Document Detail


Rehabilitation outcomes following percutaneous coronary interventions (PCI).
MedLine Citation:
PMID:  11384820     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
This prospective study evaluated the effect of an individualized, comprehensive, home-based cardiac rehabilitation program combining exercise training with risk factor modification and psychosocial counseling on risk factors, psychological well-being, functional capacity, and work resumption in 99 post-percutaneous coronary interventions (PCI) patients randomized to control (standard care plus telephone follow-up, n=49) or intervention (individualized, comprehensive, home-based cardiac rehabilitation, n=50) groups. Data were collected at time 1 (T(1)) during hospital admission, time 2 (T(2)) approximately 2 months post-PCI, and time 3 (T(3)) approximately 12 months post-PCI. Results suggest that the allocation to an individualized, comprehensive, home-based cardiac rehabilitation program provided more advantageous outcomes. At both follow-ups, the intervention group showed within-group improvement in serum cholesterol levels (P<0.02; P<0.01) and exercise participation (P<0.001; P<0.001) with differences in exercise participation favoring the intervention group (P<0.01) at T(2). Repeated measures ANOVA showed significant improvements over time in body mass index (BMI) (P<0.01), psychological well-being (P<0.001), and functional capacity (P<0.001) for both groups. More patients in the intervention group had returned to work at T(2) (P<0.001) and did so more quickly (P<0.01). These findings suggest that an individualized, comprehensive, home-based cardiac rehabilitation program improves risk factor profiles and work resumption patterns for patients following PCI.
Authors:
H C Higgins; R L Hayes; K T McKenna
Publication Detail:
Type:  Clinical Trial; Journal Article; Randomized Controlled Trial; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Patient education and counseling     Volume:  43     ISSN:  0738-3991     ISO Abbreviation:  Patient Educ Couns     Publication Date:  2001 Jun 
Date Detail:
Created Date:  2001-05-31     Completed Date:  2002-01-25     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  8406280     Medline TA:  Patient Educ Couns     Country:  Ireland    
Other Details:
Languages:  eng     Pagination:  219-30     Citation Subset:  N    
Affiliation:
Centre for Public Health Research, School of Public Health, Queensland University of Technology, Victoria Park Road, Kelvin Grove, Queensland 4059, Brisbane, Australia. h.higgins@qut.edu.au
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MeSH Terms
Descriptor/Qualifier:
Activities of Daily Living
Adaptation, Psychological
Analysis of Variance
Angioplasty, Transluminal, Percutaneous Coronary / psychology,  rehabilitation*
Employment
Home Care Services, Hospital-Based*
Humans
Prospective Studies
Risk Factors
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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