@2024 Afarand., IRAN
ISSN: 2252-0805 The Horizon of Medical Sciences 2018;24(1):73-78
ISSN: 2252-0805 The Horizon of Medical Sciences 2018;24(1):73-78
Effect of a Cardiac Rehabilitation Program Training based on Continues Care Model on Empowerment and Cardiovascular Indices in Patients with Ischemic Heart Disease (IHD)
ARTICLE INFO
Article Type
Original ResearchAuthors
Mojalli M. (1 )Khosrojerdi M. (*)
Mohamadpour A. (2 )
(*) Student Research Committee, Gonadad University of Medical Sciences, Gonabad, Iran
(1 ) “Social Development & Health Promotion Research Center” and “Nursing Department, Nursing & Midwifery Faculty”, Gonabad University of Medical Sciences, Gonabad, Iran
(2 ) “Social Development & Health Promotion Research Center” and “Medical-Surgical Nursing Department, Nursing & Midwifery Faculty”, Gonabad University of Medical Sciences, Gonabad, Iran
Correspondence
Article History
Received: November 14, 2017Accepted: January 1, 2018
ePublished: January 11, 2018
ABSTRACT
Aims
Usually, patients with ischemic heart disease (IHD) are left in the community after discharge and their care is not controlled. One of the most important measures for the effectiveness of heart surgery and decease its complications is cardiac rehabilitation. The aim of this study was to determine the effect of a cardiac rehabilitation program training based on continues care model on empowerment and cardiovascular indices in patients with ischemic heart disease.
Materials & Methods In this randomized controlled clinical trial, 70 patients with IHD, who were hospitalized and discharged in the Coronary Care Unit (CCU) of Vasei Hospital, Sabzevar, Iran in 2017, were selected based on the available sampling method and randomly assigned to two groups of control (N=35) and intervention (N=35). The data collection tool was a three-part questionnaire including demographic characteristics, checklist for recording the hemodynamic variables, and empowerment questionnaire. Patients' empowerment and cardiovascular indices were assessed before and after the implementation of the cardiac rehabilitation program based on continues care model. The data were analyzed by SPSS 22, using independent t-test, and Chi-square test.
Findings After the intervention, the mean score of empowerment was significantly different between the two groups (p=0.03). Also, the mean systolic and diastolic blood pressure and cholesterol and blood glucose levels were significantly different in the two groups after the intervention (p<0.05).
Conclusion The cardiac rehabilitation program training based on continues care model is effective in empowerment and cardiovascular indices in patients with ischemic heart disease.
Materials & Methods In this randomized controlled clinical trial, 70 patients with IHD, who were hospitalized and discharged in the Coronary Care Unit (CCU) of Vasei Hospital, Sabzevar, Iran in 2017, were selected based on the available sampling method and randomly assigned to two groups of control (N=35) and intervention (N=35). The data collection tool was a three-part questionnaire including demographic characteristics, checklist for recording the hemodynamic variables, and empowerment questionnaire. Patients' empowerment and cardiovascular indices were assessed before and after the implementation of the cardiac rehabilitation program based on continues care model. The data were analyzed by SPSS 22, using independent t-test, and Chi-square test.
Findings After the intervention, the mean score of empowerment was significantly different between the two groups (p=0.03). Also, the mean systolic and diastolic blood pressure and cholesterol and blood glucose levels were significantly different in the two groups after the intervention (p<0.05).
Conclusion The cardiac rehabilitation program training based on continues care model is effective in empowerment and cardiovascular indices in patients with ischemic heart disease.
Keywords:
Cardiac Rehabilitation,
Follow-up Care ,
Empowerment ,
Cardiovascular ,
indicators ,
Ischemic Heart Disease,
CITATION LINKS
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[3]Huff S. Assessment of cardio vascular. In: Monahan F, Sands J, Neighbors M, Marek J, Green Nigro C, editors. Phipps medical surgical nursing. 8th edition. London: Mosby; 2006.
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[5]Mazaheri E, Sezavar S, Hosseinian A, Fooladi N. the effect of follow up on physical- emotional status of the patients with myocardial infarction in Ardabil, 2000-2001. J Ardabil Univ Med Sci. 2002;2(4):53-9.
[6]Esteki Ghashghaei F, Sadeghi M, Yazdekhasti S. A review of cardiac rehabilitation benefits on physiological aspects in patients with cardiovascular disease. J Res Rehabil Sci. 2011;7(5):706-15. [Persian]
[7]Lavie CJ, Thomas RJ, Squires RW, Allison TG, Milani RV. Exercise training and cardiac rehabilitation in primary and secondary prevention of coronary heart disease. Mayo Clin Proc. 2009;84(4):373-83.
