Effects of home-based rehabilitation on health-related quality of life and psychological status in Chinese patients recovering from acute myocardial infarction

Wang, Wenru, Chair, Sek Ying, Thompson, David R. and Twinn, Sheila F. (2012) Effects of home-based rehabilitation on health-related quality of life and psychological status in Chinese patients recovering from acute myocardial infarction. Heart & Lung: The Journal of Acute and Critical Care, 41 1: 15-25. doi:10.1016/j.hrtlng.2011.05.005

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Author Wang, Wenru
Chair, Sek Ying
Thompson, David R.
Twinn, Sheila F.
Title Effects of home-based rehabilitation on health-related quality of life and psychological status in Chinese patients recovering from acute myocardial infarction
Journal name Heart & Lung: The Journal of Acute and Critical Care   Check publisher's open access policy
ISSN 0147-9563
1527-3288
Publication date 2012-01
Year available 2011
Sub-type Article (original research)
DOI 10.1016/j.hrtlng.2011.05.005
Volume 41
Issue 1
Start page 15
End page 25
Total pages 11
Place of publication Philadelphia, PA , United States
Publisher Mosby
Collection year 2012
Language eng
Formatted abstract Objective:
This study evaluated the effects of a home-based rehabilitation program for Chinese patients with myocardial infarction in terms of health-related quality of life and psychological status.

Methods:
This was a randomized, controlled trial with data collected at 2 university-affiliated public general hospitals in Xian (Shaanxi Province, People's Republic of China). One hundred and sixty patients with a myocardial infarction were randomly assigned to either the interventional group (a home-based cardiac rehabilitation program using a self-help manual) or the control group (usual care). Health-related quality of life (generic, Chinese Short Form 36-Item Health Survey; disease-specific, Chinese Myocardial Infarction Dimensional Assessment Scale) and psychological status (the Chinese Hospital Anxiety and Depression Scale) were measured at baseline, program completion (6 weeks), and 3 and 6 months after hospital discharge.

Results:
Significant differences were evident in the main outcomes when the home-based group was compared with the usual care group at 6 weeks, 3 months, and 6 months. The home-based group had significantly higher scores on 4 of the 8 domains of the Chinese Short Form 36-Item Health Survey and on 3 of the 7 dimensions of the Chinese Myocardial Infarction Dimensional Assessment Scale, with significantly lower scores on the anxiety, but not the depression, subscale of the Chinese Hospital Anxiety and Depression Scale.

Conclusions:
A simple, home-based cardiac rehabilitation program for patients with acute myocardial infarction, using a self-help manual, improves health-related quality of life and reduces anxiety. It appears feasible and acceptable, and does not produce inferior outcomes compared with usualcare in China
Keyword Acute myocardial infarction
Chinese patients
Home-based rehabilitation
Psychological status
Quality of life
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ
Additional Notes Available online 5 October 2011.

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2012 Collection
School of Nursing and Midwifery Publications
 
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Created: Tue, 06 Dec 2011, 09:14:15 EST by Vicki Percival on behalf of School of Nursing and Midwifery