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EFFECTS OF CARDIAC REHABILITATION ON FUNCTIONAL EXERCISE CAPACITY, QUALITY OF LIFE AND DEPRESSION

Year 2022, Volume: 23 Issue: 2, 160 - 165, 20.04.2022
https://doi.org/10.18229/kocatepetip.787208

Abstract

OBJECTIVE: Cardiac Rehabilitation Program (CRP) is a comprehensive program developed specifically for the patients aims to improve functional exercise capacity, quality of life, and psychosocial status. This study aims to investigate the effect of CRP in retrospectively on patients who went through percutaneous coronary interference (PCI) with coronary artery disease (CAD) diagnosis and coronary artery bypass graft (CABG) history.
MATERIAL AND METHODS: 38 patients with CAD diagnosis and 12 patients with CABG history who underwent through PCI were assessed retrospectively. CRP consists of 5 minutes of warm-up, 10 minutes of joint range of motion, a 15 minute-tone-up exercise for the greater muscle groups, 30 minutes of aerobic exercise through constant heart rate training program by using bicycle ergometer exercise and 5 minutes of cool-down exercise. A total of 30 sessions were applied. The demographic data of the patients were recorded. 6-minute-walk-test (6-MWT), Short Form- 36 (SF-36), and Beck depression inventory were used respectively to assess the functional exercise capacity, quality of life, and the level of depression of the patients for their before and after the rehabilitation process.
RESULTS: Physical function (p<0.001), physical role (p=0.001), emotional role (p=0.01), pain (p=0.03), overall health (p=0.04) of life quality parameters, 6-MWT (p<0.001) and value of Beck depression inventory (p<0.001) showed significant improvement after the rehabilitation process of patients with CAD diagnosis. Furthermore, significant improvement was found in physical role difficulty and emotional role (p=0.001), which are from the quality of life parameters, and 6 MWT (p<0.001) and BDI (p<0.001) after rehabilitation in patients with CABG.
CONCLUSIONS: The cardiopulmonary aerobic exercise program that is applied together with cycle ergometer exercise improves the functional exercise capacity and the life quality of the patients with CAD diagnosis and CABG history and helps bring down the depression level of the patients.

