You are here

  • Home
  • Archive
  • Volume 3, Issue 1
  • Cardiac rehabilitation using the Family-Centered Empowerment Model versus home-based cardiac rehabilitation in patients with myocardial infarction: a randomised controlled trial

Article Text

Article menu

Download PDFPDF

Cardiac risk factors and prevention
Original research article
Cardiac rehabilitation using the Family-Centered Empowerment Model versus home-based cardiac rehabilitation in patients with myocardial infarction: a randomised controlled trial
  1. Amir Vahedian-Azimi1,
  2. Andrew C Miller2,3,
  3. Mohammadreza Hajiesmaieli4,
  4. Mari Kangasniemi5,
  5. Fatemah Alhani6,
  6. Hosseinali Jelvehmoghaddam7,
  7. Mohammad Fathi4,
  8. Behrooz Farzanegan8,
  9. Seyed H Ardehali9,
  10. Sevak Hatamian10,
  11. Mehdi Gahremani4,
  12. Seyed M M Mosavinasab1,
  13. Zohreh Rostami11,
  14. Seyed J Madani12 and
  15. Morteza Izadi13
  1. 1Trauma Research Center and Nursing Faculty, Baqiyatallah University of Medical Sciences, Tehran, Iran
  2. 2Department of Emergency Medicine, West Virginia University, Morgantown, West Virginia, USA
  3. 3Critical Care Medicine Department, Clinical Center, National Institutes of Health, Bethesda, Maryland, USA
  4. 4Department of Anesthesia and Critical Care Medicine, Loghman Clinical Research Development Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran
  5. 5Department of Nursing Science, University of Eastern Finland, Kuopio, Finland
  6. 6Department of Nursing, Tarbiat Modares University, Tehran, Iran
  7. 7Department of Anesthesia, Shahid Modarres Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran
  8. 8Anesthesia and Critical Care Medicine Department, Masih Daneshvari Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran
  9. 9Anesthesia and Critical Care Medicine Department, Shohada Tajrish Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran
  10. 10Anesthesia and Critical Care Medicine Department, Alborz University of Medical Sciences, Tehran, Iran
  11. 11Nephrology and Urology Research Center, Baqiyatallah University of Medical Sciences, Tehran, Iran
  12. 12Trauma Research Center, Baqiyatallah University of Medical Sciences, Tehran, Iran
  13. 13Health Research Center, Baqiyatallah University of Medical Sciences, Tehran, Iran
  1. Correspondence to Dr Fatemah Alhani;Alhani_f{at}modares.ac.ir

Abstract

Objective To determine if a hybrid cardiac rehabilitation (CR) programme using the Family-Centered Empowerment Model (FCEM) as compared with standard CR will improve patient quality of life, perceived stress and state anxiety of patients with myocardial infarction (MI).

Methods We conducted a randomised controlled trial in which patients received either standard home CR or CR using the FCEM strategy. Patient empowerment was measured with FCEM questionnaires preintervention and postintervention for a total of 9 assessments. Quality of life, perceived stress, and state and trait anxiety were assessed using the 36-Item Short Form Health Survey (SF-36), the 14-item Perceived Stress, and the 20-item State and 20-item Trait Anxiety questionnaires, respectively.

Results 70 patients were randomised. Baseline characteristics were similar. Ejection fraction was significantly higher in the intervention group at measurements 2 (p=0.01) and 3 (p=0.001). Exercise tolerance measured as walking distance was significantly improved in the intervention group throughout the study. The quality of life results in the FCEM group showed significant improvement both within the group over time (p<0.0001) and when compared with control (p<0.0001). Similarly, the perceived stress and state anxiety results showed significant improvement both within the FCEM group over time (p<0.0001) and when compared with control (p<0.0001). No significant difference was found either within or between groups for trait anxiety.

Conclusions The family-centred empowerment model may be an effective hybrid cardiac rehabilitation method for improving the physical and mental health of patients post-MI; however, further study is needed to validate these findings. Clinical Trials.gov identifier NCT02402582.

Trial registration number NCT02402582.

This is an Open Access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/

https://doi.org/10.1136/openhrt-2015-000349

Statistics from Altmetric.com

    Request Permissions

    If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.

    View Full Text