EVALUATION OF QUALITY OF LIFE IN PATIENTS WITH ISCHEMIC HEART DISEASE UNDER THE INFLUENCE OF TELECARDIAC REHABILITATION
DOI:
https://doi.org/10.11603/1811-2471.2024.v.i1.14534Keywords:
coronary heart disease, quality of life, SF-36 questionnaire, SAQ questionnaireAbstract
SUMMARY. Ukraine has seen an increase in coronary heart disease over the past 15 years, which poses a serious threat. It causes 71.1 % of deaths from heart disease and 19.5 % of primary disability. Physical activity can significantly reduce the risk of cardiovascular events and improve quality of life. Cardiac rehabilitation interventions are a necessary element of treatment, improving the physical, psychological and social well-being of patients.
The aim – to assess the dynamics of quality of life in patients with coronary heart disease under the influence of telecardiac rehabilitation technologies.
Material and Methods. The study involved 23 patients with stable angina pectoris according to ICD-10, aged 58 to 75 years (mean age 64.46±1.25). Patients were divided into 2 groups: Group 1 (n=11) received only standard medical treatment and monitored the increase in physical activity using self-monitoring diaries, Group 2 (n=12), in addition to standard treatment, increased physical activity using tele-rehabilitation technologies.
The Medical Outcomes Study – Short Form (SF-36) and Seattle Angina Questionnaire (SAQ) questionnaires were used to assess the quality of life of the study patients. The results of treatment were assessed before treatment and after 3 months.
Results. Before treatment, the SF-36 and SAQ questionnaire data between the study groups did not differ statistically (p>0.05). After 3 months, according to the SF-36 quality of life questionnaire, the results of the 2nd group significantly improved (p<0.05) for almost every item of the questionnaire, in contrast to the 1st group, where a significant result was obtained only for the item of role activity. The results of the SAQ assessment in group 2 were significantly better and significantly different in terms of such indicators as physical activity restriction, angina frequency scale, treatment satisfaction scale, and attitude scale (p<0.05). This indicates the high effectiveness of the TV rehabilitation approach.
Conclusions. The dynamics of quality of life in patients with coronary heart disease under the influence of telecardiac rehabilitation technologies had positive and significant changes compared to patients who did not use telerehabilitation methods.
References
(2020). Kilkist pomerlykh za okremymy prychynamy smerti. Arkhiv. Derzhavna sluzhba statystyky Ukrayiny – Number of deaths by specific causes of death. Archive. State Statistics Service of Ukraine Retrieved from: http: //www.ukrstat.gov.ua/operativ/operativ2020/ds/kpops/kpops_u/arh_kpops2020_ u.html [in Ukrainian].
Mostepan, T.V., Shekera, O.G., Gorachuk, V.V., & Dolzhenko, M.M. (2021). Diseases of the circulatory system as a persistent problem. Health of Society, 10(2), 68-85. DOI: 10.22141/2306- 2436.10.2.2021.238583 [in Ukrainian].
Mostepan, T.V., & Horachuk, V.V. (2022). Rehabilitation Care: Opportunities for Integration Into Clinical Practice. Acta Balneol., LXIV, 4(170), 353-357. DOI: 10.36740/ ABAL202204114.
Mostepan, T.V., & Gorachuk, V.V. (2022). Prevalence of risk factors in patients with ischemic heart disease. Ukrainian Medical Journal, XI/XII(6), 1-3. DOI: 10.32471/umj.1680-3051.152.236222 [in Ukrainian].
Mostepan, T.V., Gorachuk, V., & Dolzhenko, M. (2023). Orhanizatsiya reabilitatsiynoyi dopomohy patsiyentam iz stabilnoyu ishemichnoyu khvoroboyu sertsya : metodychni rekomendatsiyi [Organization of rehabilitation assistance to patients with stable ischemic heart disease: Guidelines]. Dnipro: «FOP Seredniak T. K.» [in Ukrainian].
Korchynsky, V.S. (2015). Kardioreabilitatsiya: suchasnyy stan ta priorytety rozvytku [Cardiorehabilitation: Current state and development priorities]. Bulletin of Vinnytsia National Medical University, 19(1), 244-247. Retrieved from: http://nbuv.gov.ua/UJRN/vvnmu_2015_19_1_64 [in Ukrainian].
Winzer, E.B., Woitek, F., & Linke, A. (2018). Physical Activity in the Prevention and Treatment of Coronary Artery Disease. Journal of the American Heart Association, 7(4), e007725. DOI: 10.1161/JAHA.117.007725.
Balazh, M., & Kostenko, V. (2021). Impact of telemedicine-assisted cardiorehabilitation on the quality of life of individuals with ischemic heart disease. Sports Medicine, Physical Therapy, and Occupational Therapy, 2, 78-83. DOI: 10.32652/spmed.2021.2.78-83 [in Ukrainian].
Babinets, L., & Melnyk, N. (2021). Comparative Analysis of the Quality of Life Scales Parameters in Patients with Combination of Stable Ischemic Heart Disease and Metabolic Syndrome. Family Medicine, 5-6, 53-57. DOI: 10.30841/2307-5112.5-6.2021.253007.