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References

  • 1. Piepoli MF, Corrà U, Benzer W, et al. Secondary Prevention Through Cardiac Rehabilitation: From Knowledge to Implementation. A Position Paper From the Cardiac Rehabilitation Section of the European Association of Cardiovascular Prevention and Rehabilitation. Eur J Cardiovasc Prev Rehabil. 2010; 17(1):1-17.
  • 2. Robertson LD. Outpatient cardiac rehabilitation and secondary prevention. In: Rogers A, Ewing AS, Bott SM(Editors) Guideliness for Cardiac Rehabilitation and Secondary Prevention Programs. Fourth edition USA: Human Kinetics. 2004: 53-63.
  • 3. Taylor RS, Brown A, Ebrahim S, et al. Exercise-based rehabilitation for patients with coronary heart disease: Systemic review and meta-analysis of randomized controlled trials. Am J Med. 2004; 116(10): 682-92.
  • 4. Taylor RS, Dalal H, Jolly K et al. Home-based versus centre-based cardiac rehabilitation. Cochrane Database of Systematic Reviews. 2017;6(6):CD007130.
  • 5. Kweon S, Sohn MK, Jeong JO, et al. Quality of life and awareness of cardiac rehabilitation program in people with cardiovascular diseases. Ann Rehabil Med. 2017; 41(2): 248-56.
  • 6. Shen BJ, Wachowiak PS, Brooks LG. Psychosocial factors and assesment in cardiac rehabilitation. Eura Medicophys. 2005; 41(1): 75-91.
  • 7. Sharif F, Shoul A, Janati M, Kojuri J, Zare N. The effect of cardiac rehabilitation on anxiety and depression in patients undergoing cardiac bypass graft surgery in Iran. BMC Cardiovasc Disord. 2012; 12: 40.
  • 8. Foster C, Jackson AS, Pollock ML, et al. Generalized Equations For Predicting Functional Capacity From Treadmill Performance. Am Heart J. 1984; 107(6): 1229-34.
  • 9. Garber CE, Blissmer B, Deschenes MR, et al. American College of Sports Medicine position stand. Quantity and quality of exercise for developing and maintaining cardiorespiratory, musculoskeletal, and neuromotor fitness in apparently healthy adults: guidance for prescribing exercise. Med Sci Sports Exerc. 2011;43:1334-59.
  • 10. Ceylan E. Cardiopulmonary exercise testing. J Clin Exp Invest. 2014;5(3): 504-9.
  • 11. Koçyiğit H, Aydemir Ö, Fisek G. Kısa Form-36 (KF-36)’nın Türkçe versiyonunun güvenilirliği ve geçerliliği. İlaç ve Tedavi Dergisi. 1999; 12(2): 102-6.
  • 12. Hisli N. Validity and accuracy of Beck Depression inventory among university students (in Turkish) In: Psikoloji Dergisi. 1989;(7):3-13.
  • 13. Hamilton DM , Haennel RG. Validity and reliability of the 6-minute walk test in a cardiac rehabilitation population.J Cardiopulm Rehabil. 2000; 20(3): 156-64.
  • 14. Herbert FJ, Zhaoqi QH, Ahsan HK, Chang D, Kiat H.Cardiac rehabilitation outcomes following a 6-week program of PCI and CABG Patients. Front Physiol. 2013;4:302.
  • 15. Pavy B, Tisseau A, Caillon M.The coronary patient six months after cardiac rehabilitation:Rehabilitation evaluation research (RER study). Ann Cardiol Angeiol (Paris). 2011; 60(5): 252–8.
  • 16. Shabani R, Gaeini AA, Nikoo MR, Nikbackt H, Sadegifar M. Effect of cardiac rehabilitation program on exercise capacity in women undergoing coronary artery bypass graft in Hamadan-Iran. Int J Prev Med. 2010; 1(4): 247–51.
  • 17. Boylu AA, Paçacıoğlu B. Quality of life and indicators. Journal of Academic Researches and Studies. 2016; 8(15): 137-50.
  • 18. Anderson L, Thompson DR, Oldridge N, et al. Exercise-based cardiac rehabilitation for coronary heart disease. Cochrane Database Syst Rev. 2016; 1: 1-196.
  • 19. Küçükdeveci A. Quality of life in rehabilitation. Turk J Phys Med Rehabil. 2005; 51: 23-9.
  • 20. Lee BJ, Go JY, Kim AR, et al. Quality of life and physical ability changes after hospital-based cardiac rehabilitation in patients with myocardial infarction. Ann Rehabil Med. 2017; 41(1): 121-8.
  • 21. Seki E, Watanabe Y, Sunayama S, et al. Effects of phase III cardiac rehabilitation programs on health-related quality of life in elderly patients with coronary artery disease juntendo cardiac rehabilitation program (J-CARP). Circ J . 2003; 67(1): 73.
  • 22. Huffman JC, Celano CM, Januzzi JL. The relationship between depression, anxiety, and cardiovascular outcomes in patients with acute coronary syndromes. Neuropsychiatr Dis Treat. 2010; 6: 123-36.
  • 23. Tully PJ, Baker RA. Depression, anxiety, and cardiac morbidity outcomes after coronary artery bypass surgery: a contemporary and practical review. J Geriatric Cardiol. 2012; 9(2): 197–208.
  • 24. Aksoy KM, Karlıbel Aİ, Arı H, Altan L. The effect of obesity on functional capacity, anxiety and daily life activities in patients with coronary artery disease and phase II cardiac rehabilitation. Eur Res J. 2018;4(2):85-91

KARDİYAK REHABİLİTASYONUN FONKSİYONEL EGZERSİZ KAPASİTESİ, YAŞAM KALİTESİ VE DEPRESYON ÜZERİNE ETKİLERİ

Year 2022, Volume: 23 Issue: 2, 160 - 165, 20.04.2022
https://doi.org/10.18229/kocatepetip.787208

