Abstract/Details

Cardiac rehabilitation, home -walking, health status, and self -efficacy


2002 2002

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Abstract (summary)

Cardiovascular disease is the leading cause of death in America today. The potential onset of cardiovascular disease in the fourth decade for men and fifth decade for women, underscores the scope of the health problem, as the population grows older. Twenty-three percent of men and thirty percent of women who survive a myocardial infarction will have a recurrence within six months. Patients with coronary artery bypass grafts are more susceptible to progressive stenosis from atherosclerosis than native vessels. Secondary prevention through physical activity is recommended by the AHA to reduce the occurrence of these events, requiring expensive re-intervention. However, less than one half of those eligible for cardiac rehabilitation enroll.

The purpose of this study is to examine whether cardiac rehabilitation or home-walking with or without nurse telephone support will affect cardiac recovery. A convenience sample of sixty-three cardiac patients self-selected a cardiac rehabilitation (comparison) program in this quasi-experimental research design. One hundred twenty-six surgical cardiac patients were randomized to a home-walking or control group. MANCOVA tests on health status, self-efficacy, and diastolic blood pressure revealed significant differences for the main effect of group on health status, self-efficacy, and diastolic blood pressure (F = 3.980, 16,647, 6.562, p = .020, .000, .011), while controlling for pre-self-efficacy, medical diagnosis, and age. Post hoc tests showed no significant difference between the cardiac rehabilitation and home-walking groups on health status (p = .485) and self-efficacy scales (p = .285). No significant difference was found between the home-walking and control groups on health status ( p = .241). A significant difference was found between the cardiac rehabilitation and control groups on all three dependent variables, respectively (p = .016, .000, .000). The home-walking group revealed a significant difference on self-efficacy from the control group (p = .000). Additional findings include significant differences between home-walking and control groups on physical function (F = 7.3354, p = .0009) and mental health (F = 4.3659, p = .0140). The findings indicate that a home-walking program could be a comparable alternative to a cardiac rehabilitation group by improving self-efficacy and health status and lowering blood pressure.

Indexing (details)


Subject
Nursing;
Rehabilitation;
Therapy;
Cardiovascular disease;
Walking
Classification
0569: Nursing
0382: Rehabilitation
0382: Therapy
Identifier / keyword
Health and environmental sciences, Cardiac rehabilitation, Health status, Home-walking, Self-efficacy
Title
Cardiac rehabilitation, home -walking, health status, and self -efficacy
Author
Mason, Virginia Marie Fidrocki
Number of pages
92
Publication year
2002
Degree date
2002
School code
0118
Source
DAI-B 63/01, Dissertation Abstracts International
Place of publication
Ann Arbor
Country of publication
United States
ISBN
9780493525976, 0493525971
Advisor
Miller, Kathleen H.
University/institution
University of Massachusetts Amherst
University location
United States -- Massachusetts
Degree
Ph.D.
Source type
Dissertations & Theses
Language
English
Document type
Dissertation/Thesis
Dissertation/thesis number
3039376
ProQuest document ID
251691326
Copyright
Database copyright ProQuest LLC; ProQuest does not claim copyright in the individual underlying works.
Document URL
http://search.proquest.com/docview/251691326
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