Exercise and Physical Activity Counseling Needs among Cardiac Rehabilitation Patients
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Abstract
Cardiac rehabilitation (CR) has decreased in recurrent cardiac events. However, information related the needs of cardiac rehabilitation patients such as exercise and physical activities counseling are very limited. This study aims to identify the needs of cardiac rehabilitation patients such as exercise, physical activity counselling, and the relationship between them. It also applied a quantitative approach combined with a descriptive correlational method. 38 cardiac rehabilitation patients were recruited as samples and were selected using the convenience sampling technique. Data collection was performed using questionnaires filled out by the respondents (with a retrospective technique) at the end of the CR program, and the results were evaluated through descriptive correlational statistics. The results revealed that patients with CR required exercise (92.1%) and nurses' counseling for physical activities (86.9%). It also indicates that there is a statistically positive relationship between exercise and physical activities counseling among CR patients (r = 0.485, p < 0.01). Consequently, most CR patients desire nurses to take part in their exercise and physical activities. The needs of CR patients on exercise and physical activity counseling were correlated positively. Therefore, information regarding exercise and physical activity for CR patients should be provided simultaneously to complement each other.
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How to Cite
Herliani, Y. K., Rahayu, U., & Harun, H. (2021). Exercise and Physical Activity Counseling Needs among Cardiac Rehabilitation Patients. Unnes Journal of Public Health, 10(1), 61-67. https://doi.org/10.15294/ujph.v10i1.36003
References
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Balady, G. J., Williams, M. A., Ades, P. A., Bittner, V., Comoss, P., Foody, J. M., Franklin, B., Sanderson, B., & Southard, D. 2007. Core Components of Cardiac Rehabilitation/Secondary Prevention Programs: 2007 Update: A Scientific Statement from the American Heart Association Exercise, Cardiac Rehabilitation, and Prevention Committee, the Council on Clinical Cardiology; the Councils on Cardiovascular Nursing, Epidemiology and Prevention, and Nutrition, Physical Activity, and Metabolism; and the American Association of Cardiovascular and Pulmonary Rehabilitation. Circulation, 115 (20): 2675-2682. Doi: https://doi.org/10.1161/CIRCULATIONAHA.106.180945.
Boyde, M., Grenfell, K., Brown, R., Bannear, S., Lollback, N., Witt, J., Jiggins, L., & Aitken, L. 2015. What Have Our Patients Learnt After Being Hospitalised for An Acute Myocardial Infarction?. Australian Critical Care, 28 (3): 134-139. https://doi.org/10.1016/j.aucc.2014.05.003.
Chair, S. Y., Lee, S. F., Lopez, V., & Ling, E. M. 2007. Risk Factors of Hong Kong Chinese Patients with Coronary Heart Disease. Journal of Clinical Nursing, 16 (7): 1278-1284. Doi: https://doi.org/10.1111/j.1365-2702.2007.01383.x.
Corrà , U., Piepoli, M. F., Carré, F., Heuschmann, P., Hoffmann, U., Verschuren, M., et al. 2010. Secondary Prevention Through Cardiac Rehabilitation: Physical Activity Counselling and Exercise Training: Key Components of the Position Paper from the Cardiac Rehabilitation Section of the European Association of Cardiovascular Prevention and Rehabilitation. European Heart Journal, 31 (16): 1967-1974. doi: https://doi.org/10.1093/eurheartj/ehq236.
Dalal, H. M., Zawada, A., Jolly, K., Moxham, T., & Taylor, R. S. 2010. Home Based Versus Centre Based Cardiac Rehabilitation: Cochrane Systematic Review and Meta-Analysis. The British Medical Journal (The BMJ), 340 (b5631): 1-15. doi: https://doi.org/10.1136/bmj.b5631.
Ghisi, G. L. de M., Abdallah, F., Grace, S. L., Thomas, S., & Oh, P. 2014. A Systematic Review of Patient Education in Cardiac Patients: Do They Increase Knowledge and Promote Health Behavior Change?. Patient Education and Counseling, 95 (2): 160-174. https://doi.org/10.1016/j.pec.2014.01.012.