Abstract

AMAÇ: Kardiyak rehabilitasyon programı (KRP), hastaya özel geliştirilmiş geniş kapsamlı bir programdır. KRP, fonksiyonel egzersiz kapasitesini, yaşam kalitesini ve psikososyal durumu iyileştirmeyi amaçlar. Bu çalışmadaki amacımız, perkütan koroner girişim (PKG) yapılan koroner arter hastalığı (KAH) ve koroner arter bypass grefti (KABG) olan hastalara uygulanan KRP’nın etkinliğini retrospektif olarak araştırmaktır.
GEREÇ VE YÖNTEM: PKG yapılan KAH (n= 38) ve KABG’li (n=12) olan 50 hasta retrospektif olarak değerlendirildi. KRP 5 dk ısınma, 10 dk eklem hareket açıklığı,15 dk büyük kas gruplarını içeren güçlendirme egzersizleri, 30 dk bisiklet ergometresi (Ergoselect 200, Ergoline GmbH,Bitz, Germany) kullanılarak sabit kalp hızı yöntemi ile aerobik egzersiz (constant heart rate training program) ve 5 dk soğuma egzersizlerini içeriyordu. Toplam 30 seans uygulandı. Hastaların demografik verileri kaydedildi. Hastaların rehabilitasyon öncesi ve sonrası fonksiyonel egzersiz kapasitesi, yaşam kalitesi ve depresyon durumları sırasıyla 6 dk yürüme testi (6 DYT), Short Form- 36 (SF-36) ve Beck Depresyon Ölçeği (BDÖ) ile değerlendirildi.
BULGULAR: KAH’da rehabilitasyon sonrası 6DYT’nde (p=0.00), yaşam kalitesi parametrelerinden fiziksel fonksiyon (p<0.001), fiziksel rol güçlüğü (p=0.001), emosyonel rol güçlüğü (p=0.01), ağrı (p=0.03), genel sağlık (p=0.04) skorlarında ve BDÖ’nde (p<0.001) anlamlı iyileşme gösterildi. Ek olarak; KABG’lilerde rehabilitasyon sonrası 6 DYT’nde (p<0.001), yaşam kalitesi parametrelerinden fiziksel rol güçlüğü ve emosyonel rol güçlüğünde (p=0.001) ve BDÖ’ nde (p<0.001) anlamlı iyileşme saptandı.
SONUÇ: KAH ve KABG olan hastalarda, bisiklet ergometresi ile uygulanan kardiyopulmoner aerobik egzersiz programının fonksiyonel egzersiz kapasitesini ve yaşam kalitesini arttırdığı; depresyon seviyesini azalttığı gösterildi.

