recurrence, and fitness levels among CHD patients based on participation in Phase II CR Program. This research used a quantitative comparative method involving 66 CHD patients recruited by a purposive sampling technique. After applying the selection criteria for this study, the patients were assigned to the CR group (nCR=29) and the non-CR group (nNCR=37).   Data were collected using the Beck Depression Inventory-II (BDI II) and instruments developed by researchers to measure recurrence and fitness levels. Data were analyzed using frequency distribution, chi-squared, and Mann-Whitney tests. Depression experienced by CHD patients in both groups with mean in non-CR and CR groups of 11.11 (± 7.8) and 8.59 (± 6.5), respectively. There was no significant difference in depression level among the groups (p>0.05)). Meanwhile, as many as 45% of the patients in the CR group and 22% in the non-CR group had never experienced chest pain (recurrence) within the past month. In addition, the physical fitness was perceived increased by 90% of the patients in the CR group and 0% in the non-CR group. It was also found that there were significant differences in the recurrence and physical fitness among the two groups (p <0.05). Patients participating in Phase II CR program had a better perception of physical fitness and a lower frequency of chest pain than patients in the non-CR group. Although the depression level in patients in the two groups did not differ significantly, patients in the non-CR group scored higher in depression. Accordingly, assessment and psychosocial interventions need to be improved to optimize CR program services.

Effectiveness of mHealth Interventions on Physical Activity and Physical Fitness in Outpatient and Home-Based Cardiac Rehabilitation Programs: A Systematic Review (Preprint)

2019 ◽  
Author(s):  
Sheeba Nadarajah ◽  
Susan Buchholz ◽  
Kristen Dickins
Keyword(s):  
Physical Activity ◽  
Systematic Review ◽  
Physical Fitness ◽  
Cardiac Rehabilitation ◽  
Text Messaging ◽  
English Language ◽  
Rehabilitation Program ◽  
Cardiac Rehabilitation Program ◽  
Mixed Effect ◽  
Home Based

BACKGROUND Globally, cardiovascular disease is the leading cause of death. Cardiovascular mortality can be decreased by participation in cardiac rehabilitation. Researchers are exploring the use of mHealth technology in cardiac rehabilitation. OBJECTIVE The aim of this systematic review is to examine the effectiveness of randomized controlled trials that use a mHealth intervention as a part of an outpatient and/or home-based cardiac rehabilitation program on improving physical activity and physical fitness outcomes. METHODS For this systematic review, mHealth interventions were limited to text messaging, mobile apps, and use of a mobile phone network for data transmission, used to deliver cardiac rehabilitation program. Using six databases, the search strategy included published English language studies through 2016. Data was extracted independently by two reviewers, and then synthesized. RESULTS The initial search yielded 149 articles, of which 15 articles that represented nine studies met inclusion criteria. Articles were published from 2010 to 2016 and came from two continents. The majority (84%) of participants were male. Generally, the participant mean age was late 50s to early 60s. Text messaging was the most frequently used intervention. The results of the physical activity and physical fitness findings were mixed. Effect sizes for intervention as measured by the 6-minute walk test ranged from 0.46 to 0.58 and peak VO2 ranged from 0.03 to 1.35. CONCLUSIONS Globally, use of mHealth in outpatient and/or home-based cardiac rehabilitation is being studied with greater attention. However, these studies are limited by geography, gender, and age. Therefore, further research in the area of cardiac rehabilitation and mHealth is recommended, especially in developing countries, among women, and older adults.

scholarly journals Hybrid cardiac rehabilitation program as a potential enhancer of adherence to cardiac rehabilitation in smoking patients with coronary heart disease - a retrospective single-centre analysis

2021 ◽  
Vol 28 (Supplement_1) ◽  
Author(s):  
M Cabral ◽  
R Santos ◽  
F Januario ◽  
A Antunes ◽  
R Fonseca-Pinto
Keyword(s):  
Mental Health ◽  
Cardiac Rehabilitation ◽  
Smoking Status ◽  
Rehabilitation Program ◽  
Anxiety And Depression ◽  
Cardiac Rehabilitation Program ◽  
Phase 2 ◽  
Significant Difference ◽  
Group 2 ◽  
Group 1