Ghisi, G. L. de M., Rouleau, F., Ross, M. K., Dufour-Doiron, M., Belliveau, S. L., Brideau, J. R., Aultman, C., Thomas, S., Colella, T., & Oh, P. 2020. Effectiveness of An Education Intervention Among Cardiac Rehabilitation Patients in Canada: A Multi-Site Study. Canadian Journal of Cardiology Open (CJC Open), 2 (4): 214-221. Doi: https://doi.org/10.1016/j.cjco.2020.02.008.
Gaziano, T. A. & Gaziano, J. M. 2016. Myocardial Infarction: A Companion to Braunwald’s Heart Disease: Global Evolving Epidemiology, Natural History, and Treatment Trends of Myocardial Infarction. China: Elsevier.
Herliani, Y. K., Rahayu, U., & Purba, C. I. 2017. Assessment of Myocardial Infarction Patients Needs on Nursing Care in Cardiac Rehabilitation of Hasan Sadikin Hospital Indonesia. GSTF Journal of Nursing and Health Care, 4 (2): 50-54. Doi: https://doi.org/10.5176/2345-718X_4.2.143.
Herliani, Y. K., Matchim, Y., & Kritpracha, C. 2015. Health Behaviors and Clinical Outcomes Among Patients with Myocardial Infarction in Indonesia. Jurnal Ners, 10 (2): 308-317. https://e-journal.unair.ac.id/JNERS/article/view/18/1104.
Herliani, Y. K., Matchim, Y., & Kritpracha, C. 2016. Perceived Exercise Self- Efficacy and Exercise Behavior in Persons with Myocardial Infarction in Indonesia. วารสาร พยาบาล สงขลา นครนทร์ Songklanagarind Journal of Nursing, 36 (3): 1-12. https://www.researchgate.net/publication/311587605_Perceived_Exercise_Self-Efficacy_and_Exercise_Behavior_in_Persons_with_Myocardial_Infarction_in_Indonesia
Leifheit-Limson, E. C., Spertus, J. A., Reid, K. J., Jones, S. B., Vaccarino, V., Krumholz, H. M., & Lichtman, J. H. 2013. Prevalence of Traditional Cardiac Risk Factors and Secondary Prevention Among Patients Hospitalized for Acute Myocardial Infarction (AMI): Variation by Age, Sex, and Race. Journal of Women's Health, 22 (8): 659-666. Doi: http://doi.org/10.1089/jwh.2012.3962.
Lin, W. C., Ho, C. H., Tung, L. C., Ho, C. C., Chou, W., & Wang, C. H. 2016. Differences Between Women and Men in Phase I Cardiac Rehabilitation After Acute Myocardial Infarction: A Nationwide Population-Based Analysis. Medicine, 95 (3): 1-6. Doi: 10.1097/MD.0000000000002494.
Maharani, A. & Tampubolon, G. 2014. Unmet Needs for Cardiovascular Care in Indonesia. PLoS ONE, 9 (8): 1-10. Doi: https://doi.org/10.1371/journal.pone.0105831.
McKillop, A. L. 2017. Physical Activity and Exercise Among Patients with Congenital Heart Disease: Towards A Model of Pediatric Cardiac Rehabilitation. Doctoral Theses. Toronto: Doctor of Philosophy Institute of Medical Science Faculty of Medicine University of Toronto. http://hdl.handle.net/1807/79334.
NHLBI (National Heart, Lung, and Blood Institute). 2014. Lowerheart disease risk: what are the risk factors forheart disease. National Institutes of health. July [cited 2016 Nov 14].Available from:https://www.nhlbi.nih.gov/health/educational/hearttruth/lower-risk/risk-factors.htm
Pesah, E., Supervia, M., Turk-Adawi, K., & Grace, S. L. 2017. A Review of Cardiac Rehabilitation Delivery Around the World. Progress in Cardiovascular Diseases, 60 (2): 267-280. https://doi.org/10.1016/j.pcad.2017.08.007.
Prasad, D. S. & Das, B. C. 2009. Physical Inactivity: A Cardiovascular Risk Factor. Indian Journal of Medical Sciences, 63 (1): 33-42. Doi: https://doi.org/10.4103/0019-5359.49082.
Samayoa, L., Grace, S. L., Gravely, S., Scott, L. B., Marzolini, S., & Colella, T. J. F. 2014. Sex Differences in Cardiac Rehabilitation Enrollment: A Meta-Analysis. Canadian Journal of Cardiology, 30 (7): 793-800. Doi: https://doi.org/10.1016/j.cjca.2013.11.007.
