Effects of Supervised Cardiac Rehabilitation Programmes on Quality of Life among Myocardial Infarction Patients: A Systematic Review and Meta-Analysis
Coronary heart disease is the leading cause of death and disability worldwide. Traditionally, cardiac rehabilitation programmes are offered after cardiac events to aid recovery, improve quality of life, and reduce adverse events. The objective of this review was to assess the health-related quality...
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| Format: | Article |
| Language: | English |
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MDPI AG
2021-11-01
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| Series: | Journal of Cardiovascular Development and Disease |
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| Online Access: | https://www.mdpi.com/2308-3425/8/12/166 |
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| author | María Mansilla-Chacón José L. Gómez-Urquiza María Begoña Martos-Cabrera Luis Albendín-García José L. Romero-Béjar Guillermo A. Cañadas-De La Fuente Nora Suleiman-Martos |
| author_facet | María Mansilla-Chacón José L. Gómez-Urquiza María Begoña Martos-Cabrera Luis Albendín-García José L. Romero-Béjar Guillermo A. Cañadas-De La Fuente Nora Suleiman-Martos |
| author_sort | María Mansilla-Chacón |
| collection | DOAJ |
| description | Coronary heart disease is the leading cause of death and disability worldwide. Traditionally, cardiac rehabilitation programmes are offered after cardiac events to aid recovery, improve quality of life, and reduce adverse events. The objective of this review was to assess the health-related quality of life, after a supervised cardiac rehabilitation programme, of patients who suffered a myocardial infarction. A systematic review was carried out in the CINAHL, Cochrane, LILACS, Medline, Scopus, and SciELO databases, according to the Preferred Reporting Items for Systematic Reviews and Meta-analysis (PRISMA) guidelines. Randomised controlled trials were selected. Meta-analyses were performed for the Short Form Health Survey SF-36, Myocardial Infarction Dimensional Assessment Scale (MIDAS), MacNew Heart Disease-Health-Related Quality of Life (HRQL) questionnaire, and European Quality of Life-Visual Analogue Scale (EuroQol-VAS) with the software Cochrane RevMan Web. Ten articles were found covering a total of 3577 patients. In the meta-analysis, the effect size of the cardiac rehabilitation programme was statistically significant in the intervention group for physical activity, emotional reaction, and dependency dimensions of the MIDAS questionnaire. For the control group, the score improved for SF-36 physical functioning, and body pain dimensions. The mean difference between the control and intervention group was not significant for the remaining dimensions, and neither for the MacNew Heart Disease-HRQL and EuroQol-VAS questionnaires. Supervised cardiac rehabilitation programmes were effective in improving health-related quality of life, however, there was a potential variability in the interventions; therefore, the results should be interpreted with caution. This study supports the importance of providing care and evaluating interventions via the supervision of trained health professionals, and further randomised clinical trials are needed to analyse the positive changes in mental and physical health outcomes. |
| first_indexed | 2024-03-10T03:52:16Z |
| format | Article |
| id | doaj.art-fd1fe384d9444f8380f47a8ca06aa94e |
| institution | Directory Open Access Journal |
| issn | 2308-3425 |
| language | English |
| last_indexed | 2024-03-10T03:52:16Z |
| publishDate | 2021-11-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Journal of Cardiovascular Development and Disease |
| spelling | doaj.art-fd1fe384d9444f8380f47a8ca06aa94e2023-11-23T08:54:50ZengMDPI AGJournal of Cardiovascular Development and Disease2308-34252021-11-0181216610.3390/jcdd8120166Effects of Supervised Cardiac Rehabilitation Programmes on Quality of Life among Myocardial Infarction Patients: A Systematic Review and Meta-AnalysisMaría Mansilla-Chacón0José L. Gómez-Urquiza1María Begoña Martos-Cabrera2Luis Albendín-García3José L. Romero-Béjar4Guillermo A. Cañadas-De La Fuente5Nora Suleiman-Martos6Cenyt Hospital, Avda. Andalucía 2, 29680 Estepona, SpainNursing Department, Faculty of Health Sciences, University of Granada, Avda. de la Ilustración 60, 18016 Granada, SpainSan Cecilio