Ann Rehabil Med.  2017 Apr;41(2):248-256. 10.5535/arm.2017.41.2.248.

Quality of Life and Awareness of Cardiac Rehabilitation Program in People With Cardiovascular Diseases

Affiliations
  • 1Department of Rehabilitation Medicine, Chungnam National University Hospital, Daejeon, Korea. drjeesungju@hanmail.net
  • 2Department of Cardiology, Chungnam National University Hospital, Daejeon, Korea.

Abstract


OBJECTIVE
To evaluate the level of health-related quality of life (HRQoL), life satisfaction, and their present awareness of cardiac rehabilitation (CR) program in people with cardiovascular diseases.
METHODS
A questionnaire survey was completed by 53 patients (mean age, 65.7±11.6 years; 33 men and 20 women) with unstable angina, myocardial infarction, or heart failure. The questionnaire included the Medical Outcome Study 36-item Short-Form Health Survey (MOS SF-36), life domain satisfaction measure (LDSM), and the awareness and degree of using CR program.
RESULTS
The average scores of physical component summary (PCS) and mental component summary (MCS) were 47.7±18.5 and 56.5±19.5, respectively. There were significant differences in physical role (F=4.2, p=0.02), vitality (F=10.7, p<0.001), mental health (F=15.9, p<0.001), PCS (F=3.6, p=0.034), and MCS (F=11.9, p<0.001) between disease types. The average LDSM score was 4.7±1.5. Age and disease duration were negatively correlated with multiple HRQoL areas (p<0.05). Monthly income, ejection fraction, and LDSM were positively correlated with several MOS SF-36 factors (p<0.05). However, the number of modifiable risk factors had no significant correlation with medication. Thirty-seven subjects (69.8%) answered that they had not previously heard about CR program. Seventeen patients (32.1%) reported that they were actively participating in CR program. Most people said that a reasonable cost of CR was less than 100,000 Korean won per month.
CONCLUSION
CR should focus on improving the physical components of quality of life. In addition, physicians should actively promote CR to cardiovascular disease patients to expand the reach of CR program.

Keyword

Cardiac rehabilitation; Coronary heart disease; SF-36; Quality of life

MeSH Terms

Angina, Unstable
Cardiovascular Diseases*
Coronary Disease
Health Surveys
Heart Failure
Humans
Male
Mental Health
Myocardial Infarction
Outcome Assessment (Health Care)
Quality of Life*
Rehabilitation*
Risk Factors

Cited by  2 articles

Do Cardiac Rehabilitation Affect Clinical Prognoses Such as Recurrence, Readmission, Revascularization, and Mortality After AMI?: Systematic Review and Meta-Analysis
Chul Kim, Insun Choi, Songhee Cho, Ae Ryoung Kim, Wonseok Kim, Sungju Jee
Ann Rehabil Med. 2021;45(1):57-70.    doi: 10.5535/arm.20080.

Fact Sheet on Cardiac Rehabilitation for Cardiovascular Disease in South Korea
Ki-Hong Kim, Jae-Young Han
Ann Rehabil Med. 2023;47(5):318-325.    doi: 10.5535/arm.23050.


