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Planck Agnes - One of the best experts on this subject based on the ideXlab platform.
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Strength or aerobic capacity: which have greater impact on self-efficacy to physical activity among Heart patients? : A quantitative study about coronary artery disease patients’ physical capacity and self-efficacy to physical activity after hospital-based cardiac Rehabilitation, and a gender comparison
Uppsala universitet Åsenlöf: Fysioterapi, 2021Co-Authors: Amoranitis Fanny, Planck AgnesAbstract:Bakgrund För patienter med kranskärlssjukdom rekommenderas hjärtrehabilitering och regelbunden fysisk träning som en viktig del av behandlingen. Dessa patienter är ofta påverkade både fysiskt och psykologiskt av sin sjukdom vilket kan vara utmanande för en hälsoförändring. Självförmåga är ett viktigt begrepp i hälsoförändringsarbetet och har visat sig vara en stark prediktor för fysisk aktivitet hos dessa individer. Hjärtrehabilitering har visats inverka positivt på denna, men det finns bristfällig evidens för vilken typ av träning som har bäst effekt på dessa patienters självförmåga och även om denna skiljer sig mellan könen. Syfte Syftet med studien är att visa patienters fysiska kapacitet efter tolv veckors hjärtrehabilitering, deras självförmåga till fysisk aktivitet och eventuella korrelation mellan dessa variabler, samt skillnader mellan könen. Metod Data gällande styrka i övre och nedre extremitet samt konditionsvärde och ESES-skattning för 56 patienter som nyligen genomgått hjärtrehabilitering sammanställdes och analyserades från ett pågående forskningsprojekt. Resultat Män hade högre fysisk kapacitet än kvinnor, men kvinnor skattade sin självförmåga något högre. Det fanns ett signifikant samband (p<0,001) mellan kvinnors självförmåga och styrka, och det observerades en korrelation mellan självförmåga och styrka för män (p=0,0501). Konklusion Den här studiens resultat visar att styrka har tydligt större koppling än kondition till självförmåga för fysisk aktivitet hos framförallt kvinnliga hjärtpatienter efter avslutad hjärtrehabilitering. Detta kan peka mot att mer fokus kan behövas riktas mot styrka i hjärtrehabilitering.Background It is recommended that patients with coronary artery disease undergo cardiac Rehabilitation and regular physical exercise as part of the treatment. These patients are often physically and psychologically affected by their disease which can make a health change challenging. Self-efficacy is an important concept in the area of health behaviour change and has been shown to strongly predict physical activity among these patients. Heart Rehabilitation has been shown to positively impact said self-efficacy, but there is a lack of evidence regarding whether and if so what type of exercise that most influences it, and if there are any gender differences in this concern. Purpose The aim of the study was to investigate the physical capacity, self-efficacy for physical activity and the potential correlation between these variables among patients who had undergone a 12-week Heart Rehabilitation, plus any correlation between these variables. Furthermore, the possible gender differences regarding said questions were examined. Method Data regarding upper and lower extremity strength as well as aerobic capacity and self-efficacy score for 56 patients who had recently undergone cardiac Rehabilitation and who participated in an ongoing research project was compiled and analysed. Results Men had higher physical capacity than women, but women rated their self-efficacy slightly higher. There was a significant correlation (p <0.001) between women's self-efficacy and strength, and a correlation was seen between self-efficacy and strength for men (p = 0.0501). Conclusion The results of this study show that strength is clearly more closely linked to self-efficacy than aerobic capacity among individuals after completing cardiac Rehabilitation, and especially among females. This may indicate that more focus could be needed to be directed towards strength training in cardiac Rehabilitation
Amoranitis Fanny - One of the best experts on this subject based on the ideXlab platform.