[8]Afrasyabi Far A, Hassani P, Fallahi Khoshnab M, Yaghmaii F. The barriers to myocardial infarction patients' participation in cardiac rehabilitation program. J Rehabilitation. 2008;9(3-4):75-81. [Persian]
[9]Riley DL, Stewart DE, Grace SL. Continuity of cardiac care: Cardiac rehabilitation participation and other correlates. Intl J Cardiol. 2007;119(3):326-33.
[10]Mohammadifard N, Sarrafzadegan N, Sajjadi F, Abdar N. The effect of cardiac rehabilitation on serum lipids in heart disease. Olympics. 2011;17:3-10. [Persian]
[11]Ghavami H, Ahmadi F, Entezami H, Meamarian R. The effect of continuous care model on diabetic patients blood pressure. Iran J Med Educ. 2006;2(6):87-95. [Persian]
[12]Salaree MM, Mahdizadeh S, Ebadi A, Aslani J, Naderi Z. Effect of applying continuous care model on quality of life in chemical warfare victims with bronchiolitis oblitrans. Kowsar Med J. 2010;14(2):101-8. [Persian]
[13]Ahmadi F, Ghofranipour F, Abedi HA, Arefi SH, Faghih Zadeh S. The effect of continuous consultation care model on rehospitalization and chest pain in patients with coronary artery disease. J Qazvin Univ Med Sci. 2005;9(2):99-103. [Persian]
[14]Nakao H, Yoshikawa T, Hara T, Wang L, Suzuki T, Fujimoto S. Thresholds of physical activities necessary for living a self-supporting life in elderly women. Osaka City Med J. 2007;53(2):53-61.
[15]Paswan S, Punia Sh, Balda Sh. Empowerment of senior citizens for retired life. J Soc Sci. 2005;11(3):255-6.
[16]Siu Ching LO. Elderly volunteering as empowerment [Internet]. Hong Kong: Agency For Volunteer Service; 1956. [updated 2006; cited 2016]. Available from: http://www.volunteerlink.net/datafiles/D100.pdf
[17]Andersson M, Hallberg IR, Edberg AK. Old people receiving municipal care, their experiences of what constitutes a good life in the last phase of life: A qualitative study. Int J Nurs Stud. 2008;45(6):818-28.
[18]Mandegar MH, Zandbegleh M, Hosseini MA. The effect of cardiac rehabilitation program on clinical protests and re-hospitalized patients undergoing coronary artery bypass graft surgery. Jundishapur Sci Med J. 2009;39(2):7-12. [Persian]
[19]Coghill N, Cooper AR. The effect of a home-based walking program on risk factors for coronary heart disease in hypercholesterolaemic men, A randomized controlled trial. Prev Med. 2008;46(6):545-51.
[20]Corrà U, Piepoli MF, Carré F, Heuschmann P, Hoffmann U, et al. Secondary prevention through cardiac rehabilitation: physical activity counselling and exercise training: Key components of the position paper from the Cardiac Rehabilitation Section of the European Association of Cardiovascular Prevention and Rehabilitation. Eur Heart J. 2010;31(16):1967-74.
[21]Rabii k, Najafian J. The effect of cardiac rehabilitation on the Functional class ejection fraction in patients with left ventricular function. Urmia Med J. 2001;12(3):220-8. [Persian]
[22]Kargarfard M, Sarrafzadegan N, Sadeghi K. Effects of eight weeks of cardio exercise rehabilitation program on patients with myocardial infarction. Olympic. 2000;8(2):15-23. [Persian]
[23]Borhani F. A cardiac rehabilitation program based on the follow-up care strategy for cardiovascular disorders. J Qazvin Univ Med Sci. 2012;5(4):84-90. [Persian]
[2]Najafian J. Effects of cardiac rehabilitation on sexual dysfunction of post myocardial infarction patients. Arch Rehabil. 2001;1(3):12-6. [Persian]
[3]Huff S. Assessment of cardio vascular. In: Monahan F, Sands J, Neighbors M, Marek J, Green Nigro C, editors. Phipps medical surgical nursing. 8th edition. London: Mosby; 2006.
[4]Dholpuria R, Raja S, Gupta BK, Chahar CK, Panwar RB, Gupta R, et al. Atherosclerotic risk factors in adolescents. Indian J Pediatr. 2007;74(9):823-6.
