Impact of Combined Exercise Rehabilitation and Continuous Health Education on the Quality of Life and Mental Health of Patients Post-Coronary Stent Implantation

Authors

  • Jia Xu Department of Cardiovascular Medicine, Shaoxing People’s Hospital, 312000 Shaoxing, Zhejiang, China
  • Chunji Ye Department of Cardiovascular Medicine, Shaoxing People’s Hospital, 312000 Shaoxing, Zhejiang, China
  • Fang Peng Department of Cardiovascular Medicine, Shaoxing People’s Hospital, 312000 Shaoxing, Zhejiang, China
  • Haitao Lv Department of Cardiology, Shaoxing People’s Hospital, 312000 Shaoxing, Zhejiang, China
  • Weiliang Tang Department of Cardiovascular Medicine, Shaoxing People’s Hospital, 312000 Shaoxing, Zhejiang, China
  • Chao Xu Department of Cardiology, Shaoxing People’s Hospital, 312000 Shaoxing, Zhejiang, China

DOI:

https://doi.org/10.59958/hsf.7717

Keywords:

coronary artery stent implantation, exercise rehabilitation, continuous health education, quality of life, mental health

Abstract

Objective: To evaluate the impact of patient-centered exercise rehabilitation combined with continuous health education on the quality of life and mental health of patients after coronary stent implantation to provide effective rehabilitation intervention strategies and scientific evidence for clinical practice. Methods: This retrospective cohort investigation involved patients who underwent coronary stent implantation at our hospital between January 2021 to December 2022. The control group (n = 81) received routine post-operative follow-up and health education, while the observation group (n = 68) additionally received personalized exercise rehabilitation and continuous health education. The short form-36 (SF-36) scale was used to assess quality of life, while the Self-Rating Anxiety Scale (SAS) and Self-Rating Depression Scale (SDS) were used to evaluate mental health. The Exercise of Self-Care Agency Scale (ESCA) was used to assess self-care ability. Results: At 6 months post-operation, the observation group showed significantly higher scores than the control group across all dimensions of the SF-36 scale, SAS, SDS, and ESCA (p < 0.05). The observation group exhibited significantly improved quality of life, mental health, and enhanced self-care ability. Conclusion: Patient-centered exercise rehabilitation combined with continuous health education significantly positively impacts the quality of life and mental health of patients after coronary stent implantation. This comprehensive rehabilitation intervention strategy should be adopted in clinical practice to improve patient prognosis and quality of life.

References

Hoole SP, Bambrough P. Recent advances in percutaneous coronary intervention. Heart. 2020; 106: 1380–1386.

Li T, Jiang H, Ding J. The role of exercise-based cardiac rehabilitation after percutaneous coronary intervention in patients with coronary artery disease: a meta-analysis of randomised controlled trials. Acta Cardiologica. 2024; 79: 127–135.

Zhao X, Liu C, Zhou P, Sheng Z, Li J, Zhou J, et al. Thrombosis and Major Bleeding Risk After Primary PCI Among Patients With Multivessel Coronary Artery Disease. Frontiers in Cardiovascular Medicine. 2022; 8: 729432.

Kim Y. Health-Related Quality of Life in Patients With Coronary Artery Disease Undergoing Percutaneous Coronary Intervention: A Cross-Sectional Study. The Journal of Nursing Research. 2021; 30: e186.

Kosmidou I, Liu Y, Zhang Z, Redfors B, Kappetein AP, Serruys PW, et al. Incidence and Prognostic Impact of Atrial Fibrillation After Discharge Following Revascularization for Significant Left Main Coronary Artery Narrowing. The American Journal of Cardiology. 2020; 125: 500–506.

Mujtaba SF, Sial JA, Karim M. Depression and Anxiety in patients undergoing Percutaneous Coronary Intervention for Acute Coronary Syndrome. Pakistan Journal of Medical Sciences. 2020; 36: 1100–1105.

Saini RK, Chaudhury S, Singh N, Chadha DS, Kapoor R. Depression, anxiety, and quality of life after percuataneous coronary interventions. Industrial Psychiatry Journal. 2022; 31: 6–18.

Liu X, Fowokan A, Grace SL, Ding B, Meng S, Chen X, et al. Chinese patients’ clinical and psychosocial outcomes in the 6 months following percutaneous coronary intervention. BMC Cardiovascular Disorders. 2021; 21: 148.

Dai ZJ, Zhou JY, Xu ST, Zhang JF, Zhuang CF, Gu PH. Application of continuous nursing care based on hierarchical diagnosis and treatment mode in Stage II cardiac rehabilitation of patients after percutaneous coronary intervention. Frontiers in Cardiovascular Medicine. 2022; 9: 922449.

Fu C, Wang H, Wei Q, He C, Zhang C. Effects of rehabilitation exercise on coronary artery after percutaneous coronary intervention in patients with coronary heart disease: a systematic review and meta-analysis. Disability and Rehabilitation. 2019; 41: 2881–2887.

Su JJ, Yu DSF. Effects of a nurse-led eHealth cardiac rehabilitation programme on health outcomes of patients with coronary heart disease: A randomised controlled trial. International Journal of Nursing Studies. 2021; 122: 104040.

