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Exercise training in cardiac rehabilitation and changes in self-reported health related quality of life
Session:
Posters (Sessão 2 - Écran 7) - Enfermagem e Técnicos
Speaker:
Ângela Maria Pereira
Congress:
CPC 2022
Topic:
M. Cardiovascular Nursing
Theme:
32. Cardiovascular Nursing
Subtheme:
29.4 Rehabilitation and Sports Cardiology - Other
Session Type:
Pósters Electrónicos
FP Number:
---
Authors:
Ângela Maria Pereira; Sofia Bento; Melanie Lameiras; Carla Hilaire; Jorge Dias; Luísa Bento; Susana Almeida
Abstract
<p style="text-align:justify"> </p> <p style="text-align:justify"><span style="font-size:11pt"><span style="font-family:Calibri,sans-serif"><span style="color:black"><strong><span style="font-size:12.0pt"><span style="font-family:"Arial",sans-serif">Introduction: </span></span></strong><span style="font-size:12.0pt"><span style="background-color:white"><span style="font-family:"Arial",sans-serif"><span style="color:#222222">Nowadays evaluating the impact of medical care strategies requires not only physiological parameters assessment, but also requires measurements on patients’ quality of life. </span></span></span></span><span style="font-size:12.0pt"><span style="font-family:"Arial",sans-serif">Health related quality of life represents the patient’s own evaluation of the impact of a disease on his/her physical function and well-being. </span></span><span style="font-size:12.0pt"><span style="font-family:"Arial",sans-serif">Quality of life outcomes of Cardiac Rehabilitation (CR) however, have attracted less attention. </span></span><span style="font-size:12.0pt"><span style="font-family:"Arial",sans-serif">In this study, the aim was t</span></span><span style="font-size:12.0pt"><span style="background-color:white"><span style="font-family:"Arial",sans-serif"><span style="color:#212121">o assess the effects of exercise-based CR in </span></span></span></span><span style="font-size:12.0pt"><span style="font-family:"Arial",sans-serif">changes in self-reported health related quality of life</span></span><span style="font-size:12.0pt"><span style="font-family:"Arial",sans-serif"> (HRQoL).</span></span></span></span></span></p> <pre style="text-align:justify"> <span style="font-size:10pt"><span style="font-family:"Courier New""><span style="color:black"><strong><span style="font-size:12.0pt"><span style="font-family:"Arial",sans-serif">Material and methods:</span></span></strong><span style="font-size:12.0pt"><span style="font-family:"Arial",sans-serif"> One hundred and twenty patients with coronary heart disease, 52.9±8.5 years old, concluded a three months cardiac rehabilitation program (CRP) with 27.5±10.4 sessions. Each session had 9 min of stretching exercises, 40 min of aerobic exercise, at 60-75% heart rate reserve, and strength exercise, 5 exercises, 2 min rest, 8-12 reps, @ 60-70% of 1 RM, 3d.wk-1. The HRQoL was assessed with the MacNew Heart Disease Health-related Quality of Life questionnaire (MacNew) and short form</span></span><span style="font-size:12.0pt"><span style="font-family:"Cambria Math",serif">-</span></span><span style="font-size:12.0pt"><span style="font-family:"Arial",sans-serif">36 (SF</span></span><span style="font-size:12.0pt"><span style="font-family:"Cambria Math",serif">-</span></span><span style="font-size:12.0pt"><span style="font-family:"Arial",sans-serif">36) questionnaire. All subjects signed an informed consent.</span></span></span></span></span></pre> <p style="text-align:justify"><span style="font-size:11pt"><span style="font-family:Calibri,sans-serif"><span style="color:black"><strong><span style="font-size:12.0pt"><span style="font-family:"Arial",sans-serif">Results:</span></span></strong><span style="font-size:12.0pt"><span style="font-family:"Arial",sans-serif"> In HRQoL we found clinically significant increases (≥ 10%) for all SF-36 dimensions: physical function (69.6±20.1; 85.2±17.8), role physical (68.0±23.1; 83.1±20.6) vitality (56.3±23.3; 67.8±19.5), role emotional (68.3±26.2; 84.3±22.1) and mental health (65.9±23.3; 78.2±19.3) (p<0.001) (Graph 1). In MacNew we saw clinically significant improvements (≥0,5; p<0.001) in all subscales (Graph 2). We also observed a correlation (p=0.000) between the emotional and social subscales (MacNew) with the role physical and emotional domains (SF-36).</span></span></span></span></span></p> <p style="text-align:justify"><span style="font-size:11pt"><span style="font-family:Calibri,sans-serif"><strong><span style="font-size:12.0pt"><span style="font-family:"Arial",sans-serif">Discussion and conclusion: </span></span></strong><span style="font-size:12.0pt"><span style="font-family:"Arial",sans-serif">These findings suggest an improvement in the HRQoL perception of these patients who participate in the CRP, in the domains of physical function, physical role, emotional role and vitality. And also, in emotional, physical and social limitations, which are great contributors to maintaining an active life. These clinically significant changes, reflect a clinically effective intervention, with a greater effect on social and emotional limitations, probably because it was a short-term program.</span></span></span></span></p> <p> </p> <p> </p>
Slides
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