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E-health in early cardiac rehabilitation : the role of anxiety and depression during cardiac treatment of patients who underwent open-heart surgery

Krahé, Katharina (2018) E-health in early cardiac rehabilitation : the role of anxiety and depression during cardiac treatment of patients who underwent open-heart surgery.

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Abstract:Background: It is assumed that effective cardiac treatment after major cardiac incidents partly depends on mental health factors. Comorbid psychological distress, anxiety and depression, is likely to have adverse effects on physical outcomes of exercise-based cardiac rehabilitation (CR). Evidence suggest that early onset of exercise training is useful to increase patients’ exercise capacity and thereby to decrease symptoms of distress. This study tested whether an early, online intervention before onset of the traditional, center-based CR program has beneficial effects on patients’ exercise capacity and mental well-being. Further, it was tested whether severity of distress before the start of the online program impedes buildup of functional capacity. Methods: In a controlled clinical trial 88 cardiac surgery patients of the MST Enschede were assigned to intervention group (n= 46) and control group (n= 42). Patients in the intervention group received a personalized, online exercise program during home phase, patients of the control group received usual post-operative care. After home phase, both groups received traditional, center-based CR. Patients’ exercise capacity (measured by a six minutes walking test) and symptoms of distress (measured by the HADS) were assessed at baseline, after the online CR program, respectively usual care, and after traditional CR. Repeated measures analyses of variance were conducted to test the effectiveness of the early, online training and possible moderation by anxiety or depression. Results: The increase rates in exercise capacity as well as the decrease rates of anxious and depressive symptoms within patients did not differ between groups. Also the effectiveness of the early, online program was not affected by severity of anxious or depressive symptoms at baseline. Conclusion: Somewhat surprising, no difference in exercise capacity and distress rates was found between treatment conditions, indicating that the early, online program had no effects on patients’ exercise capacity and perceived distress during the examined rehabilitation period. This study demonstrated that anxiety and depression do not play a rule during CR in relation to patients’ progress in exercise training. Consequently, future studies are needed to investigate which aspects of successfully undergoing exercise-based CR are negatively affected by patients’ distress.
Item Type:Essay (Bachelor)
Faculty:BMS: Behavioural, Management and Social Sciences
Subject:77 psychology
Programme:Psychology BSc (56604)
Link to this item:http://purl.utwente.nl/essays/75149
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