Clinical University Hospital, Andalusian Health Service, Avda. del Conocimiento SN, 18016 Granada, SpainGranada-Metropolitano Health District, Andalusian Health Service, C/Joaquina Eguaras 2, 18013 Granada, SpainStatistics and Operational Research Department, University of Granada, Avda. Fuentenueva SN, 18071 Granada, SpainNursing Department, Faculty of Health Sciences, University of Granada, Avda. de la Ilustración 60, 18016 Granada, SpainNursing Department, Faculty of Health Sciences, Campus Universitario de Ceuta, University of Granada, C/Cortadura del Valle SN, 51001 Ceuta, SpainCoronary heart disease is the leading cause of death and disability worldwide. Traditionally, cardiac rehabilitation programmes are offered after cardiac events to aid recovery, improve quality of life, and reduce adverse events. The objective of this review was to assess the health-related quality of life, after a supervised cardiac rehabilitation programme, of patients who suffered a myocardial infarction. A systematic review was carried out in the CINAHL, Cochrane, LILACS, Medline, Scopus, and SciELO databases, according to the Preferred Reporting Items for Systematic Reviews and Meta-analysis (PRISMA) guidelines. Randomised controlled trials were selected. Meta-analyses were performed for the Short Form Health Survey SF-36, Myocardial Infarction Dimensional Assessment Scale (MIDAS), MacNew Heart Disease-Health-Related Quality of Life (HRQL) questionnaire, and European Quality of Life-Visual Analogue Scale (EuroQol-VAS) with the software Cochrane RevMan Web. Ten articles were found covering a total of 3577 patients. In the meta-analysis, the effect size of the cardiac rehabilitation programme was statistically significant in the intervention group for physical activity, emotional reaction, and dependency dimensions of the MIDAS questionnaire. For the control group, the score improved for SF-36 physical functioning, and body pain dimensions. The mean difference between the control and intervention group was not significant for the remaining dimensions, and neither for the MacNew Heart Disease-HRQL and EuroQol-VAS questionnaires. Supervised cardiac rehabilitation programmes were effective in improving health-related quality of life, however, there was a potential variability in the interventions; therefore, the results should be interpreted with caution. This study supports the importance of providing care and evaluating interventions via the supervision of trained health professionals, and further randomised clinical trials are needed to analyse the positive changes in mental and physical health outcomes.https://www.mdpi.com/2308-3425/8/12/166cardiac rehabilitationeducationquality of lifemyocardial infarctionsystematic review |
| spellingShingle | María Mansilla-Chacón José L. Gómez-Urquiza María Begoña Martos-Cabrera Luis Albendín-García José L. Romero-Béjar Guillermo A. Cañadas-De La Fuente Nora Suleiman-Martos Effects of Supervised Cardiac Rehabilitation Programmes on Quality of Life among Myocardial Infarction Patients: A Systematic Review and Meta-Analysis Journal of Cardiovascular Development and Disease cardiac rehabilitation education quality of life myocardial infarction systematic review |
| title | Effects of Supervised Cardiac Rehabilitation Programmes on Quality of Life among Myocardial Infarction Patients: A Systematic Review and Meta-Analysis |
| title_full | Effects of Supervised Cardiac Rehabilitation Programmes on Quality of Life among Myocardial Infarction Patients: A Systematic Review and Meta-Analysis |
| title_fullStr | Effects of Supervised Cardiac Rehabilitation Programmes on Quality of Life among Myocardial Infarction Patients: A Systematic Review and Meta-Analysis |
| title_full_unstemmed | Effects of Supervised Cardiac Rehabilitation Programmes on Quality of Life among Myocardial Infarction Patients: A Systematic Review and Meta-Analysis |
| title_short | Effects of Supervised Cardiac Rehabilitation Programmes on Quality of Life among Myocardial Infarction Patients: A Systematic Review and Meta-Analysis |
| title_sort | effects of supervised cardiac rehabilitation programmes on quality of life among myocardial infarction patients a systematic review and meta analysis |
| topic | cardiac rehabilitation education quality of life myocardial infarction systematic review |
| url | https://www.mdpi.com/2308-3425/8/12/166 |
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