Awareness of cardiac rehabilitation in people with cardiovascular diseases in Hatay: A cross-sectional study
Abstract
Aim: This study aimed to assess the awareness of cardiac rehabilitation (CR) among patients with cardiovascular disease (CVD) in Hatay.
Methods: In the study, 218 patients (44.5% male, 55.5% female) in an age range of 18 to 84 [median 57(46.75–65.25) years] with CVD completed an awareness questionnaire, which included 35 items that addressed knowledge about CVD, CR features and content, CR effectiveness, reasons for not participating in CR programs, and general knowledge about CR.
Results: Ninety-seven (44.5%) participants stated that they had knowledge about CVD, and 29.5% thought CR was required to prevent heart diseases. Fifty-nine subjects expressed they knew the exercises they needed to practice for CVD. Participants mostly accepted that CR effectively regulated blood lipids and blood pressure and managed blood glucose, obesity, and general well-being. One hundred patients (45.7%) reported that they did not participate in a CR program because they had no knowledge of CR. Most participants (60.6%) were undecided about whether the CR program was available in their city and whether it would be beneficial in treating heart diseases (50.5%). Men, young people, and people with higher education levels were more aware of the components of CR (p<0.05).
Conclusion: There was a lack of awareness regarding the content of CR, especially in exercise and protective factors for CVDs in Hatay. Seminars are needed to increase the awareness of CR in the community. Health professionals should encourage patients with cardiovascular disease to support the outreach of the CR program.
Keywords
Awareness cardiac rehabilitation cardiovascular disease health knowledge secondary prevention
References
- Shah SK. (2005), Cardiac rehabilitation. In: DeLisa J, ed. Physical medicine and rehabilitation principles and practice. 4th ed. Philadelphia: Lippincott Williams&Wilkins.
- Thomas RJ, Beatty AL, Beckie TM, et al. Home-Based Cardiac Rehabilitation: A Scientific Statement From the American Association of Cardiovascular and Pulmonary Rehabilitation, the American Heart Association, and the American College of Cardiology. J Am Coll Cardiol. 2019;74(1):133-53.
- Kim C, Jidong SJ, Lee JH, et al. Clinical practice guideline for cardiac rehabilitation in Korea. Ann Rehabil Med. 2019;43(3):355-443.
- Karakuş MB, Özer AY. Toplum temelli kardiyak rehabilitasyon kavramı ve uluslararası örnekleri. J Health Sci Man. 2021;1(2):21-5.
- Civek S, Akman M. Dünyada ve Türkiye’de kardiyovasküler hastalıkların sıklığı ve riskin değerlendirilmesi. Jour Turk Fam Phy. 2022;13(1):21-8.
- Karatay G, Yeşiltepe A, Aktaş H. 40 yaş üstü bireylerin kardiyovasküler hastaliklar risk faktörleri bilgi düzeyleri ve bazi değişkenlerle ilişkisi. Acta Med Nicomedia 2021;4(2):49-55.
- Demirsoy N, Taşkıran Özdemirci Ö. Cardiac rehabilitation in the elderly: an overview of Turkey and the world. Turk J Geriatrics. 2010;13(suplement):125-33.
- Karapolat HU, Kurtaiş Y, Tur BS, et al. What do patients really know about cardiopulmonary rehabilitation: a cross-sectional survey study. Eur J Phys Rehabil Med. 2012;48(2):223-30.
- Kotseva K, Wood D, Backer GD, Bacquer DD. Use and effects of cardiac rehabilitation in patients with coronary heart disease: results from the EUROASPIRE III survey. Eur J Prev Cardiol. 2012;20(5):817-26.
- Bethell H, Lewin R, Evans J, Turner S, Allender S, Petersen S. Outpatient cardiac rehabilitation attendance in England: variability by region and clinical characteristics. J Cardiopulm Rehabil Prev. 2008;28(6):386-91.
- Neubeck L, Freedman SB, Clark AM, Briffa T, Bauman A, Redfern J. Participating in cardiac rehabilitation: A systematic review and meta-synthesis of qualitative data. Eur J Prev Cardiol. 2012;19:494-503.
- Kweon S, Sohn MK, Jeong JO, et al. Quality of Life and Awareness of Cardiac Rehabilitation Program in People With Cardiovascular Diseases. Ann Rehabil Med. 2017;41(2):248-56.
- Shrestha R, Shrestha S. Awareness regarding cardiac rehabilitation among patients with coronary heart disease attending a cardiac care centre, Kathmandu valley. Nepal. Heart J. 2019;16(1):47-50.
- Zhou Y, Li J, Du S, et al. Cardiac rehabilitation knowledge in patients with coronary heart disease in Baoding city of China: A cross-sectional study. Int J Nurs Sci. 2017;4(1):24-8.
- Lawshe CH. A quantitative approach to content validity. Pers Psychol. 1975;28(4):563-75.
