Differences between Participants and Nonparticipants of Cardiac Rehabilitation: Functional Status, Risk Factor Modification, and Predictors of Participation

2.50
Hdl Handle:
http://hdl.handle.net/10755/161612
Type:
Presentation
Title:
Differences between Participants and Nonparticipants of Cardiac Rehabilitation: Functional Status, Risk Factor Modification, and Predictors of Participation
Abstract:
Differences between Participants and Nonparticipants of Cardiac Rehabilitation: Functional Status, Risk Factor Modification, and Predictors of Participation
Conference Sponsor:Midwest Nursing Research Society
Conference Year:2002
Author:Yates, Bernice
P.I. Institution Name:University of Nebraska Medical Center
Title:Associate Dean
Contact Address:College of Nursing, 985330 Nebraska Medical Center, Omaha, NE, 68198-5330, USA
Contact Telephone:402.559.5358
The purpose of this study was to determine the differences in functional health outcomes, clinical risk factors, and predictors of participation in patients who participated in a formal Cardiac Rehabilitation (CR) Program and those who did not after a cardiac event. Green's Health Education Framework guided the study. Subjects were asked to complete questionnaires about functional status (SF-36), cardiac risk factors (Arizona Heart Test), and predictors of CR participation (self-reported and statistically evaluated) within the first year after their cardiac event. Surveys were mailed to 538 cardiac subjects; 255 surveys were returned (47% return rate) with 217 usable questionnaires. Compared to non-participants (n=68), CR participants (n=149) reported significantly higher levels of functioning on 7 of the 8 subscales of the SF-36 (physical, role-physical, emotional, role-emotional, pain, vitality, and general health). In relation to cardiac risk factors, participants had a significantly lower body mass index (26.2) than non-participants (27.9). No other differences were found in: smoking status (5% vs. 7%), regular exercise (79% vs. 76%), following a low fat diet (73% vs. 63%), cholesterol levels < 200 mg/dl (65% vs. 75%), BP levels < 140/90 (83% vs. 80%), and low stress levels (92% vs. 89%) between participants and nonparticipants, respectively. Self-reported reasons for CR participation were: physician referral, assistance in returning to daily activities, personal desire to change lifestyle and/or family support. Subjects were more likely to attend CR if they learned about CR from their physician, during hospitalization, or lived closer to the CR center (significant logistic regression). One of the implications of this research is that patients with coronary heart disease need to be referred to cardiac rehabilitation for improvement in physical and psychosocial functioning and for successful risk factor modification following their cardiac event.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Midwest Nursing Research Society

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleDifferences between Participants and Nonparticipants of Cardiac Rehabilitation: Functional Status, Risk Factor Modification, and Predictors of Participationen_GB
dc.identifier.urihttp://hdl.handle.net/10755/161612-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Differences between Participants and Nonparticipants of Cardiac Rehabilitation: Functional Status, Risk Factor Modification, and Predictors of Participation</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Midwest Nursing Research Society</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2002</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Yates, Bernice</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">University of Nebraska Medical Center</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Associate Dean</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">College of Nursing, 985330 Nebraska Medical Center, Omaha, NE, 68198-5330, USA</td></tr><tr class="item-phone"><td class="label">Contact Telephone:</td><td class="value">402.559.5358</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">bcyates@unmc.edu</td></tr><tr><td colspan="2" class="item-abstract">The purpose of this study was to determine the differences in functional health outcomes, clinical risk factors, and predictors of participation in patients who participated in a formal Cardiac Rehabilitation (CR) Program and those who did not after a cardiac event. Green's Health Education Framework guided the study. Subjects were asked to complete questionnaires about functional status (SF-36), cardiac risk factors (Arizona Heart Test), and predictors of CR participation (self-reported and statistically evaluated) within the first year after their cardiac event. Surveys were mailed to 538 cardiac subjects; 255 surveys were returned (47% return rate) with 217 usable questionnaires. Compared to non-participants (n=68), CR participants (n=149) reported significantly higher levels of functioning on 7 of the 8 subscales of the SF-36 (physical, role-physical, emotional, role-emotional, pain, vitality, and general health). In relation to cardiac risk factors, participants had a significantly lower body mass index (26.2) than non-participants (27.9). No other differences were found in: smoking status (5% vs. 7%), regular exercise (79% vs. 76%), following a low fat diet (73% vs. 63%), cholesterol levels &lt; 200 mg/dl (65% vs. 75%), BP levels &lt; 140/90 (83% vs. 80%), and low stress levels (92% vs. 89%) between participants and nonparticipants, respectively. Self-reported reasons for CR participation were: physician referral, assistance in returning to daily activities, personal desire to change lifestyle and/or family support. Subjects were more likely to attend CR if they learned about CR from their physician, during hospitalization, or lived closer to the CR center (significant logistic regression). One of the implications of this research is that patients with coronary heart disease need to be referred to cardiac rehabilitation for improvement in physical and psychosocial functioning and for successful risk factor modification following their cardiac event.</td></tr></table>en_GB
dc.date.available2011-10-26T23:24:15Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T23:24:15Z-
dc.description.sponsorshipMidwest Nursing Research Societyen_GB
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