Zhou, Y., Li, J., Du, S., Du, X., Fu, C., Cao, C., & Wang, Y. 2017. Cardiac Rehabilitation Knowledge in Patients with Coronary Heart Disease in Baoding City of China: A Cross-Sectional Study. International Journal of Nursing Sciences, 4 (1): 24-28. Doi: https://doi.org/10.1016/j.ijnss.2016.12.011
Anderson, L., Oldridge, N., Thompson, D. R., Zwisler, A. D., Rees, K., Martin, N., & Taylor, R. S. 2016. Exercise-Based Cardiac Rehabilitation for Coronary Heart Disease: Cochrane Systematic Review and Meta-Analysis. Journal of the American College of Cardiology, 67 (1): 1-12. https://doi.org/10.1016/j.jacc.2015.10.044.
Balady, G. J., Williams, M. A., Ades, P. A., Bittner, V., Comoss, P., Foody, J. M., Franklin, B., Sanderson, B., & Southard, D. 2007. Core Components of Cardiac Rehabilitation/Secondary Prevention Programs: 2007 Update: A Scientific Statement from the American Heart Association Exercise, Cardiac Rehabilitation, and Prevention Committee, the Council on Clinical Cardiology; the Councils on Cardiovascular Nursing, Epidemiology and Prevention, and Nutrition, Physical Activity, and Metabolism; and the American Association of Cardiovascular and Pulmonary Rehabilitation. Circulation, 115 (20): 2675-2682. Doi: https://doi.org/10.1161/CIRCULATIONAHA.106.180945.
Boyde, M., Grenfell, K., Brown, R., Bannear, S., Lollback, N., Witt, J., Jiggins, L., & Aitken, L. 2015. What Have Our Patients Learnt After Being Hospitalised for An Acute Myocardial Infarction?. Australian Critical Care, 28 (3): 134-139. https://doi.org/10.1016/j.aucc.2014.05.003.
Chair, S. Y., Lee, S. F., Lopez, V., & Ling, E. M. 2007. Risk Factors of Hong Kong Chinese Patients with Coronary Heart Disease. Journal of Clinical Nursing, 16 (7): 1278-1284. Doi: https://doi.org/10.1111/j.1365-2702.2007.01383.x.
Corrà , U., Piepoli, M. F., Carré, F., Heuschmann, P., Hoffmann, U., Verschuren, M., et al. 2010. Secondary Prevention Through Cardiac Rehabilitation: Physical Activity Counselling and Exercise Training: Key Components of the Position Paper from the Cardiac Rehabilitation Section of the European Association of Cardiovascular Prevention and Rehabilitation. European Heart Journal, 31 (16): 1967-1974. doi: https://doi.org/10.1093/eurheartj/ehq236.
Dalal, H. M., Zawada, A., Jolly, K., Moxham, T., & Taylor, R. S. 2010. Home Based Versus Centre Based Cardiac Rehabilitation: Cochrane Systematic Review and Meta-Analysis. The British Medical Journal (The BMJ), 340 (b5631): 1-15. doi: https://doi.org/10.1136/bmj.b5631.
Ghisi, G. L. de M., Abdallah, F., Grace, S. L., Thomas, S., & Oh, P. 2014. A Systematic Review of Patient Education in Cardiac Patients: Do They Increase Knowledge and Promote Health Behavior Change?. Patient Education and Counseling, 95 (2): 160-174. https://doi.org/10.1016/j.pec.2014.01.012.
Ghisi, G. L. de M., Rouleau, F., Ross, M. K., Dufour-Doiron, M., Belliveau, S. L., Brideau, J. R., Aultman, C., Thomas, S., Colella, T., & Oh, P. 2020. Effectiveness of An Education Intervention Among Cardiac Rehabilitation Patients in Canada: A Multi-Site Study. Canadian Journal of Cardiology Open (CJC Open), 2 (4): 214-221. Doi: https://doi.org/10.1016/j.cjco.2020.02.008.
Gaziano, T. A. & Gaziano, J. M. 2016. Myocardial Infarction: A Companion to Braunwald’s Heart Disease: Global Evolving Epidemiology, Natural History, and Treatment Trends of Myocardial Infarction. China: Elsevier.
