The Impacts of Cardiac Rehabilitation Program on Exercise Capacity, Quality of Life, and Functional Status of Coronary Artery Disease Patients with Left Ventricular Dysfunction

Sadeghi, Masoumeh; Garakyaraghi, Mohammad; Taghavi, Mahboobeh; Khosravi, Mohsen; Sarrafzadegan, Nizal; Roohafza, Hamidreza

doi:10.1002/rnj.160

Cited by 18 publications

(21 citation statements)

References 16 publications

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“…6 Data from Iran corroborate the benefits of CR. [7][8][9][10] Unfortunately, CR is underused, particularly when compared with other secondary prevention recommendations for CVD. 11 Studies conducted in Iran also demonstrate gross under-referral, enrolment, adherence and completion.…”

Section: Introductionmentioning

confidence: 99%

Cross-cultural adaptation and psychometric validation of the Persian version of the Cardiac Rehabilitation Barriers Scale (CRBS-P)

et al. 2020

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ObjectivesThis study aimed to translate, cross-culturally adapt and psychometrically validate a Persian version of the Cardiac Rehabilitation Barriers Scale (CRBS-P) and to identify the main barriers in an Iranian setting.SettingAfshar cardiac rehabilitation (CR) centre, affiliated with the Yazd University of Medical Sciences, in the centre of Iran.DesignThis was a multimethod study, culminating in a cross-sectional survey.ParticipantsInpatient CR graduates who did not attend their initial outpatient CR appointment.MethodThe 21-item CRBS was translated and cross-culturally adapted in accordance with best practices; an expert panel considered the items and previous non-attending patients were interviewed via phone to refine the scale. Next, structural validity was assessed; participants were invited to complete the CRBS on the phone between March 2017 and February 2018. Using exploratory factor analysis (EFA) with principal component analysis extraction and oblique rotation. Second, confirmatory factor analysis (CFA) was used to verify the results; several goodness-of-fit indices were considered. The internal consistency and 3-week test–retest reliability of the scale (5% subsample) were evaluated using Cronbach’s α and intraclass correlation (ICC), respectively.ResultsFace, content and cross-cultural validity were established by the experts and patients (n=50). One thousand and one hundred (40.7%) of the 2700 patients completed the CRBS-P. Structural validity was established by EFA (Bartlett’s test p<0.001; =0.759) and confirmed by the CFA; a four-factor solution with 18 items accounting for 61.256% of variance had the best fit (χ2/df=3.206, root mean square error of approximation=0.061 and Comparative Fit Index=0.959). The internal consistency and test–retest reliability (n=42) of the scale were acceptable (ICC=0.743 95% CI (0.502 to 0.868); overall α=0.797). The top barriers were not knowing about CR, cost and lack of encouragement from physicians.ConclusionThe four-factor, 18-item CRBS-P had good psychometric properties, and hence can be reliably and validly used to measure CR barriers in Iran and other Persian-speaking populations.

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Section: Introductionmentioning

confidence: 99%

Cross-cultural adaptation and psychometric validation of the Persian version of the Cardiac Rehabilitation Barriers Scale (CRBS-P)

et al. 2020

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“…Post-CR exercise tolerance and functional capacity increased in both obese and non-obese patients, however, this increase was more significant in the non-obese group. In a study evaluating post-CR exercise capacity and quality of life in patients with left ventricular dysfunction, the MET values increased from 8.00 ± 2.56 to 10.08 ± 3.00 MET, with a significant improvement in the SF-36 physical and psychological component of the patients [29]. In our study, we observed a significant difference in the MET values and quality of life scales of both groups of patients, however, the increase in MET values was more prominent in the non-obese group.…”

Section: Discussionmentioning

confidence: 99%

The effect of obesity on functional capacity, anxiety and daily life activities in patients with coronary artery disease and phase II cardiac rehabilitation

Aksoy

Karlıbel

Arı

et al. 2017

The European Research Journal

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Objective. The aim of our study was to investigate the effect of cardiac rehabilitation (CR) program on obese and non-obese patients with coronary artery disease. Methods. The records of 60 coronary artery disease patients aged between 18-75 years, who were included in CR were evaluated. Of the study subjects, 20 had undergone coronary artery bypass grafting (CABG) and 40 had undergone percutaneous coronary intervention (PCI). The patients were divided into two groups by body mass index (BMI), with Group I being non-obese (BMI < 30 kg/m2) and Group 2 being obese (BMI ≥ 30 kg/m2). The effect of 30 session CR on the two groups were evaluated with 6-min walk test (6MWT), Short Form-36 (SF-36) and Beck Anxiety Inventory (BAI). Results. Baseline characteristics of the group 1 (39 patients) and group 2 (21 patients) were similar. Statistically significant improvement was detected in group 1 and group 2 patients by CR program in 6MWT, BAI and SF-36 parameters (p < 0.05). 6MWT, BAI and SF-36 parameters changes by cardiac rehabilitation were compared between the two groups. According to the comparison 6MWT (group 1; 60 (20-183) vs group 2; 34 (15-180), p = 0.012) and MET (group 1; 1.44 ± 0.56 vs group 2; 1.09 ± 0.41, p = 0.015 changes were significantly higher in group 1 than in group 2. However, the changes of BAI and SF-36 parameters were similar in two groups (p > 0.05). Conclusion. CR was found to be effective and safe in terms of functional capacity, daily life activities and anxiety in both obese and non-obese patients. Functional capacity gain in the obese group was less than non-obese patients.Eur Res J 2018;4(2):85-91

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“…De hecho, solo 67 de los posibles 760 pacientes que iniciaron el programa cumplieron con los criterios de inclusión. A diferencia de lo que ocurre en diversos otros estudios [22][23][24][25] el presente estudio no incluye a pacientes no cardiópatas en prevención primaria. Así mismo, el programa de rehabilitación fue riguroso, efectuado en un solo centro por un número reducido de profesionales y con una evaluación tan objetiva como era posible.…”

Section: Discussionunclassified

Factores determinantes de éxito de la rehabilitación cardiovascular en pacientes coronarios sometidos a revascularización miocárdica

et al. 2017

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The Impacts of Cardiac Rehabilitation Program on Exercise Capacity, Quality of Life, and Functional Status of Coronary Artery Disease Patients with Left Ventricular Dysfunction

Abstract: Cardiac rehabilitation practitioners should encourage patients to attend to and be compliant in the rehabilitation programs.

Cited by 18 publications

References 16 publications

Cross-cultural adaptation and psychometric validation of the Persian version of the Cardiac Rehabilitation Barriers Scale (CRBS-P)

Cross-cultural adaptation and psychometric validation of the Persian version of the Cardiac Rehabilitation Barriers Scale (CRBS-P)

The effect of obesity on functional capacity, anxiety and daily life activities in patients with coronary artery disease and phase II cardiac rehabilitation

Factores determinantes de éxito de la rehabilitación cardiovascular en pacientes coronarios sometidos a revascularización miocárdica

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