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Effect of Supervised Versus Home Based Phase Ii Cardiac Rehabilitation Program on Exercise Capacity and Quality of Life in Post Cabg Patients
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Background: Phase II cardiac rehabilitation has been demonstrated to be an effective measure in post CABG patients in terms of short term of physical and psychological outcomes. Comparative effect of supervised and home based phase II cardiac rehabilitation is conflicting.
Purpose: To determine the effectiveness of supervised centre-based phase II cardiac rehabilitation compared with home-based phase II cardiac rehabilitation programmes on exercise capacity and health related quality of life in patients with post CABG.
Design: The study was a pre-test post-test, comparative, experimental design Setting: All the patients were recruited from the outpatient department of physical therapy and cardiopulmonary rehabilitation, Delhi Heart and Lung Institute, New Delhi Methods: Thirty (n=30) post CABG patients who consented for this study were tested for their exercise capacity. They were randomly divided into 4 weeks supervised (n=15) and home based (n=15) phase II cardiac rehabilitation program. Outcome measures hemodynamic parameters; 6MWD and quality of life were evaluated by physical and mental summery score of SF-36.
Results: Both the groups had similar demographic characteristics. Between groups shows no significant differences in hemodynamic measurements. However significant improvement were seen in PCS and MCS scores when between group analysis was done (p<0.001).
Conclusions: The overall results of the study lead us to the conclusion that there is no significant difference in exercise capacity and quality of life in supervised exercise group versus home based exercise group in a four week cardiac rehabilitation program. However, there is significant improvement in exercise capacity and quality of life in both the groups when compared with their baseline.
Keywords
- Kerrie Callahan, Janet Secrest. Health perception and social role following cardiac rehabilitation : astudy of kings definition of health. The university of Arizona college of nursing. Journal of Undergraduate Nursing Scholarship. wesite:juns.nursing.arizona.edu/articles/Fall%202002/Callahan.htm
- Kasliwal RR, Kulshreshtha A, Agarwal S. Prevalence of cardiovascular risk factors in Indian patients undergoing coronary artery bypass surgery. Journal of Association of Physicians of India 2006 May ;54: 371-375
- Neil Olridge, Hugo Saner, Hannah Mc. Gee The Euro Cardio-QoL project an international study to develop a core heart disease health related quality of life questionnaire, the heart QoL. European Journal of Cardiovascular Prevention and Rehabilitation 2005, 12:87-94.
- Lale Tokgozoglu, Seckin Pehlivanoglu, Hakan Kultursay. Which patients have the highest cardiovascular risk? A follow up study from turkey. European Journal of cardiovascular Prevention and rehabilitation 2005,12:250-256
- J.S. Carey, R.A. Chukingon, L.K. Singer. Quality of life after myocardial revascularization, effect of increasing age. Journal of Thoracic Cardiovascular Surgery 1992, 103:108-115.
- WJ Rogers, J Coggin and BJ Gersh, et al. Ten year follow-up of quality of life in patients randomized to receive medical therapy or coronary artery bypass graft surgery: The Coronary Artery Surgery Study (CASS). Circulation, 82 (1990), pp. 1647–1658
- Bo Hedbac, Joep Perk, Mikaael Hornblad, Ulf Ohlsson. Cardiac rehabilitation after coronary artery bypass surgery: 10 year results on mortality, morbidity and readmissions to hospital. Journal of ardiovascular Risk 2001,8:153-158.
- Dugmore LD, Tipson RJ, Phillips MH. Changes in cardiorespiratory fitness psychological well being, quality of life and vocational status following 12 month cardiac exercise rehabilitation programme. Action heart rehabilitation centre. Heart 1999;81:359–366
- Fragnoli-Munn, Karen RN, Savage, Patrick D. Combined resistive aerobic training in older patients with coronary artery disease early after myocardial infarction. Journal of cardiopulmonary rehabilitation and prevention 1998; 18(6):416-420.
- Sara Wilcox Norman J. Factors influencing health related quality of life. Progress in Cardiovascular Nursing 2002;154,17(3):124-131.
- Oivind Rognmo, Eva Hetland, Jan Helgeurd. High intensity Aerobic Interval exercise is superior to moderate intensity for increasing aerobic capacity in patients with coronary artery disease. European Journal of Cardiovascular Prevention and Rehabilitation 2004; 11: 216-222.
- Hevey, David Brown, Angela Cahill. Four week multidisciplinary cardiac rehabilitation produces similar improvements in exercise capacity and quality of life to a 10 week . Journal of Cardiopulmonary Rehabilitation and Prevention 2003, 23(1) 17-21.
- Arthur HM, Smith KM. A controlled trial of hospital versus home based exercise in cardiac patients. Med Sci. Sports and Exercise 2002; 34:1544-1550.
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