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参加心脏康复计划与冠状动脉疾病患者生活质量之间的相关性。

Correlation between participation in a cardiac rehabilitation program and quality of life of patients with coronary artery disease.

作者信息

Herman Rivka, Liebergall Michal, Rott David

机构信息

Henrietta Szold Hadassah-Hebrew University School of Nursing, Faculty of Medicine, Jerusalem, Israel.

出版信息

Rehabil Nurs. 2014 Jul-Aug;39(4):192-7. doi: 10.1002/rnj.118. Epub 2013 Aug 6.

DOI:10.1002/rnj.118
PMID:23922286
Abstract

PURPOSE

To examine the correlation between participation in a cardiac rehabilitation (CR) program and quality of life (QoL).

DESIGN

A prospective study of patients with coronary artery disease (CAD).

METHODS

Participants completed questionnaires before and after a 3-month CR program. Patients were surveyed using a cardiac history evaluation and the MacNew Heart Disease Health-Related QoL questionnaire.

FINDINGS

Of those eligible, only 14% of the participants were women and 7% were of Arab ethnicity. Patients' QoL significantly improved following participation. Higher level of education was associated with improved QoL. Conversely, cardiac risk factor burden was associated with a decline in QoL. No association was found between cardiac risk stratification, age or religiosity and QoL.

CONCLUSIONS

Improved QoL after CR program participation should raise awareness of the significant benefits of CR among healthcare professionals.

CLINICAL RELEVANCE

CR for those patients with CAD should be implemented, with a focus on women and minorities.

摘要

目的

研究参与心脏康复(CR)计划与生活质量(QoL)之间的相关性。

设计

一项针对冠状动脉疾病(CAD)患者的前瞻性研究。

方法

参与者在为期3个月的CR计划前后完成问卷调查。使用心脏病史评估和MacNew心脏病健康相关生活质量问卷对患者进行调查。

结果

在符合条件的参与者中,只有14%为女性,7%为阿拉伯族裔。参与后患者的生活质量显著改善。较高的教育水平与生活质量改善相关。相反,心脏危险因素负担与生活质量下降相关。未发现心脏风险分层、年龄或宗教信仰与生活质量之间存在关联。

结论

参与CR计划后生活质量的改善应提高医疗保健专业人员对CR显著益处的认识。

临床意义

应为那些CAD患者实施CR,重点关注女性和少数群体。

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