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Strength or aerobic capacity: which have greater impact on self-efficacy to physical activity among Heart patients? : A quantitative study about coronary artery disease patients’ physical capacity and self-efficacy to physical activity after hospital-based cardiac Rehabilitation, and a gender comparison
Uppsala universitet Åsenlöf: Fysioterapi, 2021Co-Authors: Amoranitis Fanny, Planck AgnesAbstract:Bakgrund För patienter med kranskärlssjukdom rekommenderas hjärtrehabilitering och regelbunden fysisk träning som en viktig del av behandlingen. Dessa patienter är ofta påverkade både fysiskt och psykologiskt av sin sjukdom vilket kan vara utmanande för en hälsoförändring. Självförmåga är ett viktigt begrepp i hälsoförändringsarbetet och har visat sig vara en stark prediktor för fysisk aktivitet hos dessa individer. Hjärtrehabilitering har visats inverka positivt på denna, men det finns bristfällig evidens för vilken typ av träning som har bäst effekt på dessa patienters självförmåga och även om denna skiljer sig mellan könen. Syfte Syftet med studien är att visa patienters fysiska kapacitet efter tolv veckors hjärtrehabilitering, deras självförmåga till fysisk aktivitet och eventuella korrelation mellan dessa variabler, samt skillnader mellan könen. Metod Data gällande styrka i övre och nedre extremitet samt konditionsvärde och ESES-skattning för 56 patienter som nyligen genomgått hjärtrehabilitering sammanställdes och analyserades från ett pågående forskningsprojekt. Resultat Män hade högre fysisk kapacitet än kvinnor, men kvinnor skattade sin självförmåga något högre. Det fanns ett signifikant samband (p<0,001) mellan kvinnors självförmåga och styrka, och det observerades en korrelation mellan självförmåga och styrka för män (p=0,0501). Konklusion Den här studiens resultat visar att styrka har tydligt större koppling än kondition till självförmåga för fysisk aktivitet hos framförallt kvinnliga hjärtpatienter efter avslutad hjärtrehabilitering. Detta kan peka mot att mer fokus kan behövas riktas mot styrka i hjärtrehabilitering.Background It is recommended that patients with coronary artery disease undergo cardiac Rehabilitation and regular physical exercise as part of the treatment. These patients are often physically and psychologically affected by their disease which can make a health change challenging. Self-efficacy is an important concept in the area of health behaviour change and has been shown to strongly predict physical activity among these patients. Heart Rehabilitation has been shown to positively impact said self-efficacy, but there is a lack of evidence regarding whether and if so what type of exercise that most influences it, and if there are any gender differences in this concern. Purpose The aim of the study was to investigate the physical capacity, self-efficacy for physical activity and the potential correlation between these variables among patients who had undergone a 12-week Heart Rehabilitation, plus any correlation between these variables. Furthermore, the possible gender differences regarding said questions were examined. Method Data regarding upper and lower extremity strength as well as aerobic capacity and self-efficacy score for 56 patients who had recently undergone cardiac Rehabilitation and who participated in an ongoing research project was compiled and analysed. Results Men had higher physical capacity than women, but women rated their self-efficacy slightly higher. There was a significant correlation (p <0.001) between women's self-efficacy and strength, and a correlation was seen between self-efficacy and strength for men (p = 0.0501). Conclusion The results of this study show that strength is clearly more closely linked to self-efficacy than aerobic capacity among individuals after completing cardiac Rehabilitation, and especially among females. This may indicate that more focus could be needed to be directed towards strength training in cardiac Rehabilitation
Monica Bosco - One of the best experts on this subject based on the ideXlab platform.