Long, L. (2018). Exercise-based cardiac rehabilitation for adults with stable angina. Cochrane Database of Systematic Reviews. [Electronic resource]. DOI: 10.1002/ 14651858. cd012786.pub2.
Zhong, W. (2023). Longer-Term Effects of Cardiac Telerehabilitation on Patients With Coronary Artery Disease: Systematic Review and Meta-Analysis. JMIR mHealth and uHealth, 11, e46359. DOI: 10.2196/46359.
Neubeck, L. (2009). Telehealth interventions for the secondary prevention of coronary heart disease: a systematic review. European Journal of Cardiovascular Prevention & Rehabilitation, 16(3), 281-289. DOI: 10.1097/hjr. 0b013e32832a4e7a.
World Health Organization. (2004). The world health organization quality of life (WHOQOL) – BREF. Geneva: World Health Organization.
Chereshniuk, L.V. (2013). Quality of life of patients with hypertension depending on the place of residence. Medical News and Pharmacy, 9(460). Retrieved from: http://www.mif-ua.com/archive/article/36131 [in Ukrainian].
Ivachevska, V. V., & Chopei, I. V. (2014). Assessment of the quality of life of patients with combined course of non-alcoholic fatty liver disease and stable forms of ischemic heart disease. Gastroenterology, 53(3), 35-37 [in Ukrainian].
Ivanyuk, N.B. (2017). Clinical characteristics and quality of life of patients with ischemic cardiomyopathy after coronary artery bypass surgery or stenting. Ukrainian Cardiological Journal, 1, 32-42 [in Ukrainian].
Nesterak, R.V. (2019). Application of program of clinical-psychological rehabilitation by optimization of the internal picture of health in patients after acute coronary syndrome. Art of Medicine, 3, 47-55.
Kimata, C., Willcox, B., & Rodriguez, B. (2018). Effects of Walking on Coronary Heart Disease in Elderly Men with Diabetes. Geriatrics. 3(2), 21. DOI: 10.3390/geriatrics3020021.
Murtagh, E.M. (2015). The effect of walking on risk factors for cardiovascular disease: An updated systematic review and meta-analysis of randomised control trials [Electronic resource]. Retrieved from: http://hdl.handle.net/ 10454/7077.
Anderson, L. (2016). Exercise-Based Cardiac Rehabilitation for Coronary Heart Disease. Journal of the American College of Cardiology, 67(1), 1-12. DOI: 10.1016/j.jacc.2015.10.044.
Johansson, M.S. (2020). Can we walk away from cardiovascular disease risk or do we have to ‘huff and puff’? A cross-sectional compositional accelerometer data analysis among adults and older adults in the Copenhagen City Heart Study. International Journal of Behavioral Nutrition and Physical Activity, 17(1). DOI: 10.1186/s12966-020-00985-w.
Stewart, R.A.H. (2017). Physical Activity and Mortality in Patients With Stable Coronary Heart Disease. Journal of the American College of Cardiology. [Electronic resource], 70(14), 1689-1700. DOI: 10.1016/j.jacc.2017.08.017.
Bradt, J., Dileo, C., & Potvin, N. (2013). Music for stress and anxiety reduction in coronary heart disease patients. Cochrane Database of Systematic Reviews. [Electronic resource]. DOI: 10.1002/14651858.cd006577.pub3.
Clark, I.N., Baker, F.A., & Taylor, N.F. (2015). The modulating effects of music listening on health-related exercise and physical activity in adults: a systematic review and narrative synthesis. Nordic Journal of Music Therapy, 25(1), 76-104. DOI: 10.1080/08098131. 2015.1008558.
Karageorghis, C.I. (2018). Brain mechanisms that underlie music interventions in the exercise domain. Progress in Brain Research. [Electronic resource], 109-125. DOI: 10.1016/bs.pbr.2018.09.004.
Jones, L., Karageorghis, C.I., & Ekkekakis, P. (2014). Can High-Intensity Exercise Be More Pleasant? Attentional Dissociation Using Music and Video. Journal of Sport and Exercise Psychology, 36(5), 528-541. DOI: 10.1123/jsep. 2013-0251.
Bacon, C., Myers, T.R., & Karageorghis, C.I. (2012). Effect of music-movement synchrony on exercise oxygen consumption. J. Sports Med. Phys. Fitness, 52(4), 359-365. PMID: 22828457.
Stewart, R.A.H. (2017). Physical Activity and Mortality in Patients With Stable Coronary Heart Disease. Journal of the American College of Cardiology. [Electronic resource], 70(14), 1689-1700. DOI: 10.1016/j.jacc.2017.08.017.
Chair, S.Y., Zou, H., & Cao, X. (2020). A systematic review of effects of recorded music listening during exercise on physical activity adherence and health outcomes in patients with coronary heart disease. Annals of Physical and Rehabilitation Medicine. DOI: 10.1016/j.rehab.2020. 09.011.
