Article

OBJECTIVE: To assess changes in self-reported health related quality of life
(HRQoL) among cardiac patients who participated in an inpatient rehabilitation
programme. METHODS:
Medical Outcomes Study Short Form 36 (SF-36) and
the MacNew Heart Disease Health-related Quality of Life Questionnaire (MacNew)
was used to assess HRQoL at baseline (T1), after rehabilitation (T2) and 5 months
after discharge (T3). The rehabilitation programme consisted of physical
exercise, theoretical education, group discussions and individual consultations.
Friedman's test with Wilcoxon post-hoc test was used to analyse changes between
T1, T2 and T3. Effect size (ES) were calculated. RESULTS: Eighty-nine
participants were included (79% male) with mean age of 60.0+/-8.6 years. All
SF-36 and MacNew domains showed significant improvement from T1 to T2 (P<0.05),
and all except the SF-36 domain for emotional role with a moderate to large ES.
At T3, change and ES are diminished in all domains, except for the physical and
social domains of the MacNew. CONCLUSION: These findings indicate an improvement
in HRQoL over time among cardiac patients attending the rehabilitation programme,
particularly so in the domains of physical role and physical function, vitality,
bodily pain and emotional-, physical- and social-well-being, all which are
important domains for maintaining an active life. Future randomised studies
comparing inpatient- and outpatient-programmes with longer follow-up are
necessary to ascertain if such improvements persist and if patients are able to
change life-style in line with the stated goals of cardiac rehabilitation (CR).
CI - Copyright (c) 2013 Elsevier Masson SAS. All rights reserved.

Langue : ANGLAIS ; FRANCAIS