Department of Respiratroy Care, King Saud Abdul-Aziz University for Health Sciences, Riyadh, Saudi Arabia (Messers Alqahtani and Alanazi); Department of Physical Therapy, The University of Alabama at Birmingham (Messrs Alqahtani and Alanazi); Department of Physical Therapy, School of Behavioral and Applied Sciences, Azusa Pacific University, Azusa, California (Dr Yohannes); Department of Psychology, Oklahoma State University, Stillwater (Ms Smith); and Byrdine F. Lewis College of Nursing and Health Professions, Georgia State University, Atlanta (Dr Goodfellow).
J Cardiopulm Rehabil Prev. 2021 Jul 1;41(4):271-276. doi: 10.1097/HCR.0000000000000599.
Those with chronic cardiac and pulmonary diseases are predisposed to several psychosocial disorders. Tailored rehabilitation programs have been shown to improve physiological and psychosocial well-being. The purpose of this study was, first, to assess the psychosocial improvements among patients with cardiac and pulmonary diseases who have finished cardiac rehabilitation (CR) and pulmonary rehabilitation (PR) programs; second, to assess the differences in psychosocial factors among those patients based on smoking status at the beginning and end of these programs.
The CR and PR programs in hospital settings were retrospectively analyzed from 2013-2018. Before and after, all patients completed the sociodemographic characteristics along with the Psychosocial Risk Factor Survey that measures total distress, depression, anxiety, hostility, and social isolation.
There were 355 patients with cardiac and 244 patients with pulmonary disease who completed 6- to 12-wk CR or PR programs. There were significant improvements in all psychosocial symptoms among cardiac patients. Patients with pulmonary disease exhibited significant improvements in all psychosocial factors except for social isolation. Moreover, current smokers in the CR group reported elevated symptoms of several psychosocial scores.
These findings provide critical information about the effects of tailored rehabilitation programs among patients with chronic cardiac and pulmonary diseases on psychosocial levels. By using the Psychosocial Risk Factor Survey, we have found that total distress, depression, anxiety, and hostility were reduced among patients who completed the CR or PR programs. Current smokers exhibited the elevated mean scores on psychosocial symptoms in the cardiac group that may be a target for smoking cessation program. The advantages of tailored rehabilitation programs are significant, which may be of benefit for physical, social, behavioral, and psychological well-being.
患有慢性心脏和肺部疾病的人易患多种心理社会障碍。已证明，量身定制的康复计划可改善生理和心理社会健康。本研究的目的首先是评估已完成心脏康复（CR）和肺康复（PR）计划的心脏和肺部疾病患者的心理社会改善情况；其次，评估这些计划开始和结束时根据吸烟状况的患者的心理社会因素差异。
从 2013 年至 2018 年，对医院环境中的 CR 和 PR 计划进行了回顾性分析。在前后，所有患者都完成了社会人口统计学特征以及心理社会风险因素调查表，该表测量了总困扰，抑郁，焦虑，敌意和社会隔离。
有 355 例患有心脏病和 244 例患有肺病的患者完成了 6 至 12 周的 CR 或 PR 计划。心脏病患者的所有心理社会症状均有明显改善。除了社会隔离，患有肺部疾病的患者在所有心理社会因素上都有明显改善。此外，CR 组中的当前吸烟者报告了几种心理社会评分的症状升高。
这些发现为慢性心脏和肺部疾病患者的量身定制的康复计划对心理社会水平的影响提供了重要信息。通过使用心理社会风险因素调查表，我们发现完成 CR 或 PR 计划的患者的总困扰，抑郁，焦虑和敌意都有所降低。在心脏组中，当前吸烟者的心理社会症状的平均得分较高，这可能是戒烟计划的目标。量身定制的康复计划具有明显的优势，这可能有益于身体，社会，行为和心理健康。
