Mgbemena Nnamdi, Thompson Jane, Osuagwu Uchechukwu Levi
Discipline of Physiotherapy, Charles Sturt University, Orange, New South Wales, Australia.
Cardiopulmonary Rehabilitation Unit, Bathurst Health Service, Bathurst, New South Wales, Australia.
Aust J Rural Health. 2025 Apr;33(2):e70033. doi: 10.1111/ajr.70033.
Cardiopulmonary rehabilitation participation rates in regional Australia remain poor, with outcomes further worsened by the limited number of cardiopulmonary rehabilitation professionals in these settings.
This study investigated the role of cardiopulmonary rehabilitation in improving physical and mental health outcomes of participants with heart or lung diseases in a regional NSW centre.
A retrospective study of adults who attended a 1-h session per week cardiac or pulmonary rehabilitation programme at Bathurst Hospital between January 2021 and December 2023.
Pre- and post-rehabilitation assessments were conducted, which included heart rate, blood pressure, oxygen saturation, waist circumference, rating of perceived exertion, 5-sit-to-stand test (5-STS), 6-min walk test (6MWT), and the patient health questionnaire-9 for assessment of depression (PHQ-9 score ≥ 10 = major depression).
Data for eligible participants (n = 186, mostly males 57.5%), aged 69 ± 12 years, were analysed. There were statistically significant improvements (pre vs. post) in mean PHQ-9 scores (6.3 vs. 4.2, p < 0.001), 5-STS (15.8 vs. 12.5 s, p < 0.001), 6MWT (328.6 vs. 377.9 m, p < 0.001) and waist circumference (104.7 vs. 103.9 cm, p < 0.03) post-rehabilitation. Compared with pre-rehabilitation measures, the overall proportion with major depression was significantly lower by 50% (25.3% vs. 12.4%, p < 0.05) post-rehabilitation. This decrease was significant for the cardiac (11.6% decrease) and pulmonary (15.4% decrease) rehabilitation participants.
Despite the limiting structure of one session per week for the cardiopulmonary rehabilitation programme at this regional centre, participants showed significant improvements in their mental and physical health at the end of the programme. Funding such organic programmes will yield a greater positive impact on the health of people in this region.
澳大利亚地区心肺康复的参与率仍然很低，这些地区心肺康复专业人员数量有限，进一步恶化了康复效果。
本研究调查了新南威尔士州一个地区中心的心肺康复对改善心脏病或肺病患者身心健康状况的作用。
对2021年1月至2023年12月期间在巴瑟斯特医院参加每周一次、每次1小时的心脏或肺部康复项目的成年人进行回顾性研究。
在康复前后进行评估，包括心率、血压、血氧饱和度、腰围、主观用力程度评分、5次坐立试验（5-STS）、6分钟步行试验（6MWT），以及用于评估抑郁的患者健康问卷-9（PHQ-9评分≥10=重度抑郁）。
对符合条件的参与者（n=186，大多数为男性，占57.5%）的数据进行了分析，这些参与者年龄为69±12岁。康复后，平均PHQ-9评分（6.3对4.2，p<0.001）、5-STS（15.8对12.5秒，p<0.001）、6MWT（328.6对377.9米，p<0.001）和腰围（104.7对103.9厘米，p<0.03）有统计学显著改善。与康复前的测量结果相比，康复后重度抑郁的总体比例显著降低了50%（25.3%对12.4%，p<0.05）。这种下降在心脏康复参与者（下降11.6%）和肺部康复参与者（下降15.4%）中均有统计学意义。
尽管该地区中心的心肺康复项目每周只有一次课程，结构有限，但参与者在项目结束时身心健康状况有显著改善。为这类自然形成的项目提供资金将对该地区人们的健康产生更大的积极影响。