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major epidemiological changes and clinical variables in patients undergoing a program of Heart Rehabilitation after cardiac surgery mephistopheles
Giornale italiano di cardiologia, 2011Co-Authors: Massimo Baravelli, Anna Picozzi, Andrea Rossi, Paolo Cattaneo, Daniela Imperiale, Maria Cristina Rossi, Cecilia Fantoni, Gaia Vezzaro, Laura Crespi, Monica BoscoAbstract:BACKGROUND Recent observational studies show an increase of more complex and critically ill patients referred to Italian cardiac Rehabilitation (CR) departments; the exact mechanisms underlying this phenomenon, however, have not been clearly identified. The aim of our study was to evaluate the epidemiological and clinical changes that occurred over the last decade in patients hospitalized in CR departments with high admittance rates. METHODS We have retrospectively evaluated all patients admitted between 2002 and 2009 to our division of CR (n = 3340, 1155 female, mean age 66.4 ± 11 years) after recent cardiac surgery. The study population was divided into two homogeneous groups: the four-year period 2002-2005, group A (n = 1614, 540 female, mean age 66.1 ± 10 years) and the four-year period 2006-2009, group B (n = 1726, 615 female, mean age 67.4 ± 11 years). Data were compared using specific indicators of clinical complexity. RESULTS Patients aged >75 years were more in group B compared to A (26.3 vs 19.8%, p<0.0001), as well as patients with recent complex surgical interventions, such as combined coronary artery bypass grafting and Heart valve surgery (16.4 vs 10.2%, p<0.0001). An increased incidence of cardiovascular death (1.4 vs 0.6%, p=0.02), acute coronary syndrome (1.5 vs 0.7%, p=0.02) and persistent atrial fibrillation/flutter (13.5 vs 7.1%, p<0.0001) was observed in group B, as well as an increased prevalence of systolic Heart failure (18.3 vs 9.0%, p<0.0001). Similarly, the incidence of acute respiratory failure episodes (1.0 vs 0.4%, p=0.05), the prevalence of patients admitted with a tracheostomy tube (2.6 vs 0.2%, p<0.0001) and the incidence of acute renal failure (1.1 vs 0.5%, p=0.05) were significantly increased in group B. Postoperative infections and surgical wound complications were 4-fold higher in group B (13.9 vs 3.1%, p<0.0001, and 12.8 vs 2.3%, p<0.0001, respectively). Compared to group A, patients of group B showed a significantly lower physical performance, as expressed by the Rivermead motility index (3.8 ± 1.1 vs 5.2 ± 0.8, p<0.001); moreover, the number of subjects able to perform an incremental training program was significantly lower in group B than group A (14.8 vs 60.6%, p<0.0001). Mean hospital stay was longer in group B than group A (25.4 ± 13 vs 22.1 ± 9 days, p<0.001). CONCLUSIONS Our study, by collecting data from a CR division in northern Italy with high admittance rates, demonstrates a dramatic increase in clinical complexity over the last few years. This points to the need for new expertise and major resources to be allocated to CR departments.
Prabowo, Ridho Kunto - One of the best experts on this subject based on the ideXlab platform.
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PENERAPAN REHABILITASI JANTUNG FASE 1 PADA PASIEN SINDROMA KORONER AKUT (SKA) DI RUMAH SAKIT JANTUNG DAN PEMBULUH DARAH HARAPAN KITA JAKARTA
'STIKES Indramayu', 2019Co-Authors: Prabowo, Ridho KuntoAbstract:Cardiac Rehabilitation is all actions taken to optimally improve physical, mental and social functioning to restore functional capacity in patients with life-threatening acute coronary or post-invasive patients. Phase I cardiac Rehabilitation is an immediate initiation to carry out cardiac Rehabilitation in the acute phase. This study aims to identify the application of phase 1 cardiac Rehabilitation in ACS patients. Research using quantitative design with descriptive approach. The research sample consisted of 12 respondents using purposive sampling technique. The results of phase 1 to level 1 to 3 day 5 cardiac Rehabilitation studies in patients with ACS obtained Chest Pain, Dyspnea and ECG images whose values were constant or the same for all respondents both at the beginning, exercise and end. It can be concluded that during phase 1 level 1 Heart Rehabilitation to level 3 days 5 there were no changes in Chest Pain, Dyspnea and ECG in SKA patients. While the difference in Heart rate and blood pressure values statistically showed significant, but clinically not significant. Suggestion phase 1 cardiac Rehabilitation is a safe action and can be done independently by nurses and therefore must be applied to ACS patients. Keywords: Phase 1 Cardiac Rehabilitation, Acute Coronary SyndromeRehabilitasi jantung merupakan semua tindakan yang dilakukan untuk meningkatkan fungsi fisik, mental, dan lingkungan sosial secara optimal untuk mengembalikan kapasitas fungsional pada pasien dengan acute coronary yang mengancam jiwa atau pasien pasca tindakan invasif. Rehabilitasi jantung fase I merupakan inisiasi segera untuk melakukan rehabilitasi jantung pada fase akut. Penelitian ini bertujuan mengidentifikasi penerapan rehabilitasi jantung fase 1 pada pasien SKA. Penelitian menggunakan desain kuantitatif dengan pendekatan deskriptif. Sampel berjumlah 12 responden dengan menggunakan teknik purposive sampling. Hasil penelitian penerapan rehabilitasi jantung fase 1 level 1 sampai level 3 hari ke 5 pada pasien SKA didapatkan data Chest Pain, Dispnea dan Gambaran EKG yang nilainya konstan atau sama pada semua responden baik pada awal, latihan maupun akhir. Dapat disimpulkan bahwa pada saat dilakukan rehabilitasi jantung fase 1 level 1 sampai level 3 hari ke 5 tidak ada perubahan Chest Pain, Dispnea dan Gambaran EKG pada pasien SKA. Sedangkan perbedaan nilai Heart rate dan tekanan darah secara uji statistik menunjukkan signifikan, namun secara klinis tidak bermakna. Sebagai saran rehabilitasi jantung fase 1 merupakan tindakan yang aman dan dapat dilakukan secara mandiri oleh perawat oleh karena itu harus diterapkan pada pasien SKA. Kata Kunci : Rehabilitasi Jantung Fase 1, Sindrom Koroner Akut
Massimo Baravelli - One of the best experts on this subject based on the ideXlab platform.
