Type of Article : Original Research
Year: 2016 | Volume 4 | Issue 3 | Page No. 1489-1497
Date of Publication: 11-06-2016
PHASE II CARDIAC REHABILITATION PROGRAM- BARRIERS TO FOLLOW UP AND PARTICIPATION: A CROSS-SECTIONAL STUDY
Renu B. Pattanshetty *1, Radhika Chintamani 2, Saviola Ribeiro 2.
*1 Department of Cardio-Pulmonary Physiotherapy, KLEU Institute Of Physiotherapy, JN Medical College Campus, Belagavi, Karnataka, India.
2 Intern, KLEU Institute Of Physiotherapy, JN Medical College Campus, Belagavi, Karnataka, India.
Corresponding author: Dr. Renu B. Pattanshetty Mpt; Ph.D, Dept. Of Cardio-Pulmonary Physiotherapy, KLEU Institute Of Physiotherapy, JN Medical College Campus, Belagavi-590010, Karnataka, India. Mob no: +919448482564
Background and objective: Cardiac Rehabilitation is an effective tool for the care of patients with heart disease. The objective of the present study was to identify the barriers to follow up and participation in phase 2 cardiac rehabilitation in post CABG subjects.
Material and methodology: A total of two eighty eight (288) subjects both male and female were included the study. The demographic data of each subject was recorded and they were administered with Zung Self Rating Depression Scale, Exercise Benefit Barrier Scale, Cardiac Depression Scale, Herth Hope Index, Life Orientation Scale, Perceived Stress Scale, Enrichd Social Support Scale.
Results: The result of the present study was analyzed for rate of referral, gender, distance, socio-economic status, education, smoking history, age, body mass index, six minute walk test, and hemodynamic changes like systolic blood pressure, diastolic blood pressure, heart rate reserve, resting heart rate. Raw data was subjected to statistical analysis using Likelihood analyses x2 analyses and t-tests, gender difference in the variable of interest were tested. The results were compared dividing the subjects to attending & non attending group. Comparison of attending and non-attending patients with different characteristics, percentage of non-attending showed significant difference in transportation, inconvenient location (p=0.0001), expense (p=0.0030), illiteracy (p=0.0021) no one recommended it and age(p=0.0236) . There was no significant difference in gender.
Conclusion: Depression, distance, socio-economic status, education, and age were the major barriers for not attending the cardiac rehabilitation phase II program. In addition, perception of individual concerning benefits and barriers to participate in exercise, dislike towards the exercise, poor life orientation and quality of life in the subject were also factors for not attending the cardiac rehabilitation phase II program.
Key Words: Phase II Cardiac rehabilitation, coronary artery bypass grafting, Exercise benefit/barrier scale, Perceived stress scale, Enriched social support instrument, Revised life orientation scale, Zungself rating depression scale, Herth hope index, Cardiac depression scale.
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Renu B. Pattanshetty, Radhika Chintamani, Saviola Ribeiro. PHASE II CARDIAC REHABILITATION PROGRAM- BARRIERS TO FOLLOW UP AND PARTICIPATION: A CROSS-SECTIONAL STUDY. Int J Physiother Res 2016;4(3):1489-1497. DOI: 10.16965/ijpr.2016.114