[5]Mazaheri E, Sezavar S, Hosseinian A, Fooladi N. the effect of follow up on physical- emotional status of the patients with myocardial infarction in Ardabil, 2000-2001. J Ardabil Univ Med Sci. 2002;2(4):53-9.
[6]Esteki Ghashghaei F, Sadeghi M, Yazdekhasti S. A review of cardiac rehabilitation benefits on physiological aspects in patients with cardiovascular disease. J Res Rehabil Sci. 2011;7(5):706-15. [Persian]
[7]Lavie CJ, Thomas RJ, Squires RW, Allison TG, Milani RV. Exercise training and cardiac rehabilitation in primary and secondary prevention of coronary heart disease. Mayo Clin Proc. 2009;84(4):373-83.
[8]Afrasyabi Far A, Hassani P, Fallahi Khoshnab M, Yaghmaii F. The barriers to myocardial infarction patients' participation in cardiac rehabilitation program. J Rehabilitation. 2008;9(3-4):75-81. [Persian]
[9]Riley DL, Stewart DE, Grace SL. Continuity of cardiac care: Cardiac rehabilitation participation and other correlates. Intl J Cardiol. 2007;119(3):326-33.
[10]Mohammadifard N, Sarrafzadegan N, Sajjadi F, Abdar N. The effect of cardiac rehabilitation on serum lipids in heart disease. Olympics. 2011;17:3-10. [Persian]
[11]Ghavami H, Ahmadi F, Entezami H, Meamarian R. The effect of continuous care model on diabetic patients blood pressure. Iran J Med Educ. 2006;2(6):87-95. [Persian]
[12]Salaree MM, Mahdizadeh S, Ebadi A, Aslani J, Naderi Z. Effect of applying continuous care model on quality of life in chemical warfare victims with bronchiolitis oblitrans. Kowsar Med J. 2010;14(2):101-8. [Persian]
[13]Ahmadi F, Ghofranipour F, Abedi HA, Arefi SH, Faghih Zadeh S. The effect of continuous consultation care model on rehospitalization and chest pain in patients with coronary artery disease. J Qazvin Univ Med Sci. 2005;9(2):99-103. [Persian]
[14]Nakao H, Yoshikawa T, Hara T, Wang L, Suzuki T, Fujimoto S. Thresholds of physical activities necessary for living a self-supporting life in elderly women. Osaka City Med J. 2007;53(2):53-61.
[15]Paswan S, Punia Sh, Balda Sh. Empowerment of senior citizens for retired life. J Soc Sci. 2005;11(3):255-6.
[16]Siu Ching LO. Elderly volunteering as empowerment [Internet]. Hong Kong: Agency For Volunteer Service; 1956. [updated 2006; cited 2016]. Available from: http://www.volunteerlink.net/datafiles/D100.pdf
[17]Andersson M, Hallberg IR, Edberg AK. Old people receiving municipal care, their experiences of what constitutes a good life in the last phase of life: A qualitative study. Int J Nurs Stud. 2008;45(6):818-28.
[18]Mandegar MH, Zandbegleh M, Hosseini MA. The effect of cardiac rehabilitation program on clinical protests and re-hospitalized patients undergoing coronary artery bypass graft surgery. Jundishapur Sci Med J. 2009;39(2):7-12. [Persian]
[19]Coghill N, Cooper AR. The effect of a home-based walking program on risk factors for coronary heart disease in hypercholesterolaemic men, A randomized controlled trial. Prev Med. 2008;46(6):545-51.
[20]Corrà U, Piepoli MF, Carré F, Heuschmann P, Hoffmann U, et al. Secondary prevention through cardiac rehabilitation: physical activity counselling and exercise training: Key components of the position paper from the Cardiac Rehabilitation Section of the European Association of Cardiovascular Prevention and Rehabilitation. Eur Heart J. 2010;31(16):1967-74.
[21]Rabii k, Najafian J. The effect of cardiac rehabilitation on the Functional class ejection fraction in patients with left ventricular function. Urmia Med J. 2001;12(3):220-8. [Persian]
[22]Kargarfard M, Sarrafzadegan N, Sadeghi K. Effects of eight weeks of cardio exercise rehabilitation program on patients with myocardial infarction. Olympic. 2000;8(2):15-23. [Persian]
[23]Borhani F. A cardiac rehabilitation program based on the follow-up care strategy for cardiovascular disorders. J Qazvin Univ Med Sci. 2012;5(4):84-90. [Persian]