- Young DR, Hivert MF, Alhassan S, et al. Sedentary Behavior and Cardiovascular Morbidity and Mortality: A Science Advisory From the American Heart Association. Circulation. 2016;134(13):e262-e279.
- Myers J. Guidelines for the management of arterial hypertension. Circulation. 2003;107:e2–5.
- Wang Y, Xu D. Effects of aerobic exercise on lipids and lipoproteins. Lipids Health Dis. 2017;16(1):132.
- Brandão AD, da Silva JH, Mariane Oliveira Lima S, et al. Short and long term effect of treatment non-pharmacological and lifestyle in patients with metabolic syndrome. Diabetol Metab Syndr. 2020;12:16.
- DiPietro L, Al-Ansari SS, Biddle SJH, et al. Advancing the global physical activity agenda: recommendations for future research by the 2020 WHO physical activity and sedentary behavior guidelines development group. Int J Behav Nutr Phys Act. 2020;17(1):143.
- Bull FC, Al-Ansari SS, Biddle S, et al. World Health Organization 2020 guidelines on physical activity and sedentary behaviour. Br J Sports Med. 2020;54(24):1451-62.
- Kim C, Lim HS, Ahn JK, Bang IK, Lee SM, Kim YJ. The reasons that cardiac patients did not participate in and drop out from the cardiac rehabilitation program. J Korean Acad Rehabil Med. 2002;26:790-6.
- Smith JR, Thomas RJ, Bonikowske AR, Hammer SM, Olson TP. Sex differences in cardiac rehabilitation outcomes. Circ Res. 2022;130(4):552-65.
- Ghisi GLM, Rouleau F, Ross MK, et al. Effectiveness of an Education Intervention Among Cardiac Rehabilitation Patients in Canada: A Multi-Site Study. CJC Open. 2020;2(4):214-21.
Hatay’da kardiyovasküler hastalığı olan kişilerde kardiyak rehabilitasyon farkındalığı: Kesitsel bir çalışma
Abstract
Amaç: Bu çalışma Hatay’da kardiyovasküler hastalık tanısı olan hastalarda kardiyak rehabilitasyon (KR) farkındalığını değerlendirmeyi amaçlamıştır.
Yöntemler: Yaşları 18 ile 84 [medyan 57(46,75-65,25)] yıl arasında değişen kardiyovasküler hastalığı (KVH) olan 218 hasta (%44,5 erkek, %55,5 kadın) tarafından bir anket çalışması tamamlandı. Farkındalık anketi KR’nin özellikleri ve içeriği, KR’nin etkinliği, KR programlarına katılmama nedenleri ve KR hakkında genel bilgileri ele alan 35 maddeyi kapsamaktaydı.
Bulgular: Doksan yedi (%44,5) katılımcı KVH hakkında bilgi sahibi olduğunu belirtti, ve hastaların %29,5’i kalp hastalıklarını önlemek için KR’nin gerekli olduğunu düşünmekteydi. Elli dokuz kişi, KVH için uygulanan, ihtiyaç duydukları egzersizleri bildiklerini ifade etti. Katılımcılar çoğunlukla KR’nin kan lipitlerini, kan basıncını düzenlemede ve kan şekerini, obeziteyi, genel refahı yönetmede etkili olduğunu kabul etti. Yüz hasta (%45,7) KR programına katılmama nedeninin KR hakkında bilgisinin olmaması olarak bildirdi. Katılımcıların çoğu KR yaşadıkları ilde KR programının uygulanıp uygulanmadığı (%60,6) ve KR’nin kalp hastalıklarının tedavisinde faydalı olup olmayacağı (%50,5) konusunda kararsızdı. Erkekler, gençler ve eğitim düzeyi yüksek kişiler kardiyak rehabilitasyonun bileşenlerinden daha fazla haberdardı (p<0.05).
Sonuç: Hatay’da KR’nun içeriği özellikle egzersiz ve kardiyovasküler hastalıklar için koruyucu faktörlerde farkındalık eksikliği saptandı. Toplumun KR konusundaki farkındalığını artırmak için seminerlere ihtiyaç vardır. Sağlık profesyonelleri, kardiyovasküler hastalığı olan hastaları KR programının erişimini desteklemeye teşvik etmelidir.
Keywords
Farkındalık kardiyak kalp ve damar hastalıkları rehabilitasyon sağlık bilgisi ikincil koruma
References
- Shah SK. (2005), Cardiac rehabilitation. In: DeLisa J, ed. Physical medicine and rehabilitation principles and practice. 4th ed. Philadelphia: Lippincott Williams&Wilkins.
- Thomas RJ, Beatty AL, Beckie TM, et al. Home-Based Cardiac Rehabilitation: A Scientific Statement From the American Association of Cardiovascular and Pulmonary Rehabilitation, the American Heart Association, and the American College of Cardiology. J Am Coll Cardiol. 2019;74(1):133-53.
- Kim C, Jidong SJ, Lee JH, et al. Clinical practice guideline for cardiac rehabilitation in Korea. Ann Rehabil Med. 2019;43(3):355-443.