Abstract Funding Acknowledgements Type of funding sources: None. Cardiac rehabilitation (CR) has well known beneficial effects on physical capacity, health-related quality of life, morbidity and mortality following an acute cardiac event. It is also known that smoking status is a powerful predictor of recurrent cardiovascular disease events. However, it has been noted that smoker patients may be less likely to access or complete CR. The aim of this study was to determine the levels of anxiety and depression and its improvement, depending on the smoking status of patients with coronary artery disease (CAD) on phase 2 of the Cardiac Rehabilitation Program (CRP). Additionally, we intend to investigate the mental health impact on smoker patients" group in conventional CR versus telemonitored CR. A retrospective study was conducted and patients in CRP between 2017 and 2020 were included. Patient selection and information collection were obtained through medical records. The outcomes of anxiety and depression were evaluated through the Hospital Anxiety and Depression Scale (HADS). Patients were divided into two groups: group 1 for non-smokers or ex-smokers and group 2 for smokers. For group 2 patients, a sub-analysis was performed for patients following the conventional CR versus the telemonitored CR, with the use of MOVIDA mobile application. Variables were analysed in the beginning (T0) and in the end (T1) of phase 2, around 3 months after. Group comparisons tests and statistical analysis were performed using SPSS software v25.0. A p-value less than 0.05 is statistically significant.  We analysed 107 patients, which 93 of these were assiduous and 69 concluded the phase 2 of CRP: 39 patients in group 1 and 30 patients in group 2. Two groups have similar baseline characteristics, except for the higher presence of diabetes (p = 0.02) in group 1. It was noted an improvement in both anxiety and depression items for group 1 (p &lt; 0.01 for both), but only for anxiety item for group 2 (p = 0.03). In subgroup analysis, we observed no improvement for smoking patients following the conventional CR for both anxiety and depression items (p = 0.60 and p = 0.71, respectably) versus a significant difference in telemonitored CR patients (p = 0.02 and p = 0.04). We hypothesise that, when compared to conventional CR, cardiac telemonitored exercise using modern communication methods may result in an improved mental health state among smoking patients, which can lead to a better adherence for CRP. Further studies including more patients and phase 3 of CRP are needed to confirm these results.

scholarly journals The measure of effectiveness of a short-term 2-week intensive Cardiac Rehabilitation program in decreasing levels of anxiety and depression

2018 ◽  
Vol 88 (1) ◽  
Author(s):  
Floriana Caccamo ◽  
Simone Saltini ◽  
Enrico Carella ◽  
Roberto Carlon ◽  
Cristina Marogna ◽  
...  
Keyword(s):  
Risk Factors ◽  
Cardiac Rehabilitation ◽  
Trait Anxiety ◽  
Positive Impact ◽  
Rehabilitation Program ◽  
The State ◽  
Anxiety And Depression ◽  
Paired Samples ◽  
Significant Difference ◽  
Anxiety Subscale

Research on heart disease have found a strong and consistent evidence of association between some psychosocial risk factors, including depression, anxiety, self-efficacy, lack of social support and outcome of disease. Depression increases the risk of cardiac death and is highly predictive of reduced adherence to recommended treatments; anxiety appears to be linked to adverse cardiac outcomes. It was demonstrated that Cardiac Rehabilitation (CR) leads to substantial improvements and positive outcomes because combines the prescription of physical activity with the modification of risk factors and aims to reduce symptoms related to the disease and the risk of new cardiovascular events. The main objective of this study is to determine if a short and intense CR program can produce a positive impact on anxious and depressive symptoms revealed in cardiac patients, confirming results of previous researches. The protocol was proposed to all patients referred for an outpatient CR after an acute event who attended the short 2-week intensive rehabilitation program. A total of 157 patients recruited at the operating unit of Cardiology, in the Hospital of Cittadella (Italy), was included in the analysis. The Beck Depression Inventory-II and the State-Trait Anxiety Inventory-Y were administered to the patients. SPSS 17.0 was used for statistical analysis. T-tests for paired samples were used to evaluate differences between the beginning and the end of the CR program. There was a statistically significant difference between the beginning and the end of the CR program. Results for paired samples showed significant differences in all factors of the BDI-II and in the total score. In addition, a statistically significant difference was found even in the state - anxiety subscale. No significant difference was detected for the trait anxiety. According to recent studies, this research shows that the CR program has a significant impact on levels of anxiety and depression, because all activities focus their commitment on changing the patient’s personal beliefs and perception of illness, promoting the exchange of information and sharing of concerns and fears, increasing the patient’s resilience with the aim of enabling him/her to reorganize positively his/her personal, family and professional sphere.

