Psychosocial Outcomes in Home-Based Cardiovascular Rehabilitation Programmes
Autori:
Lucia Corina DIMA-COZMA, Doina-Clementina COJOCARU, Florin MITU
Cod: ISSN: 1583-3410 (print), ISSN: 1584-5397 (electronic)
Dimensiuni: pp. 100-111
How to cite this article:Dima-Cozma, L.C., Cojocaru, D.C., Mitu, F. (2017). Psychosocial Outcomes in Home-Based Cardiovascular Rehabilitation Programmes. Revista de Cercetare si Interventie Sociala, 58, 100-111. |
Abstract:
Exercise-based cardiac rehabilitation has been introduced in medical practice
many years ago, initially only as center-based rehabilitation. It is part of the
activities for the secondary prevention of cardiovascular diseases and has been
effective in reducing cardiovascular morbidity and mortality. Cardiac rehabilitation
programs are commonly used in patients who have had an ischemic event
or a myocardial revascularization procedure and in patients with heart failure of
various etiologies. However, participation rate in center-based rehabilitation programs
is low, especially by the elderly or women, and depending on the variability
of the symptoms of cardiovascular disease. Alternative models are mainly based
on telerehabilitation techniques and are grouped under the name of home-based
rehabilitation. Our study aimed at reviewing the main randomized clinical trials
published from January 2012 to December 2016, selected from the MEDLINE,
Web of Science and Science Direct databases that compared home-based with
center-based rehabilitation or usual care, and were focused on psychosocial outcomes.
In the studied articles, the mental and social components were assessed by
completing upon enrollment and at various times during reassessment quality of
life questionnaires, questionnaires for depression and anxiety and self-perceived
stress. Several studies highlight the superiority of home-based rehabilitation in
hemodynamically stable patients who wanted to resume their social and professional
activities. The outcomes are generally similar in terms of increasing
exercise capacity and superior in terms of quality of life, reducing anxiety and
depression, or socio-professional reintegration.
Keywords:
psychosocial outcomes, home-based cardiac rehabilitation, centrebased cardiac rehabilitation, quality of life, self-perceived stress.
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