Herliani, Y. K., Rahayu, U., & Purba, C. I. 2017. Assessment of Myocardial Infarction Patients Needs on Nursing Care in Cardiac Rehabilitation of Hasan Sadikin Hospital Indonesia. GSTF Journal of Nursing and Health Care, 4 (2): 50-54. Doi: https://doi.org/10.5176/2345-718X_4.2.143.
Herliani, Y. K., Matchim, Y., & Kritpracha, C. 2015. Health Behaviors and Clinical Outcomes Among Patients with Myocardial Infarction in Indonesia. Jurnal Ners, 10 (2): 308-317. https://e-journal.unair.ac.id/JNERS/article/view/18/1104.
Herliani, Y. K., Matchim, Y., & Kritpracha, C. 2016. Perceived Exercise Self- Efficacy and Exercise Behavior in Persons with Myocardial Infarction in Indonesia. วารสาร พยาบาล สงขลา นครนทร์ Songklanagarind Journal of Nursing, 36 (3): 1-12. https://www.researchgate.net/publication/311587605_Perceived_Exercise_Self-Efficacy_and_Exercise_Behavior_in_Persons_with_Myocardial_Infarction_in_Indonesia
Leifheit-Limson, E. C., Spertus, J. A., Reid, K. J., Jones, S. B., Vaccarino, V., Krumholz, H. M., & Lichtman, J. H. 2013. Prevalence of Traditional Cardiac Risk Factors and Secondary Prevention Among Patients Hospitalized for Acute Myocardial Infarction (AMI): Variation by Age, Sex, and Race. Journal of Women's Health, 22 (8): 659-666. Doi: http://doi.org/10.1089/jwh.2012.3962.
Lin, W. C., Ho, C. H., Tung, L. C., Ho, C. C., Chou, W., & Wang, C. H. 2016. Differences Between Women and Men in Phase I Cardiac Rehabilitation After Acute Myocardial Infarction: A Nationwide Population-Based Analysis. Medicine, 95 (3): 1-6. Doi: 10.1097/MD.0000000000002494.
Maharani, A. & Tampubolon, G. 2014. Unmet Needs for Cardiovascular Care in Indonesia. PLoS ONE, 9 (8): 1-10. Doi: https://doi.org/10.1371/journal.pone.0105831.
McKillop, A. L. 2017. Physical Activity and Exercise Among Patients with Congenital Heart Disease: Towards A Model of Pediatric Cardiac Rehabilitation. Doctoral Theses. Toronto: Doctor of Philosophy Institute of Medical Science Faculty of Medicine University of Toronto. http://hdl.handle.net/1807/79334.
NHLBI (National Heart, Lung, and Blood Institute). 2014. Lowerheart disease risk: what are the risk factors forheart disease. National Institutes of health. July [cited 2016 Nov 14].Available from:https://www.nhlbi.nih.gov/health/educational/hearttruth/lower-risk/risk-factors.htm
Pesah, E., Supervia, M., Turk-Adawi, K., & Grace, S. L. 2017. A Review of Cardiac Rehabilitation Delivery Around the World. Progress in Cardiovascular Diseases, 60 (2): 267-280. https://doi.org/10.1016/j.pcad.2017.08.007.
Prasad, D. S. & Das, B. C. 2009. Physical Inactivity: A Cardiovascular Risk Factor. Indian Journal of Medical Sciences, 63 (1): 33-42. Doi: https://doi.org/10.4103/0019-5359.49082.
Samayoa, L., Grace, S. L., Gravely, S., Scott, L. B., Marzolini, S., & Colella, T. J. F. 2014. Sex Differences in Cardiac Rehabilitation Enrollment: A Meta-Analysis. Canadian Journal of Cardiology, 30 (7): 793-800. Doi: https://doi.org/10.1016/j.cjca.2013.11.007.
Zhou, Y., Li, J., Du, S., Du, X., Fu, C., Cao, C., & Wang, Y. 2017. Cardiac Rehabilitation Knowledge in Patients with Coronary Heart Disease in Baoding City of China: A Cross-Sectional Study. International Journal of Nursing Sciences, 4 (1): 24-28. Doi: https://doi.org/10.1016/j.ijnss.2016.12.011