Rad MG, Ghanbari-Afra L, Hoseini MHM, Afra MG, Asayesh H. Effectiveness of self-care program on the quality of life in patients with coronary artery disease undergoing cardiac rehabilitation: A Randomized clinical trial. Journal of Education and Health Promotion. 2021; 10: 375.

Brazier JE, Harper R, Jones NM, O’Cathain A, Thomas KJ, Usherwood T, et al. Validating the SF-36 health survey questionnaire: new outcome measure for primary care. BMJ (Clinical Research Ed.). 1992; 305: 160–164.

Dunstan DA, Scott N. Norms for Zung’s Self-rating Anxiety Scale. BMC Psychiatry. 2020; 20: 90.

Zung WW. A self-rating depression scale. Archives of General Psychiatry. 1965; 12: 63–70.

Kearney BY, Fleischer BJ. Development of an instrument to measure exercise of self-care agency. Research in Nursing & Health. 1979; 2: 25–34.

Anderson L, Oldridge N, Thompson DR, Zwisler AD, Rees K, Martin N, et al. Exercise-Based Cardiac Rehabilitation for Coronary Heart Disease: Cochrane Systematic Review and Meta-Analysis. Journal of the American College of Cardiology. 2016; 67: 1–12.

Cordeiro ALL, da Silva Miranda A, de Almeida HM, Santos P. Quality of Life in Patients With Heart Failure Assisted By Telerehabilitation: A Systematic Review and Meta-Analysis. International Journal of Telerehabilitation. 2022; 14: e6456.

Regan EW, Handlery R, Stewart JC, Pearson JL, Wilcox S, Fritz S. Integrating Survivors of Stroke Into Exercise-Based Cardiac Rehabilitation Improves Endurance and Functional Strength. Journal of the American Heart Association. 2021; 10: e017907.

Gore S, Khanna H, Kumar A. Effects of Comprehensive Outpatient Cardiac Rehabilitation on Exercise Capacity, Functional Status, and Quality of Life in People With Heart Failure: A Systematic Review and Meta-Analysis. Physical Therapy. 2023; 103: pzad119.

Laustsen S, Oestergaard LG, van Tulder M, Hjortdal VE, Petersen AK. Telemonitored exercise-based cardiac rehabilitation improves physical capacity and health-related quality of life. Journal of Telemedicine and Telecare. 2020; 26: 36–44.

McGregor G, Powell R, Begg B, Birkett ST, Nichols S, Ennis S, et al. High-intensity interval training in cardiac rehabilitation: a multi-centre randomized controlled trial. European Journal of Preventive Cardiology. 2023; 30: 745–755.

Ashour A, Al-Rawashdeh S, Tanash M, Al-Smadi A, Alshraifeen A, Shajrawi A. Changes in the Anxiety Levels of Patients Undergoing Percutaneous Coronary Intervention. Dimensions of Critical Care Nursing. 2023; 42: 15–21.

Chauvet-Gelinier JC, Bonin B. Stress, anxiety and depression in heart disease patients: A major challenge for cardiac rehabilitation. Annals of Physical and Rehabilitation Medicine. 2017; 60: 6–12.

Gostoli S, Roncuzzi R, Urbinati S, Morisky DE, Rafanelli C. Unhealthy behaviour modification, psychological distress, and 1-year survival in cardiac rehabilitation. British Journal of Health Psychology. 2016; 21: 894–916.

Feng YY, Chaves GSS, Shi W, Pakosh M, Zhang L, Gallagher R, et al. Education interventions in Chinese cardiac patients on health behaviours, disease-related knowledge, and health outcomes: A systematic review and meta-analysis. Patient Education and Counseling. 2021; 104: 1018–1029.

Cojocariu SA, Maștaleru A, Sascău RA, Stătescu C, Mitu F, Cojocaru E, et al. Relationships between Psychoeducational Rehabilitation and Health Outcomes-A Systematic Review Focused on Acute Coronary Syndrome. Journal of Personalized Medicine. 2021; 11: 440.

Wenn P, Meshoyrer D, Barber M, Ghaffar A, Razka M, Jose S, et al. Perceived Social Support and its Effects on Treatment Compliance and Quality of Life in Cardiac Patients. Journal of Patient Experience. 2022; 9: 23743735221074170.

Babygeetha A, Devineni D. Social Support and Adherence to Self-Care Behavior Among Patients With Coronary Heart Disease and Heart Failure: A Systematic Review. Europe’s Journal of Psychology. 2024; 20: 63–77.

Upadhyay V, Bhandari SS, Rai DP, Dutta S, García-Grau P, Vaddiparti K. Improving depression and perceived social support enhances overall quality of life among myocardial infarction survivors: necessity for integrating mental health care into cardiac rehabilitation programs. The Egyptian Journal of Neurology, Psychiatry and Neurosurgery. 2022; 58: 87.

Published

2024-08-13

How to Cite

Xu, J., Ye, C., Peng, F., Lv, H., Tang, W., & Xu, C. (2024). Impact of Combined Exercise Rehabilitation and Continuous Health Education on the Quality of Life and Mental Health of Patients Post-Coronary Stent Implantation. The Heart Surgery Forum, 27(8), E883-E890. https://doi.org/10.59958/hsf.7717

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