PM088 Workload Behavior in Cycle Ergometer Training at Phase II End and at 3 Subsequent Phase III Sessions in a Cardiac Rehabilitation Program

Global Heart ◽  
2016 ◽  
Vol 11 (2) ◽  
pp. e85
Author(s):  
M.-D. Rius ◽  
J. Sarabia-Orozco ◽  
R. Robert-Cervantes ◽  
M.E.F. Ojeda ◽  
H. Ilarraza-Lomeli ◽  
...  
Keyword(s):  
Cardiac Rehabilitation ◽  
Phase Ii ◽  
Rehabilitation Program ◽  
Cycle Ergometer ◽  
Phase Iii ◽  
Cardiac Rehabilitation Program ◽  
Subsequent Phase

The Effects of Phase II Cardiac Rehabilitation Program in Heart Transplantation Recipients

2010 ◽  
Vol 42 ◽  
pp. 75
Author(s):  
Ssu-Yuan Chen ◽  
Ching Lan ◽  
Shoei-Shen Wang ◽  
Chen-Jung Hsu ◽  
Shu-Fang Hsiao ◽  
...  
Keyword(s):  
Heart Transplantation ◽  
Cardiac Rehabilitation ◽  
Phase Ii ◽  
Rehabilitation Program ◽  
Cardiac Rehabilitation Program

EFFECTIVENESS OF AN ACCELERATED PHASE II CARDIAC REHABILITATION PROGRAM

1998 ◽  
Vol 30 (Supplement) ◽  
pp. 249
Author(s):  
K. D. Hendrickson ◽  
B. A. Franklin ◽  
K. A. Bonzheim ◽  
A. L. Fowler ◽  
A. T. deJong ◽  
...  
Keyword(s):  
Cardiac Rehabilitation ◽  
Phase Ii ◽  
Rehabilitation Program ◽  
Cardiac Rehabilitation Program

High-Intensity Interval Versus Moderate-Intensity Continuous Training in Cardiac Rehabilitation

2020 ◽  
Vol 9 (1) ◽  
pp. 10-16
Author(s):  
Dalynn T. Badenhop ◽  
Meghan M. Long ◽  
C. Matt Laurent ◽  
K. Todd Keylock
Keyword(s):  
Cardiac Rehabilitation ◽  
Functional Capacity ◽  
High Intensity ◽  
Rehabilitation Program ◽  
Moderate Intensity ◽  
Phase 2 ◽  
Continuous Training ◽  
Exercise Tests ◽  
Significant Difference ◽  
High Intensity Interval

ABSTRACT Background: Past research has compared the effects of moderate-intensity continuous training (MCT) versus high-intensity interval training (HIIT) in phase 2 cardiac rehabilitation patients, but with conflicting results. Therefore, the purpose of this study was to evaluate if HIIT leads to greater improvements in functional capacity when compared with MCT in a group of phase 2 cardiac rehabilitation patients. Methods: Eighteen patients in a phase 2 cardiac rehabilitation program completed precardiopulmonary and postcardiopulmonary exercise tests, a 12-min walk test (12MWT), and resting blood pressure (BP). After 2 weeks of run-in, patients were randomly assigned to 10 weeks of HIIT (alternating periods of 80%–90% heart rate [HR] reserve and 60%–70% HR reserve) or MCT (60%–80% HR reserve) exercise group. Changes in VO2 peak, 12MWT distance, and BP (mm Hg) were analyzed by independent t test. Results: The average patient was 65 years old, 1.75 m tall, and overweight. VO2 peak values improved for individuals in both exercise modalities. There was no significant difference between the exercise groups (P = 0.174). In addition, both groups improved their 12MWT distance, resting systolic, and diastolic BP (DBP), with no significant difference in improvements between the 2 exercise groups. Conclusion: In this study, HIIT was not more effective than MCT for improving functional capacity in a group of phase 2 cardiac rehabilitation patients. However, since HIIT was equally effective compared with MCT in several measures, it provides another option for exercise prescription to the traditional prescription for this population.

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