scholarly journals Current status and future directions of cardiac rehabilitation program: a review of the literature

2019 ◽  
Vol 2 (2) ◽  
pp. 59-68
Author(s):  
Sutantri Sutantri

One of the effective treatments for patients recovering from acute cardiac illness or surgery is cardiac rehabilitation (CR). CR has proven to be effective to reduce mortality, morbidity, and also to improve the quality of life. The purpose of this review is to present the current status of CR program worldwide as well as to identify a potential approach for further investigation. Literature searching of electronic databases was conducted in several databases including CINAHL, MEDLINE, PsycINFO, and EMBASE, and Google Scholar. CR aims to restore patients with CVD to a state of good health. Each country has different approach in the provision and organization of CR as well as the allocation of resources, which depends on their health policies and politics. The indications for CR also differ between countries, but traditionally CR has been used following acute myocardial infarction (MI). CR programs have been divided into three phases of progression. Hospital-based or supervised site-based programs have been known as the most common model of CR in most countries. The core components of CR include patient assessment, nutritional counselling, exercise training, physical activity counselling, weight management, tobacco cessation, aggressive coronary risk-factor management, and psychosocial management. Despite the apparent benefits of CR in patients with CVD, these programs remain largely underused. The participation rates in the USA, Australia, and Europe are low, estimated at 10-30%. New research areas that explore new ways of CR delivery to improve referral and participation rates are essential.

2018 ◽  
Vol 30 (1) ◽  
pp. 286-312 ◽  
Author(s):  
Mark A. Bonn ◽  
Meehee Cho ◽  
Hyemi Um

Purpose Wine as a research topic continues to address a plethora of diverse contexts. In consideration of this scope and abundance of wine literature, this study aims to provide guidance for future meaningful contributions to this existing body of wine knowledge through a comprehensive scholarly review. Design/methodology/approach A total of 22 wine business, hospitality and tourism journals were selected and used to identify 739 refereed articles addressing wine-related topics over a 26-year period from 1990 to 2015. This was segmented using five wine research time frames, which were then separately investigated using content analysis and keyword network analysis. Findings Results support the importance for continued refinement of certain research areas to add understanding to wine research. In particular, the topics of marketing and tourism pertaining to wine research have fragmented into much more specialized sub-segments over this 26-year period. Research limitations/implications Limitations include generalizability of findings because of the study’s use of 22 journals, along with the selected 26-year period. Future research should examine other time periods using other publications in peripheral and in non-related areas to seek topics potentially and inadvertently overlooked by this process. Significant topics and trends regarding wine research were identified and classified according to time periods. Information has been provided for future directions and new research agendas. Originality/value Based upon an examination of time periods segmented by half-decades, keyword network analysis was used to explore wine research trends. Using keyword network analytics, this method for identifying networks between key words produced findings that have brought the literature regarding wine research to a current status allowing academics to gain insights into potential direction for future research needs.


2019 ◽  
Vol 2 (2) ◽  
Author(s):  
Yusshy Kurnia Herliani ◽  
Urip Rahayu ◽  
Chandra Isabella Hostanida Purba ◽  
Hasniatisari Harun

The needs of nursing care for Myocardial Infarction (MI) patients who performing Cardiac Rehabilitation (CR) Program have been investigated previously. Despite, nutritional counseling and risk factors management were reported as the most needs of MI patients who performed CR Program, information related to the MI patients’ needs on nutritional counseling and risk factor management are very limited. Moreover, the relationship between patients’ needs on nutritional counseling and risk factor management are not clear yet. To investigate patients’ needs on nutritional counseling and risk factor management among MI patients and its relationships those factors. This was quantitative approach with descriptive correlational and convenience sampling was used for this study. The participants included 38 MI patients admitted to the Cardiac Rehabilitation Unit. Data collection employed from questionnaires that were filled in by the respondents using a retrospective technique at the end of cardiac rehabilitation program.  Data were analyzed using descriptive and correlational statistics. The study signified that MI patients required cardiac rehabilitation towards risk factors management and nutritional counseling from nurses (92.1%).The finding also indicated that there is a statistically positive relationship between nutritional counseling needs and risk factor management (r = 0.503, p <0.01). Patients’ needs on nutritional counseling and risk factor management among MI patients are correlated positively. Therefore, the information regarding nutrition and risk factor management for MI patients should be provided simultaneously to complement each other.


Author(s):  
Manoj Sivan ◽  
Margaret Phillips ◽  
Ian Baguley ◽  
Melissa Nott

This chapter covers cardiac rehabilitation and secondary prevention, including the long-term programme of medical evaluation, exercise, risk factor modification, education, and counselling to limit the physiological and psychological effects of cardiac illness. The chapter opens with a definition of cardiac rehabilitation. The epidemiology of cardiac disease is then covered, and core components of a cardiac rehabilitation programme are described. Assessment, education, risk factor management, and risk factor stratification are all covered, and the benefits and risks involved in cardiac rehabilitation are discussed. The chapter ends with a discussion about maintaining long-term behaviour change in those patients referred to cardiac rehabilitation and prevention.


2015 ◽  
Author(s):  
Liz Midence ◽  
Susan Holtzman ◽  
Donna E. Stewart ◽  
Adrienne Kovacs ◽  
Sherry L. Grace

2019 ◽  
Author(s):  
Sheeba Nadarajah ◽  
Susan Buchholz ◽  
Kristen Dickins

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.


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