Project Number

None

References

  • 1. Piepoli MF, Corrà U, Benzer W, et al. Secondary Prevention Through Cardiac Rehabilitation: From Knowledge to Implementation. A Position Paper From the Cardiac Rehabilitation Section of the European Association of Cardiovascular Prevention and Rehabilitation. Eur J Cardiovasc Prev Rehabil. 2010; 17(1):1-17.
  • 2. Robertson LD. Outpatient cardiac rehabilitation and secondary prevention. In: Rogers A, Ewing AS, Bott SM(Editors) Guideliness for Cardiac Rehabilitation and Secondary Prevention Programs. Fourth edition USA: Human Kinetics. 2004: 53-63.
  • 3. Taylor RS, Brown A, Ebrahim S, et al. Exercise-based rehabilitation for patients with coronary heart disease: Systemic review and meta-analysis of randomized controlled trials. Am J Med. 2004; 116(10): 682-92.
  • 4. Taylor RS, Dalal H, Jolly K et al. Home-based versus centre-based cardiac rehabilitation. Cochrane Database of Systematic Reviews. 2017;6(6):CD007130.
  • 5. Kweon S, Sohn MK, Jeong JO, et al. Quality of life and awareness of cardiac rehabilitation program in people with cardiovascular diseases. Ann Rehabil Med. 2017; 41(2): 248-56.
  • 6. Shen BJ, Wachowiak PS, Brooks LG. Psychosocial factors and assesment in cardiac rehabilitation. Eura Medicophys. 2005; 41(1): 75-91.
  • 7. Sharif F, Shoul A, Janati M, Kojuri J, Zare N. The effect of cardiac rehabilitation on anxiety and depression in patients undergoing cardiac bypass graft surgery in Iran. BMC Cardiovasc Disord. 2012; 12: 40.
  • 8. Foster C, Jackson AS, Pollock ML, et al. Generalized Equations For Predicting Functional Capacity From Treadmill Performance. Am Heart J. 1984; 107(6): 1229-34.
  • 9. Garber CE, Blissmer B, Deschenes MR, et al. American College of Sports Medicine position stand. Quantity and quality of exercise for developing and maintaining cardiorespiratory, musculoskeletal, and neuromotor fitness in apparently healthy adults: guidance for prescribing exercise. Med Sci Sports Exerc. 2011;43:1334-59.
  • 10. Ceylan E. Cardiopulmonary exercise testing. J Clin Exp Invest. 2014;5(3): 504-9.
  • 11. Koçyiğit H, Aydemir Ö, Fisek G. Kısa Form-36 (KF-36)’nın Türkçe versiyonunun güvenilirliği ve geçerliliği. İlaç ve Tedavi Dergisi. 1999; 12(2): 102-6.
  • 12. Hisli N. Validity and accuracy of Beck Depression inventory among university students (in Turkish) In: Psikoloji Dergisi. 1989;(7):3-13.
  • 13. Hamilton DM , Haennel RG. Validity and reliability of the 6-minute walk test in a cardiac rehabilitation population.J Cardiopulm Rehabil. 2000; 20(3): 156-64.
  • 14. Herbert FJ, Zhaoqi QH, Ahsan HK, Chang D, Kiat H.Cardiac rehabilitation outcomes following a 6-week program of PCI and CABG Patients. Front Physiol. 2013;4:302.
  • 15. Pavy B, Tisseau A, Caillon M.The coronary patient six months after cardiac rehabilitation:Rehabilitation evaluation research (RER study). Ann Cardiol Angeiol (Paris). 2011; 60(5): 252–8.
  • 16. Shabani R, Gaeini AA, Nikoo MR, Nikbackt H, Sadegifar M. Effect of cardiac rehabilitation program on exercise capacity in women undergoing coronary artery bypass graft in Hamadan-Iran. Int J Prev Med. 2010; 1(4): 247–51.
  • 17. Boylu AA, Paçacıoğlu B. Quality of life and indicators. Journal of Academic Researches and Studies. 2016; 8(15): 137-50.
  • 18. Anderson L, Thompson DR, Oldridge N, et al. Exercise-based cardiac rehabilitation for coronary heart disease. Cochrane Database Syst Rev. 2016; 1: 1-196.
  • 19. Küçükdeveci A. Quality of life in rehabilitation. Turk J Phys Med Rehabil. 2005; 51: 23-9.
  • 20. Lee BJ, Go JY, Kim AR, et al. Quality of life and physical ability changes after hospital-based cardiac rehabilitation in patients with myocardial infarction. Ann Rehabil Med. 2017; 41(1): 121-8.
  • 21. Seki E, Watanabe Y, Sunayama S, et al. Effects of phase III cardiac rehabilitation programs on health-related quality of life in elderly patients with coronary artery disease juntendo cardiac rehabilitation program (J-CARP). Circ J . 2003; 67(1): 73.
  • 22. Huffman JC, Celano CM, Januzzi JL. The relationship between depression, anxiety, and cardiovascular outcomes in patients with acute coronary syndromes. Neuropsychiatr Dis Treat. 2010; 6: 123-36.
  • 23. Tully PJ, Baker RA. Depression, anxiety, and cardiac morbidity outcomes after coronary artery bypass surgery: a contemporary and practical review. J Geriatric Cardiol. 2012; 9(2): 197–208.
  • 24. Aksoy KM, Karlıbel Aİ, Arı H, Altan L. The effect of obesity on functional capacity, anxiety and daily life activities in patients with coronary artery disease and phase II cardiac rehabilitation. Eur Res J. 2018;4(2):85-91
There are 24 citations in total.

