Feasibility of a Multi-State Outcomes Program for Cardiopulmonary Rehabilitation

Js, Jungbauer; Fuller, Brian C.

doi:10.1097/00008483-199911000-00005

Cited by 16 publications

(5 citation statements)

References 4 publications

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“…Although the mental health differences between groups were not statistically significant, participants reported higher mental health scores. The SF‐36 subscale scores for the participants were similar to the mean scores obtained by Jungbauer and Fuller (1999) in their sample of 928 cardiac patients who participated in CR. Thus, these findings document the effectiveness of CR and suggest that CR participants do enjoy higher health‐related function and quality of life after their cardiac event than do nonparticipants.…”

Section: Discussionsupporting

confidence: 64%

Outcomes of Cardiac Rehabilitation Participants and Nonparticipants in a Rural Area

Yates

Braklow-Whitton

Agrawal

2003

Rehabilitation Nursing

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Nationally, only 11%-20% of cardiac patients, on average, enroll in cardiac rehabilitation programs after their cardiac events. The purpose of this study was to examine: (a) differences in functional health outcomes, clinical risk factor outcomes, and lifestyle behaviors between patients who participated in cardiac rehabilitation (CR) and those who did not during the first year after their cardiac event; and (b) to examine predictors of and reasons for CR participation and non-participation in a Midwestern, rural clinical population. Green's health education framework guided the study. A cross-sectional, comparative design was used to mail surveys to 538 cardiac patients who were hospitalized over a 1-year period at a regional medical center; 255 surveys were returned, and the final sample numbered 222. Of these, 154 (69%) attended CR. Compared to nonparticipants (n = 68), participants reported significantly higher levels of functioning on 7 of the 8 subscales of the Medical Outcome Study Short Form-36 (SF-36). In relation to clinical risk factor outcomes, participants had a significantly lower body mass index than nonparticipants. Patients who attended CR reported that they had switched to low-fat foods, started an exercise program, lost weight, lowered stress, lowered blood pressure, and reduced blood cholesterol at significantly higher rates than non-participants. Patients were more likely to participate in CR if their physician explained its benefits, if they were told about it during their hospitalization, and if they lived close to a CR program. Patients with coronary heart disease need to be referred to CR for improved physical and psychosocial functioning and successful risk factor modification.

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Section: Discussionsupporting

confidence: 64%

Outcomes of Cardiac Rehabilitation Participants and Nonparticipants in a Rural Area

Yates

Braklow-Whitton

Agrawal

2003

Rehabilitation Nursing

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“…This assessment tool consisted of a 10‐item checklist of cardiac risk factors derived from the Indiana Cardiac Rehabilitation Knowledge Questionnaire 49 . The reliability and validity of the questionnaire has not been reported, yet the questionnaire has been used previously in studies that have been subjected to peer review 50 . Participants were asked to indicate the cardiac risk factors which they considered could be changed.…”

Section: The Studymentioning

confidence: 99%

Awareness of risk factors for coronary heart disease following interventional cardiology procedures: A key concern for nursing practice

Fernandez

Salamonson

Griffiths

et al. 2008

Int J of Nursing Practice

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Cardiovascular risk factor modification to prevent progression of coronary heart disease is important for patients following percutaneous coronary intervention. The aims of this study were to assess patient's awareness of modifiable cardiac risk factors and examine if patients with modifiable risk factors were more likely to identify these risk as amenable to change. Awareness of risk factors was measured using the Indiana Cardiac Rehabilitation Knowledge Questionnaire in a cohort of prospective, consecutive participants post percutaneous coronary intervention. Completed questionnaires were received from 75% of the participants. The majority were able to identify high cholesterol (87%), smoking (83%) and hypertension (82%) as modifiable risk factors. Less than half (46%) of the respondents identified diabetes as a modifiable risk factor. Only a third of participants recognized all six modifiable risk factors. A large proportion of patients who were smokers, or who had high cholesterol or hypertension, identified these as risk factors. A third of people with documented diabetes did not recognize this condition as a risk factor for heart disease. The findings have important implications for nursing practice in terms of directing educational efforts for the modification of risk factors for coronary heart disease.

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“…Aude et al [25] revealed that CR helped participants feel better and they perceived their health improvement; however, the duration of hospital-based CR for patients with AMI varied, and was had a relatively short-term follow-up [26][27][28]. Therefore, we are unable to pool the data to quantify the effect.…”

Section: Discussionmentioning

confidence: 98%

Effect of Hospital-based Cardiac Rehabilitation on Quality of Life and Physical Capacity in Acute Myocardial Infarction Patients: 2 Years Follow Up

Kim¹,

Nam²,

Oh³

et al. 2018

J Clin Exp Cardiolog

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Objective: The aim of this study was to investigate the effect of hospital-based cardiac rehabilitation (CR) on quality of life (QOL) and physical functions in patients with acute myocardial infarction (AMI) during 2 years of followup.Methods: All AMI patients referred to the Cardiac Health and Rehabilitation Center (CHRC) were informed about CR and followed for 2 years on an outpatient basis from July 2010 to December 2015. Patients who were divided into a CR group and non-CR group. All patients took home-based self-exercise as CR programs of CHRC and in addition, the CR group received hospital-based supervised exercise training three times a week for 2 months. Both groups were evaluated for physical capacity and QOL at baseline, after 2 months of exercise training, and at 6 months, 1 year, and 2 years of follow-up. Results:The CR group showed significant improvements in physical functioning (PF), physical role functioning, bodily pain, vitality (VT), social role functioning, emotional role functioning, mental health, physical component summary (PCS), and mental component summary at all-time points compared to baseline. At 1 year of follow-up, the CR group displayed significantly greater PF, general health perceptions, VT, and PCS values than the non-CR group. Regarding physical capacity, the CR group exhibited significantly lower resting heart rate and significantly greater maximal oxygen consumption and metabolic equivalents than the non-CR group at 6 months of follow-up. Conclusion:Hospital-based CR was effective in promoting QOL and early improvement in exercise capacity in patients with AMI. Further, the improvement in QOL was maintained for up to 2 years.

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Feasibility of a Multi-State Outcomes Program for Cardiopulmonary Rehabilitation

Abstract: Although this study does not document the effectiveness of rehabilitation for patients, it does demonstrate that the collection and analysis of standardized outcomes among many cardiac and pulmonary rehabilitation sites is feasible.

Cited by 16 publications

References 4 publications

Outcomes of Cardiac Rehabilitation Participants and Nonparticipants in a Rural Area

Outcomes of Cardiac Rehabilitation Participants and Nonparticipants in a Rural Area

Awareness of risk factors for coronary heart disease following interventional cardiology procedures: A key concern for nursing practice

Effect of Hospital-based Cardiac Rehabilitation on Quality of Life and Physical Capacity in Acute Myocardial Infarction Patients: 2 Years Follow Up

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