- Karakuş MB, Özer AY. Toplum temelli kardiyak rehabilitasyon kavramı ve uluslararası örnekleri. J Health Sci Man. 2021;1(2):21-5.
- Civek S, Akman M. Dünyada ve Türkiye’de kardiyovasküler hastalıkların sıklığı ve riskin değerlendirilmesi. Jour Turk Fam Phy. 2022;13(1):21-8.
- Karatay G, Yeşiltepe A, Aktaş H. 40 yaş üstü bireylerin kardiyovasküler hastaliklar risk faktörleri bilgi düzeyleri ve bazi değişkenlerle ilişkisi. Acta Med Nicomedia 2021;4(2):49-55.
- Demirsoy N, Taşkıran Özdemirci Ö. Cardiac rehabilitation in the elderly: an overview of Turkey and the world. Turk J Geriatrics. 2010;13(suplement):125-33.
- Karapolat HU, Kurtaiş Y, Tur BS, et al. What do patients really know about cardiopulmonary rehabilitation: a cross-sectional survey study. Eur J Phys Rehabil Med. 2012;48(2):223-30.
- Kotseva K, Wood D, Backer GD, Bacquer DD. Use and effects of cardiac rehabilitation in patients with coronary heart disease: results from the EUROASPIRE III survey. Eur J Prev Cardiol. 2012;20(5):817-26.
- Bethell H, Lewin R, Evans J, Turner S, Allender S, Petersen S. Outpatient cardiac rehabilitation attendance in England: variability by region and clinical characteristics. J Cardiopulm Rehabil Prev. 2008;28(6):386-91.
- Neubeck L, Freedman SB, Clark AM, Briffa T, Bauman A, Redfern J. Participating in cardiac rehabilitation: A systematic review and meta-synthesis of qualitative data. Eur J Prev Cardiol. 2012;19:494-503.
- Kweon S, Sohn MK, Jeong JO, et al. Quality of Life and Awareness of Cardiac Rehabilitation Program in People With Cardiovascular Diseases. Ann Rehabil Med. 2017;41(2):248-56.
- Shrestha R, Shrestha S. Awareness regarding cardiac rehabilitation among patients with coronary heart disease attending a cardiac care centre, Kathmandu valley. Nepal. Heart J. 2019;16(1):47-50.
- Zhou Y, Li J, Du S, et al. Cardiac rehabilitation knowledge in patients with coronary heart disease in Baoding city of China: A cross-sectional study. Int J Nurs Sci. 2017;4(1):24-8.
- Lawshe CH. A quantitative approach to content validity. Pers Psychol. 1975;28(4):563-75.
- Young DR, Hivert MF, Alhassan S, et al. Sedentary Behavior and Cardiovascular Morbidity and Mortality: A Science Advisory From the American Heart Association. Circulation. 2016;134(13):e262-e279.
- Myers J. Guidelines for the management of arterial hypertension. Circulation. 2003;107:e2–5.
- Wang Y, Xu D. Effects of aerobic exercise on lipids and lipoproteins. Lipids Health Dis. 2017;16(1):132.
- Brandão AD, da Silva JH, Mariane Oliveira Lima S, et al. Short and long term effect of treatment non-pharmacological and lifestyle in patients with metabolic syndrome. Diabetol Metab Syndr. 2020;12:16.
- DiPietro L, Al-Ansari SS, Biddle SJH, et al. Advancing the global physical activity agenda: recommendations for future research by the 2020 WHO physical activity and sedentary behavior guidelines development group. Int J Behav Nutr Phys Act. 2020;17(1):143.
- Bull FC, Al-Ansari SS, Biddle S, et al. World Health Organization 2020 guidelines on physical activity and sedentary behaviour. Br J Sports Med. 2020;54(24):1451-62.
- Kim C, Lim HS, Ahn JK, Bang IK, Lee SM, Kim YJ. The reasons that cardiac patients did not participate in and drop out from the cardiac rehabilitation program. J Korean Acad Rehabil Med. 2002;26:790-6.
- Smith JR, Thomas RJ, Bonikowske AR, Hammer SM, Olson TP. Sex differences in cardiac rehabilitation outcomes. Circ Res. 2022;130(4):552-65.
- Ghisi GLM, Rouleau F, Ross MK, et al. Effectiveness of an Education Intervention Among Cardiac Rehabilitation Patients in Canada: A Multi-Site Study. CJC Open. 2020;2(4):214-21.
Details
| Primary Language | English |
|---|---|
| Subjects | Clinical Sciences (Other) |
| Journal Section | ORIGINAL ARTICLE |
| Authors | |
| Publication Date | September 28, 2023 |
| Acceptance Date | July 18, 2023 |
| Published in Issue | Year 2023 Volume: 28 Issue: 3 |
This Journal licensed under a CC BY-NC (Creative Commons Attribution-NonCommercial 4.0) International License.