Conclusions HB exercise is slightly more effective than CB rehabilitation in terms of maintaining EC .
Background Exercise-based cardiovascular rehabilitation ( CR ) improves exercise capacity ( EC ) , lowers cardiovascular risk profile and increases physical functioning in the short term .
However , uptake of and adherence to a physically active lifestyle in the long run remain problematic .
Home-based ( HB ) exercise programmes have been introduced in an attempt to enhance long-term adherence to recommended levels of physical activity ( PA ) .
The current systematic review and meta- analysis aim ed to compare the longer-term effects of HB exercise programmes with usual care ( UC ) or centre-based ( CB ) CR in patients referred for CR .
The effect of home-based cardiac rehabilitation program on self efficacy of patients referred to cardiac rehabilitation center
Background The prevalence of coronary heart disease is increasing worldwide contributing to mortality and morbidity of millions of people . Cardiac rehabilitation is an interdisciplinary activity with the aim of facilitating and improving the physical , psychological and emotional state of the patients with cardiac complications . This study aim ed to evaluate the probable positive effects of continuing cardiac rehabilitation programs at home on self-efficacy of the patients with cardiac complications . Method In a r and omized controlled trial , 80 patients referred to rehabilitation center from Feb 2009 to Jan 2010 were r and omly divided into case and control groups . Both groups received routine cardiac rehabilitation programs in the rehabilitation center . In addition , the case group received education and practical training in various rehabilitation measures along with home visits of a community health nurse throughout the follow-up period . General Self Efficacy Scale ( GSES ) was used to assess self-efficacy between two groups at baseline and follow-up periods . Collected data from GSES question naires were analyzed using Minitab software and repeated measurement analysis model . Results No first time ( before beginning of rehabilitation program ) GESE differences were observed between case ( 26.36 ± 0.84 ) and control ( 28.53 ± 0.54 ) groups ( P = 0.44 ) . In the final measurement , GESE in case group was 36.59 ± 5.65 vs. 26.5 ± 0.91 in the control group . There was a statistically significant difference in self-efficacy between two groups and in different measurements ( P = 0.000 ) . Conclusion Home-based cardiac rehabilitation has a positive effect on patients ’ self-efficacy and therefore it is recommended for the patients suffering from heart diseases . Trial registration RCT registration number : I RCT 201106086747N1
Conclusions HB exercise is slightly more effective than CB rehabilitation in terms of maintaining EC .
Background Exercise-based cardiovascular rehabilitation ( CR ) improves exercise capacity ( EC ) , lowers cardiovascular risk profile and increases physical functioning in the short term .
However , uptake of and adherence to a physically active lifestyle in the long run remain problematic .
Home-based ( HB ) exercise programmes have been introduced in an attempt to enhance long-term adherence to recommended levels of physical activity ( PA ) .
The current systematic review and meta- analysis aim ed to compare the longer-term effects of HB exercise programmes with usual care ( UC ) or centre-based ( CB ) CR in patients referred for CR .