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Enfermería en Cardiología

Enfermería en Cardiología

SEPTIEMBRE 2018 N° 75 Volumen 3

EFFECTIVENESS OF CARDIAC REHABILITATION IN A GROUP OF HIGH-RISK PATIENTS

Section: Artículos Científicos

Authors

    Raquel Alba Martín

Position

Enfermera de la Unidad de Cirugía torácica del Hospital Universitario Reina Sofía de Córdoba.

Contact address

Raquel Alba Martín. C/ Hermano Bonifacio, 3 14520. Fernán Núñez (Córdoba)

Abstract

Introduction. Actually, the evidence shows that all cardiac patients may obtain benefits from cardiac rehabilitation programs (CRP), including patients with Heart Failure. In Spain, the population who access programs is low (2-3%), offering only by 12 public centers of the National Health System. The objective of the study is to determine the impact of a cardiac rehabilitation program on the quality of life of high-risk patients with heart failure, as well as to reduce the percentage of risk factors associated with coronary heart disease.
Material and methods. It realized a quasi-experimental study to 29 patients with heart failure (high-risk group). They were selected by simple random sampling and stratified according to the American Association of Cardiovascular and Pulmonary Rehabilitation (AACVP). They were included in a Cardiac Rehabilitation Program (Phase II) of a hospital in Cordoba. The Short Form-36 (SF-36) questionnaire for the evaluation of quality of life was used at baseline and post-program. To evaluate the differences before and after the intervention, the T-Student test was used for paired data.
Results. The progressive aerobic conditioning showed a significant improvement in the perceived effort by more than 90% of the participants. The increase in the perception of quality of life related to health shows statistically significant results in the 4 subscales: general health, emotional role, corporal pain and social function (p <0.05). The percentage of the three associated risk factors also decreased considerably: overweight, smoking and sedentary lifestyle. Conclusions. Cardiac rehabilitation improved quality of life in our patients at finally treatment, particularly the aspects related to the emotional status and overall health.

Keywords:

cardiac rehabilitation; quality of life; perceptionnursing

Versión en Español

Título:

EFECTIVIDAD DE LA REHABILITACIÓN CARDIACA EN UN GRUPO DE PACIENTES DE ALTO RIESGO

Artículo completo no disponible en este idioma / Full article is not available in this language

Bibliography

1. Morata AB, Domínguez A. Calidad de vida tras un programa de rehabilitación cardiaca. Rehabilitación.2007; 41(5): 214-19.
2. León M, Mazón P, Marcos E, García E. Temas de actualidad en prevención cardiovascular y rehabilitación cardiaca. Rev. Esp. Cardiol. 2009; 62 (Supl 1):4-13.
3. Verbo E. Protocolo de rehabilitación cardiaca en pacientes con insuficiencia cardiaca (Tesis). Universidad CEU-San Pablo. 2012.
4. Grima A, García E, Luengo E, León M. Cardiología preventiva y Rehabilitación cardiaca. Rev. Esp. Cardiol. 2011; 64:66-72.
5. De Pablo C, Grima A, Luengo E, Mazón P. Prevención cardiovascular y rehabilitación cardiaca. Rev Esp Cardiol. 2007; 60(Supl 1):68-78.
6.  Börg GAV. Psychophysical bases of perceived exertion. Med Sci Sports Exerc. 1982; 14(5):377-81.
7.  Martínez P, Silveyr G. Elaboración y validación de una escala de calidad de vida para pacientes con cardiopatías. Rev Chil Neuropsicol. 2010; 5(2):102-12.
8.  Soto M, Failde I. La calidad de vida relacionada con la salud como medida de resultados en pacientes con cardiopatía isquémica. Rev Soc Esp Dolor. 2004; 11(8):505-14.
9. WHO. Rehabilitation after cardiovascular diseases, with special emphasis on developing countries. Report of a WHO Expert Committee. World Health Organization Tech Rep Ser.1993; 831:1-122. Available in:
http://apps.who.int/iris/bitstream/10665/38455/1/WHO_TRS_831.pdf
10. Gibbons RJ, Abrams J, Chatterjee K, Daley J, Deedwania PC, Douglas JS et al. ACC/ AHA 2002 guideline update for the management of patients with chronic stable angina summary article: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Committee on the Management of Patients With Chronic Stable Angina). Circulation.2003; 107:149-58.
11. Piepoli MF, Davos C, Francis DP, Coats AJ. Exercise training meta-analysis of trials in patients with chronic heart failure (ExTraMATCH). BMJ. 2004; 328:189. Disponible en: http://www.ncbi.nlm.nih.gov/pubmed/14729656
12. Dalal HM, Zawada A, Jolly K, Moxham T, Taylor RS. Home based versus centre based cardiac rehabilitation: Cochrane systematic review and meta-analysis.BMJ.2010; 340:b5631.
13. Clark AM. Home based cardiac rehabilitation. BMJ. 2010; 340:b5510.
14. Morata A, Domínguez A. Calidad de vida tras un programa de Rehabilitación Cardiaca. Rehabilitación. 2007; 41(5): 214-9.
15. Barret E, Bush T. Estrogen and coronary heart disease in women. JAMA. 1991; 265: 1861-67.
16. Salazar L, Marqués B, Guidi G, Hanna M, Acevedo B, Yánez et al. Impacto del programa de rehabilitación cardiovascular Fase II medido a través de la encuesta de salud SF-36. Rev Mex Enf Cardiol. 2005; 13(3): 77-81.
17. Ley Orgánica 15/1999, de 13 de diciembre, sobre protección de datos de carácter personal. España; 1999.
18.  Rees K, Taylor RS, Singh S, Coats AJS, Ebrahim S. Rehabilitación basada en ejercicios para la insuficiencia cardiaca (revisión Cochrane Traducida). Cochrane Plus, 2008(2).
19. Beckers PJ, Denollet J, Possemiers NM, Wuyts FL, Vrints CJ, Conraads VM. Combined endurance-resistance training vs. endurance training in patients with chronic heart failure: a prospective randomized study. Eur Heart J. 2008 Aug; 29(15):1858-66.
20. Antepara N. Enfermedad coronaria en la mujer. AVFT. 2005; 24(1). Disponible: http://www.scielo.org.ve/scielo.php?script=sci_arttext&pid=S0798-02642005000100002