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Titre : | Traditional vs Extended Hybrid Cardiac Rehabilitation Based on the Continuous Care Model for Patients Who Have Undergone Coronary Artery Bypass Surgery in a Middle-Income Country: A Randomized Controlled Trial (2021) |
Auteurs : | Fatemeh Pakrad ; Fazlollah Ahmadi ; Sherry L. Grace ; Khodayar Oshvandi ; Anoshirvan Kazemnejad |
Type de document : | Article |
Dans : | Archives of Physical Medicine and Rehabilitation (Vol. 102, n° 11, 2021) |
Article en page(s) : | p. 2091-2101.e3 |
Note générale : | https://doi.org/10.1016/j.apmr.2021.04.026 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Accessibilité des services de santé ; Continuité des soins ; Essai contrôlé randomisé ; Modèles de soins infirmiers ; Pontage aortocoronarien ; Prévention secondaire ; Qualité de vie ; Réadaptation ; Réadaptation cardiaque ; Santé mondiale ; Télémédecine |
Résumé : |
Objective
To compare traditional (1-month supervised) vs hybrid cardiac rehabilitation (CR; usual care) with an additional 3 months offered remotely based on the continuous care model (intervention) in patients who have undergone coronary artery bypass graft (CABG). Design Randomized controlled trial, with blinded outcome assessment. Setting A major heart center in a middle-income country. Participants Of 107 eligible patients who were referred to CR during the period of study, 82.2% (N=88) were enrolled (target sample size). Participants were randomly assigned 1:1 (concealed; 44 per parallel arm). There was 92.0% retention. Interventions After CR, participants were given a mobile application and communicated biweekly with the nurse from months 1-4 to control risk factors. Main Outcome Measures Quality of life (QOL, Short Form-36, primary outcome); functional capacity (treadmill test); and the Depression, Anxiety and Stress Scale were evaluated pre-CR, after 1 month, and 3 months after CR (end of intervention), as well as rehospitalization. Results The analysis of variance interaction effects for the physical and mental component summary scores of QOL were <.001 favoring intervention protocol there were also significant increases from pre-cr to month and the final assessment in arm with change control only month. effect sizes respectively. similarly interaction for functional capacity was a clinically metabolic equivalent of task increase arm. trends group effects psychosocial indicators paired t tests revealing each at both points months rehospitalizations none intended theoretical mechanisms affected by intervention.> Conclusions Extending CR in this accessible manner, rendering it more comprehensive, was effective in improving outcomes. |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S0003999321004548#! |