Reference

1. Whiteson JH, Einarsson G. Cardiac rehabilitation. In : Braddom RL, editor. Physical medicine and rehabilitation. 4th ed. Philadelphia: Saunders;2011. p. 713–740.
2. Taylor RS, Brown A, Ebrahim S, Jolliffe J, Noorani H, Rees K, et al. Exercise-based rehabilitation for patients with coronary heart disease: systematic review and meta-analysis of randomized controlled trials. Am J Med. 2004; 116:682–692. PMID: 15121495.
Article
3. Suaya JA, Stason WB, Ades PA, Normand SL, Shepard DS. Cardiac rehabilitation and survival in older coronary patients. J Am Coll Cardiol. 2009; 54:25–33. PMID: 19555836.
Article
4. Spertus JA, Salisbury AC, Jones PG, Conaway DG, Thompson RC. Predictors of quality-of-life benefit after percutaneous coronary intervention. Circulation. 2004; 110:3789–3794. PMID: 15596563.
Article
5. Spertus JA, Jones P, McDonell M, Fan V, Fihn SD. Health status predicts long-term outcome in outpatients with coronary disease. Circulation. 2002; 106:43–49. PMID: 12093768.
Article
6. Kim J, Henderson RA, Pocock SJ, Clayton T, Sculpher MJ, Fox KA, et al. Health-related quality of life after interventional or conservative strategy in patients with unstable angina or non-ST-segment elevation myocardial infarction: one-year results of the third Randomized Intervention Trial of unstable Angina (RITA-3). J Am Coll Cardiol. 2005; 45:221–228. PMID: 15653019.
7. Uchmanowicz I, Loboz-Grudzien K, Jankowska-Polanska B, Sokalski L. Influence of diabetes on health-related quality of life results in patients with acute coronary syndrome treated with coronary angioplasty. Acta Diabetol. 2013; 50:217–225. PMID: 21442428.
Article
8. Centers for Disease Control and Prevention. Receipt of cardiac rehabilitation services among heart attack survivors: 19 states and the District of Columbia, 2001. MMWR Morb Mortal Wkly Rep. 2003; 52:1072–1075. PMID: 14603183.
9. Witt BJ, Jacobsen SJ, Weston SA, Killian JM, Meverden RA, Allison TG, et al. Cardiac rehabilitation after myocardial infarction in the community. J Am Coll Cardiol. 2004; 44:988–996. PMID: 15337208.
Article
10. Goto Y, Itoh H, Adachi H, Ueshima K, Nohara R. Use of exercise cardiac rehabilitation after acute myocardial infarction. Circ J. 2003; 67:411–415. PMID: 12736479.
11. Scott IA, Lindsay KA, Harden HE. Utilisation of outpatient cardiac rehabilitation in Queensland. Med J Aust. 2003; 179:341–345. PMID: 14503895.
Article
12. Kim C, Lim HS, Ahn JK, Bang IK, Lee SM, Kim YJ. The reasons that cardiac patients did not participate in and drop out from the cardiac rehabilitation program. J Korean Acad Rehabil Med. 2002; 26:790–796.
13. Ware JE Jr, Sherbourne CD. The MOS 36-item short-form health survey (SF-36). I: Conceptual framework and item selection. Med Care. 1992; 30:473–483. PMID: 1593914.
14. Hays RD, Shapiro MF. An overview of generic health-related quality of life measures for HIV research. Qual Life Res. 1992; 1:91–97. PMID: 1301123.
Article
15. Ware JE Jr. The status of health assessment 1994. Annu Rev Public Health. 1995; 16:327–354. PMID: 7639876.
Article
16. Ware JE, Kosinski MA, Dewey JE. How to score version 2 of the SF-36 Health Survey. Lincoln: Quality Metric Inc.;2000.
17. Campbell A, Comverse PE, Rodgers WL. The quality of American life: perceptions, evaluations, and satisfactions. New York: Russel Sage Foundation;1976. p. 519–564.
18. Nash IS, Curtis LH, Rubin H. Predictors of patient-reported physical and mental health 6 months after percutaneous coronary revascularization. Am Heart J. 1999; 138(3 Pt 1):422–429. PMID: 10467190.
Article
19. Veenstra M, Pettersen KI, Rollag A, Stavem K. Association of changes in health-related quality of life in coronary heart disease with coronary procedures and sociodemographic characteristics. Health Qual Life Outcomes. 2004; 2:56. PMID: 15461816.
20. Heller RF, Lim L, Valenti L, Knapp J. Predictors of quality of life after hospital admission for heart attack or angina. Int J Cardiol. 1997; 59:161–166. PMID: 9158169.
Article
21. Trzcieniecka-Green A, Steptoe A. Stress management in cardiac patients: a preliminary study of the predictors of improvement in quality of life. J Psychosom Res. 1994; 38:267–280. PMID: 8064645.
Article
22. Pilote L, Miller DP, Califf RM, Rao JS, Weaver WD, Topol EJ. Determinants of the use of coronary angiography and revascularization after thrombolysis for acute myocardial infarction. N Engl J Med. 1996; 335:1198–1205. PMID: 8815943.
Article
23. Goldberg RJ, McCormick D, Gurwitz JH, Yarzebski J, Lessard D, Gore JM. Age-related trends in short- and long-term survival after acute myocardial infarction: a 20-year population-based perspective (1975-1995). Am J Cardiol. 1998; 82:1311–1317. PMID: 9856911.
Article
24. Soto M, Failde I, Marquez S, Benitez E, Ramos I, Barba A, et al. Physical and mental component summaries score of the SF-36 in coronary patients. Qual Life Res. 2005; 14:759–768. PMID: 16022068.
25. van Jaarsveld CH, Sanderman R, Ranchor AV, Ormel J, van Veldhuisen DJ, Kempen GI. Gender-specific changes in quality of life following cardiovascular disease: a prospective study. J Clin Epidemiol. 2002; 55:1105–1112. PMID: 12507674.
26. Jolly K, Taylor R, Lip GY, Greenfield S, Raftery J, Mant J, et al. The Birmingham Rehabilitation Uptake Maximisation Study (BRUM). Home-based compared with hospital-based cardiac rehabilitation in a multi-ethnic population: cost-effectiveness and patient adherence. Health Technol Assess. 2007; 11:1–118.
Article
27. Marchionni N, Fattirolli F, Fumagalli S, Oldridge N, Del Lungo F, Morosi L, et al. Improved exercise tolerance and quality of life with cardiac rehabilitation of older patients after myocardial infarction: results of a randomized, controlled trial. Circulation. 2003; 107:2201–2206. PMID: 12707240.
Article
28. Arthur HM, Smith KM, Kodis J, McKelvie R. A controlled trial of hospital versus home-based exercise in cardiac patients. Med Sci Sports Exerc. 2002; 34:1544–1550. PMID: 12370553.
Article
29. Smith KM, Arthur HM, McKelvie RS, Kodis J. Differences in sustainability of exercise and health-related quality of life outcomes following home or hospital-based cardiac rehabilitation. Eur J Cardiovasc Prev Rehabil. 2004; 11:313–319. PMID: 15292765.
Article
Full Text Links
  • ARM
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2024 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr