The effect of home-based cardiac rehabilitation on depression score in patients with ischemic heart disease: A longitudinal clinical trial study.

IF 0.5 Q4 CARDIAC & CARDIOVASCULAR SYSTEMS
Marjan Jamalian, Alireza Ansari-Moghaddam, Hamidreza Roohafza, Mahdi Mohammadi, Leila Vakili, Mohammad Hadi Abbasi, Safoura Yazdekhasti, Gholamreza Masoudy, Hossein Heidari, Hassan Okati-Aliabad, Masoumeh Sadeghi
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Abstract

Background: Depression is common in patients with cardiovascular disease (CVD). Home-based cardiac rehabilitation (HBCR) is a program that alleviates depression. This study aimed to determine and compare HBCR programs and usual care (UC) effects on depression control in patients with ischemic heart disease (IHD).

Methods: This clinical trial study was performed on 259 patients with IHD that were randomly allocated to the HBCR and UC groups for stress management. Data were collected using the "Beck Depression Inventory" (BDI) at baseline and 6 and 12 months. Generalized estimating equation (GEE) models were applied to examine the associations between times of the groups and changes in outcomes over the study times. Data analysis was done in SPSS software at the significance level of 0.05.

Results: A total of 247 participants with a mean age of 55.22 ± 7.40 years participated in this study, and 209 (84.6%) of the study participants were men. Among patients, 128 patients in the UC program and 119 patients in the HBCR program attended at least one of the pre-determined visits (months 6 and 12). The patterns of change of the depression parameter were similar through the course of the study between the two groups (P = 0.04). In the HBCR group, the depression reduced continuously from baseline to 6 months, baseline to 12 months, and 6 to 12 months (P < 0.05). In the UC group, depression was significantly reduced from baseline to 6 months and from baseline to 12 months.

Conclusion: HBCR was effective in continuous reducing of depression scores in long-term follow-up of patients with IHD. These findings suggest that HBCR can alleviate depression in patients who do not participate in hospital-based cardiac rehabilitation (CR).

Abstract Image

Abstract Image

家庭心脏康复对缺血性心脏病患者抑郁评分的影响:一项纵向临床试验研究
背景:抑郁症在心血管疾病(CVD)患者中很常见。以家庭为基础的心脏康复(HBCR)是一个减轻抑郁症的项目。本研究旨在确定和比较HBCR方案和常规护理(UC)对缺血性心脏病(IHD)患者抑郁控制的影响。方法:本临床试验研究纳入259例IHD患者,随机分为HBCR组和UC组进行应激管理。在基线、6个月和12个月时使用“贝克抑郁量表”(BDI)收集数据。应用广义估计方程(GEE)模型来检查组间时间和研究期间结果变化之间的关联。采用SPSS软件进行数据分析,显著性水平为0.05。结果:共纳入247例患者,平均年龄55.22±7.40岁,其中男性209例(84.6%)。在患者中,128名UC项目患者和119名HBCR项目患者至少参加了一次预先确定的就诊(第6个月和第12个月)。两组患者抑郁参数在整个研究过程中的变化模式相似(P = 0.04)。HBCR组抑郁程度从基线至6个月、基线至12个月、6至12个月持续下降(P < 0.05)。在UC组中,抑郁症从基线到6个月和从基线到12个月显著减少。结论:HBCR在IHD患者长期随访中持续降低抑郁评分是有效的。这些发现表明HBCR可以缓解未参加医院心脏康复(CR)的患者的抑郁。
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来源期刊
ARYA Atherosclerosis
ARYA Atherosclerosis CARDIAC & CARDIOVASCULAR SYSTEMS-
CiteScore
1.00
自引率
0.00%
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审稿时长
18 weeks
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