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major epidemiological changes and clinical variables in patients undergoing a program of Heart Rehabilitation after cardiac surgery mephistopheles
Giornale italiano di cardiologia, 2011Co-Authors: Massimo Baravelli, Anna Picozzi, Andrea Rossi, Paolo Cattaneo, Daniela Imperiale, Maria Cristina Rossi, Cecilia Fantoni, Gaia Vezzaro, Laura Crespi, Monica BoscoAbstract:BACKGROUND Recent observational studies show an increase of more complex and critically ill patients referred to Italian cardiac Rehabilitation (CR) departments; the exact mechanisms underlying this phenomenon, however, have not been clearly identified. The aim of our study was to evaluate the epidemiological and clinical changes that occurred over the last decade in patients hospitalized in CR departments with high admittance rates. METHODS We have retrospectively evaluated all patients admitted between 2002 and 2009 to our division of CR (n = 3340, 1155 female, mean age 66.4 ± 11 years) after recent cardiac surgery. The study population was divided into two homogeneous groups: the four-year period 2002-2005, group A (n = 1614, 540 female, mean age 66.1 ± 10 years) and the four-year period 2006-2009, group B (n = 1726, 615 female, mean age 67.4 ± 11 years). Data were compared using specific indicators of clinical complexity. RESULTS Patients aged >75 years were more in group B compared to A (26.3 vs 19.8%, p<0.0001), as well as patients with recent complex surgical interventions, such as combined coronary artery bypass grafting and Heart valve surgery (16.4 vs 10.2%, p<0.0001). An increased incidence of cardiovascular death (1.4 vs 0.6%, p=0.02), acute coronary syndrome (1.5 vs 0.7%, p=0.02) and persistent atrial fibrillation/flutter (13.5 vs 7.1%, p<0.0001) was observed in group B, as well as an increased prevalence of systolic Heart failure (18.3 vs 9.0%, p<0.0001). Similarly, the incidence of acute respiratory failure episodes (1.0 vs 0.4%, p=0.05), the prevalence of patients admitted with a tracheostomy tube (2.6 vs 0.2%, p<0.0001) and the incidence of acute renal failure (1.1 vs 0.5%, p=0.05) were significantly increased in group B. Postoperative infections and surgical wound complications were 4-fold higher in group B (13.9 vs 3.1%, p<0.0001, and 12.8 vs 2.3%, p<0.0001, respectively). Compared to group A, patients of group B showed a significantly lower physical performance, as expressed by the Rivermead motility index (3.8 ± 1.1 vs 5.2 ± 0.8, p<0.001); moreover, the number of subjects able to perform an incremental training program was significantly lower in group B than group A (14.8 vs 60.6%, p<0.0001). Mean hospital stay was longer in group B than group A (25.4 ± 13 vs 22.1 ± 9 days, p<0.001). CONCLUSIONS Our study, by collecting data from a CR division in northern Italy with high admittance rates, demonstrates a dramatic increase in clinical complexity over the last few years. This points to the need for new expertise and major resources to be allocated to CR departments.
