Cardiac Rehabilitation on Health Behaviors and Clinical Outcomes among Myocardial Infarction Patients

Main Authors: Yusshy Kurnia Herliani, Yaowarat Matchim, Charuwan Kritpracha
Format: Article eJournal
Terbitan: , 2016
Subjects:
Online Access: https://zenodo.org/record/4059206
ctrlnum 4059206
fullrecord <?xml version="1.0"?> <dc schemaLocation="http://www.openarchives.org/OAI/2.0/oai_dc/ http://www.openarchives.org/OAI/2.0/oai_dc.xsd"><creator>Yusshy Kurnia Herliani</creator><creator>Yaowarat Matchim</creator><creator>Charuwan Kritpracha</creator><date>2016-03-01</date><description>The lack of adherence to health behaviors in cardiac rehabilitation (CR) is the leading cause of recurrent myocardial infarction (MI) in Indonesia. This randomized control trial (RCT) study was conducted to examine the effect of a family based self-efficacy enhancing cardiac rehabilitation program on self-efficacy in cardiac health behaviors, health behaviors, and clinical outcomes among MI patients in Indonesia. Sixty MI patients who met the inclusion criteria were randomized by the modified stratified-block method and assigned into either the control group or the experimental group. The patients in the experimental group received the program during phase I over two days and continued to phase II of CR with weekly follow-up sessions. Patients were asked to complete the Self-Efficacy in Cardiac Health Behaviors Scale (SECHBS) and the Modified Myocardial Infarction Health Behaviors Questionnaire (Modified MIHBQ). The results revealed that self-efficacy, health behaviors, and clinical outcomes such as fasting blood glucose, total cholesterol, LDL, triglyceride, and BMI of the patients after receiving the intervention were significantly better than before receiving the intervention, except for blood pressure, and HDL levels. Self-efficacy, health behaviors, and clinical outcomes such as total cholesterol, LDL, and triglyceride were significantly better in patients in the experimental group than those in the control group (p &lt; 0.05), except for blood pressure, HDL, BMI, and blood glucose levels (p &gt; 0.05). In conclusion, the family based self-efficacy enhancing cardiac rehabilitation program shows evidence of effectiveness in enhancing self-efficacy, health behaviors, and some clinical outcomes in MI patients.</description><identifier>https://zenodo.org/record/4059206</identifier><identifier>10.11591/ijphs.v5i1.4756</identifier><identifier>oai:zenodo.org:4059206</identifier><rights>info:eu-repo/semantics/openAccess</rights><rights>https://creativecommons.org/licenses/by/4.0/legalcode</rights><source>International Journal of Public Health Science (IJPHS) 5(1) 1-11</source><subject>Cardiac rehabilitation</subject><subject>Myocardial infarction</subject><subject>Clinical outcomes</subject><subject>Family-based self-efficacy</subject><subject>Health behaviors</subject><title>Cardiac Rehabilitation on Health Behaviors and Clinical Outcomes among Myocardial Infarction Patients</title><type>Journal:Article</type><type>Journal:Article</type><recordID>4059206</recordID></dc>
format Journal:Article
Journal
Journal:eJournal
author Yusshy Kurnia Herliani
Yaowarat Matchim
Charuwan Kritpracha
title Cardiac Rehabilitation on Health Behaviors and Clinical Outcomes among Myocardial Infarction Patients
publishDate 2016
topic Cardiac rehabilitation
Myocardial infarction
Clinical outcomes
Family-based self-efficacy
Health behaviors
url https://zenodo.org/record/4059206
contents The lack of adherence to health behaviors in cardiac rehabilitation (CR) is the leading cause of recurrent myocardial infarction (MI) in Indonesia. This randomized control trial (RCT) study was conducted to examine the effect of a family based self-efficacy enhancing cardiac rehabilitation program on self-efficacy in cardiac health behaviors, health behaviors, and clinical outcomes among MI patients in Indonesia. Sixty MI patients who met the inclusion criteria were randomized by the modified stratified-block method and assigned into either the control group or the experimental group. The patients in the experimental group received the program during phase I over two days and continued to phase II of CR with weekly follow-up sessions. Patients were asked to complete the Self-Efficacy in Cardiac Health Behaviors Scale (SECHBS) and the Modified Myocardial Infarction Health Behaviors Questionnaire (Modified MIHBQ). The results revealed that self-efficacy, health behaviors, and clinical outcomes such as fasting blood glucose, total cholesterol, LDL, triglyceride, and BMI of the patients after receiving the intervention were significantly better than before receiving the intervention, except for blood pressure, and HDL levels. Self-efficacy, health behaviors, and clinical outcomes such as total cholesterol, LDL, and triglyceride were significantly better in patients in the experimental group than those in the control group (p < 0.05), except for blood pressure, HDL, BMI, and blood glucose levels (p > 0.05). In conclusion, the family based self-efficacy enhancing cardiac rehabilitation program shows evidence of effectiveness in enhancing self-efficacy, health behaviors, and some clinical outcomes in MI patients.
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