A randomised controlled trial of cardiac rehabilitation after revascularisation

Johan Brügemann; Bas J J Poels; Mieke H Oosterwijk; Cees van der Schans; Klaas Postema; Dirk J van Veldhuisen

doi:10.1016/j.ijcard.2006.07.047

A randomised controlled trial of cardiac rehabilitation after revascularisation

Johan Brügemann, Bas J J Poels, Mieke H Oosterwijk, Cees van der Schans, Klaas Postema, Dirk J van Veldhuisen

Healthy Ageing, Allied Health Care and Nursing

University of Groningen, University Medical Center Groningen, Thoraxcenter, Department of Cardiology
University of Groningen, University Medical Center Groningen, Center for Rehabilitation
Northern Center of Healthcare Research (NCG), University of Groningen

Research output: Contribution to journal › Article › Academic › peer-review

Abstract

BACKGROUND: It is unclear if psycho-education on top of physical training is of additional value regarding quality of life in revascularised patients.

DESIGN: Prospective randomised study comparing two types of cardiac rehabilitation: exercise based versus a more comprehensive approach including psychological therapy.

METHODS: One hundred and thirty-seven male patients who underwent an uncomplicated coronary revascularisation procedure and who were mentally in a good condition, were randomised to one of two types of cardiac rehabilitation: physical training plus information about their disease ('Fit' program) during 6 weeks or comprehensive cardiac rehabilitation which, on top of the Fit-program, included weekly psycho-education sessions and relaxation therapy ('Fit-Plus' program) for 8 weeks. One hundred and four patients were analysed. Quality of life was measured by the 'Leiden Quality of Life questionnaire' and by the RAND-36 (quality of life) questionnaire.

RESULTS: Quality of life improved in both treatment groups in the course of time up to 9 months after cardiac rehabilitation and there was no difference between the two types of cardiac rehabilitation. Exercise capacity improved likewise, blood lipid profile was unaffected and energy intake decreased in each treatment group but, again, there were no inter-group differences.

CONCLUSION: After an uncomplicated revascularisation procedure, physical training plus information results in a comparable outcome on quality of life when compared to a more comprehensive program including additional psycho-education and relaxation therapy.

Original language	English
Pages (from-to)	59-64
Journal	International Journal of Cardiology
Volume	119
Issue number	1
DOIs	https://doi.org/10.1016/j.ijcard.2006.07.047
Publication status	Published - 25 Jun 2007

Keywords

adults
coronary artery bypass
coronary artery disease
exercise therapy
health status
males
middle aged
prospective studies
quality of life
relaxation therapy
randomized controlled trial

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10.1016/j.ijcard.2006.07.047

Cite this

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title = "A randomised controlled trial of cardiac rehabilitation after revascularisation",

abstract = "BACKGROUND: It is unclear if psycho-education on top of physical training is of additional value regarding quality of life in revascularised patients.DESIGN: Prospective randomised study comparing two types of cardiac rehabilitation: exercise based versus a more comprehensive approach including psychological therapy.METHODS: One hundred and thirty-seven male patients who underwent an uncomplicated coronary revascularisation procedure and who were mentally in a good condition, were randomised to one of two types of cardiac rehabilitation: physical training plus information about their disease ('Fit' program) during 6 weeks or comprehensive cardiac rehabilitation which, on top of the Fit-program, included weekly psycho-education sessions and relaxation therapy ('Fit-Plus' program) for 8 weeks. One hundred and four patients were analysed. Quality of life was measured by the 'Leiden Quality of Life questionnaire' and by the RAND-36 (quality of life) questionnaire.RESULTS: Quality of life improved in both treatment groups in the course of time up to 9 months after cardiac rehabilitation and there was no difference between the two types of cardiac rehabilitation. Exercise capacity improved likewise, blood lipid profile was unaffected and energy intake decreased in each treatment group but, again, there were no inter-group differences.CONCLUSION: After an uncomplicated revascularisation procedure, physical training plus information results in a comparable outcome on quality of life when compared to a more comprehensive program including additional psycho-education and relaxation therapy.",

keywords = "adults, coronary artery bypass, coronary artery disease, exercise therapy, health status, males, middle aged, prospective studies, quality of life, relaxation therapy, randomized controlled trial, adolescenten, volwassenen, bejaarden, coronaire bypass, coronaire hartziekte, oefentherapie, gezondheidsstatus, mannen, pati{\"e}ntenvoorlichting, kwaliteit van leven, relaxtherapie",

author = "Johan Br{\"u}gemann and Poels, {Bas J J} and Oosterwijk, {Mieke H} and {van der Schans}, Cees and Klaas Postema and {van Veldhuisen}, {Dirk J}",

year = "2007",

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doi = "10.1016/j.ijcard.2006.07.047",