Details

Primary Language English
Subjects Clinical Sciences
Journal Section Articles
Authors

Fatıma Yaman 0000-0002-6137-0166

Merve Akdenız Leblebicier This is me 0000-0002-6147-300X

Taner Şen This is me 0000-0002-7736-6292

Project Number None
Publication Date April 20, 2022
Acceptance Date May 31, 2021
Published in Issue Year 2022 Volume: 23 Issue: 2

Cite

APA Yaman, F., Akdenız Leblebicier, M., & Şen, T. (2022). EFFECTS OF CARDIAC REHABILITATION ON FUNCTIONAL EXERCISE CAPACITY, QUALITY OF LIFE AND DEPRESSION. Kocatepe Tıp Dergisi, 23(2), 160-165. https://doi.org/10.18229/kocatepetip.787208
AMA Yaman F, Akdenız Leblebicier M, Şen T. EFFECTS OF CARDIAC REHABILITATION ON FUNCTIONAL EXERCISE CAPACITY, QUALITY OF LIFE AND DEPRESSION. KTD. April 2022;23(2):160-165. doi:10.18229/kocatepetip.787208
Chicago Yaman, Fatıma, Merve Akdenız Leblebicier, and Taner Şen. “EFFECTS OF CARDIAC REHABILITATION ON FUNCTIONAL EXERCISE CAPACITY, QUALITY OF LIFE AND DEPRESSION”. Kocatepe Tıp Dergisi 23, no. 2 (April 2022): 160-65. https://doi.org/10.18229/kocatepetip.787208.
EndNote Yaman F, Akdenız Leblebicier M, Şen T (April 1, 2022) EFFECTS OF CARDIAC REHABILITATION ON FUNCTIONAL EXERCISE CAPACITY, QUALITY OF LIFE AND DEPRESSION. Kocatepe Tıp Dergisi 23 2 160–165.
IEEE F. Yaman, M. Akdenız Leblebicier, and T. Şen, “EFFECTS OF CARDIAC REHABILITATION ON FUNCTIONAL EXERCISE CAPACITY, QUALITY OF LIFE AND DEPRESSION”, KTD, vol. 23, no. 2, pp. 160–165, 2022, doi: 10.18229/kocatepetip.787208.
ISNAD Yaman, Fatıma et al. “EFFECTS OF CARDIAC REHABILITATION ON FUNCTIONAL EXERCISE CAPACITY, QUALITY OF LIFE AND DEPRESSION”. Kocatepe Tıp Dergisi 23/2 (April 2022), 160-165. https://doi.org/10.18229/kocatepetip.787208.
JAMA Yaman F, Akdenız Leblebicier M, Şen T. EFFECTS OF CARDIAC REHABILITATION ON FUNCTIONAL EXERCISE CAPACITY, QUALITY OF LIFE AND DEPRESSION. KTD. 2022;23:160–165.
MLA Yaman, Fatıma et al. “EFFECTS OF CARDIAC REHABILITATION ON FUNCTIONAL EXERCISE CAPACITY, QUALITY OF LIFE AND DEPRESSION”. Kocatepe Tıp Dergisi, vol. 23, no. 2, 2022, pp. 160-5, doi:10.18229/kocatepetip.787208.
Vancouver Yaman F, Akdenız Leblebicier M, Şen T. EFFECTS OF CARDIAC REHABILITATION ON FUNCTIONAL EXERCISE CAPACITY, QUALITY OF LIFE AND DEPRESSION. KTD. 2022;23(2):160-5.

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