Article

OBJECTIVES: To assess changes in participation in society (frequency,
restrictions, satisfaction) during and after cardiac rehabilitation (CR) and to
assess associations between participation and heath-related quality of life
(HRQOL). DESIGN: Prospective cohort study. SETTING: Outpatient CR center.
PARTICIPANTS: Patients with coronary artery disease
(N=121; mean age, 57y; 96 men
[79%]). INTERVENTIONS: Multidisciplinary CR. MAIN OUTCOME MEASURES: Participation
in society was assessed with the Utrecht Scale for Evaluation of
Rehabilitation-Participation and HRQOL with the MacNew Heart Disease
health-related quality of life questionnaire. All measurements were performed
pre-CR, post-CR, and 1 year after the start of CR. RESULTS: Frequency of
participation did not change during and after CR. The proportion of patients
experiencing restrictions in participation decreased from 69% pre-CR to 40%
post-CR (P<.001) and 29% at 1 year (P<.001 vs post-CR). Pre-CR, 71% of patients
were dissatisfied with their participation. This improved to 49% post-CR (P<.001)
and 53% at 1 year (P<.001 vs pre-CR). Experienced restrictions explained 5% to 7%
of the improvement in HRQOL during CR and satisfaction with participation
explained 10% to 19%. CONCLUSIONS: Participation in society improves in patients
undergoing CR. Despite these improvements, the presence of coronary artery
disease is associated with persistent restrictions and dissatisfaction with
participation. Because experienced restrictions and dissatisfaction are related
to changes in HRQOL it is important to address these aspects of participation
during CR.
CI - Copyright (c) 2015 American Congress of Rehabilitation Medicine. Published by
Elsevier Inc. All rights reserved.

Langue : ANGLAIS