Effectiveness of cardiac rehabilitation program on subjective well-being of myocardial infarction patients

• Register: ANZCTR
• Last refreshed on: 12 June 2017
• Main ID: ACTRN12617000832370
• Date of registration: 06/06/2017
• Prospective Registration: No
• Primary sponsor: Dr. Aliya Hisam
• Public title: Effectiveness of cardiac rehabilitation program on subjective well-being of myocardial infarction patients
• Scientific title: Effectiveness of cardiac rehabilitation program on health-related quality of life; A randomized control trial
• Date of first enrolment: 18/07/2016
• Target sample size: 206
• Recruitment status: Completed
• URL: http://www.anzctr.org.au/ACTRN12617000832370.aspx
• Study type: Interventional
• Study design: Randomised controlled trial Parallel
• Phase: Not Applicable

Health Condition(s) or Problem(s) studied

Myocardial infarction

Physical medicine / rehabilitation

Intervention(s)

Description of intervention(s) / exposure: Cardiac rehabilitation (CR) program was the intervention which was a medically supervised program in post myocardial infarction patient. After patients were diagnosed with myocardial infarction by a cardiologist, they were recruited, baseline information recorded and randomized into casual care or casual care plus CR program.
The participants of the CR program (intervention group) were enrolled for a total period of 8 weeks, which was conducted in 2 phases in hospital premises. CR program team consisted of one cardiac consultant, two trained nurses, 1 physiotherapist and 1 dietitian.
CR program consisted following components according to the two phases:
Phase 1: This CR program was of 1-2 weeks duration during hospital stay:
1. Psychological reassurance: A consultant cardiologist conducted a single session of 15-30 minutes at the very start of the patient admission. Participants was encouraged to ask questions or any queries. Any misconceptions were cleared and he/she was reassurance regarding his/her health status and preventive aspects were given.
2. Early mobilization: A trained nurse having an experience of at least 2 years ensured early mobilization of the participant while admitted in the hospital ward. Session consisted of gradual mobilization starting from 1-3 minutes’ walk.
3. Dietary counselling: A dietitian having at least 2 years’ experience conducted two dietary counselling session of 15-30 minutes session per week according to WHO guideline of healthy diet. Healthy food choices were given and unhealthy food were identified by interactive communicative session.
4. Future risk stratification: A consultant cardiologist conducted approximately 15-30 minutes session regarding the participant modifiable risks and how to decrease them.
Phase 2: After 02 weeks they were offered 06 weeks structured exercise program. In this phase, patient were asked to come to the hospital weekly. A schedule appointment was communicated to each patient according to their convenience.
1. Structured exercise program (SEP): The SEP was conducted once weekly by CR team consisting of a trained doctor, physiotherapist and a trained nurse. The program included reassessment by CR team and structured exercise protocol was started for each participant. It consisted of a supervised 30 minutes aerobic and strength exercise training sessions. A total of 6 SEP was conducted in a period of 6 weeks in hospital premises.
2. Health education: A trained nurse having at least 5 years’ experience conducted a 15-30 minutes session on the same day of SEP but before the start of the SEP session. Aim was to increase the understanding of disease process, risk factors, medical compliance and follow up visit.
3. Dietician counselling: A trained dietitian after SEP conducted 15-30 minutes session and reinforced and encouraged the healthy food choices.
The CR program was not individualize or titrated and adherence was not measured.