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T1 - A randomised controlled trial of cardiac rehabilitation after revascularisation

AU - Brügemann, Johan

AU - Poels, Bas J J

AU - Oosterwijk, Mieke H

AU - van der Schans, Cees

AU - Postema, Klaas

AU - van Veldhuisen, Dirk J

PY - 2007/6/25

Y1 - 2007/6/25

N2 - BACKGROUND: It is unclear if psycho-education on top of physical training is of additional value regarding quality of life in revascularised patients.DESIGN: Prospective randomised study comparing two types of cardiac rehabilitation: exercise based versus a more comprehensive approach including psychological therapy.METHODS: One hundred and thirty-seven male patients who underwent an uncomplicated coronary revascularisation procedure and who were mentally in a good condition, were randomised to one of two types of cardiac rehabilitation: physical training plus information about their disease ('Fit' program) during 6 weeks or comprehensive cardiac rehabilitation which, on top of the Fit-program, included weekly psycho-education sessions and relaxation therapy ('Fit-Plus' program) for 8 weeks. One hundred and four patients were analysed. Quality of life was measured by the 'Leiden Quality of Life questionnaire' and by the RAND-36 (quality of life) questionnaire.RESULTS: Quality of life improved in both treatment groups in the course of time up to 9 months after cardiac rehabilitation and there was no difference between the two types of cardiac rehabilitation. Exercise capacity improved likewise, blood lipid profile was unaffected and energy intake decreased in each treatment group but, again, there were no inter-group differences.CONCLUSION: After an uncomplicated revascularisation procedure, physical training plus information results in a comparable outcome on quality of life when compared to a more comprehensive program including additional psycho-education and relaxation therapy.

AB - BACKGROUND: It is unclear if psycho-education on top of physical training is of additional value regarding quality of life in revascularised patients.DESIGN: Prospective randomised study comparing two types of cardiac rehabilitation: exercise based versus a more comprehensive approach including psychological therapy.METHODS: One hundred and thirty-seven male patients who underwent an uncomplicated coronary revascularisation procedure and who were mentally in a good condition, were randomised to one of two types of cardiac rehabilitation: physical training plus information about their disease ('Fit' program) during 6 weeks or comprehensive cardiac rehabilitation which, on top of the Fit-program, included weekly psycho-education sessions and relaxation therapy ('Fit-Plus' program) for 8 weeks. One hundred and four patients were analysed. Quality of life was measured by the 'Leiden Quality of Life questionnaire' and by the RAND-36 (quality of life) questionnaire.RESULTS: Quality of life improved in both treatment groups in the course of time up to 9 months after cardiac rehabilitation and there was no difference between the two types of cardiac rehabilitation. Exercise capacity improved likewise, blood lipid profile was unaffected and energy intake decreased in each treatment group but, again, there were no inter-group differences.CONCLUSION: After an uncomplicated revascularisation procedure, physical training plus information results in a comparable outcome on quality of life when compared to a more comprehensive program including additional psycho-education and relaxation therapy.

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KW - coronary artery bypass

KW - coronary artery disease

KW - exercise therapy

KW - health status

KW - males

KW - middle aged

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KW - quality of life

KW - relaxation therapy

KW - randomized controlled trial

KW - adolescenten

KW - volwassenen

KW - bejaarden

KW - coronaire bypass

KW - coronaire hartziekte

KW - oefentherapie

KW - gezondheidsstatus

KW - mannen

KW - patiëntenvoorlichting

KW - kwaliteit van leven

KW - relaxtherapie

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DO - 10.1016/j.ijcard.2006.07.047

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VL - 119

SP - 59

EP - 64

JO - International Journal of Cardiology

JF - International Journal of Cardiology

IS - 1

ER -

A randomised controlled trial of cardiac rehabilitation after revascularisation

Abstract

Keywords

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