Changes in Mental and Physical Health Outcomes Following One Day a Week Cardiopulmonary Rehabilitation in Regional New South Wales

IF 1.9 4区医学 Q2 NURSING

Australian Journal of Rural Health Pub Date : 2025-03-24 DOI:10.1111/ajr.70033

Nnamdi Mgbemena, Jane Thompson, Uchechukwu Levi Osuagwu

{"title":"Changes in Mental and Physical Health Outcomes Following One Day a Week Cardiopulmonary Rehabilitation in Regional New South Wales","authors":"Nnamdi Mgbemena, Jane Thompson, Uchechukwu Levi Osuagwu","doi":"10.1111/ajr.70033","DOIUrl":null,"url":null,"abstract":"<div>\n \n \n <section>\n \n <h3> Introduction</h3>\n \n <p>Cardiopulmonary rehabilitation participation rates in regional Australia remain poor, with outcomes further worsened by the limited number of cardiopulmonary rehabilitation professionals in these settings.</p>\n </section>\n \n <section>\n \n <h3> Objective</h3>\n \n <p>This study investigated the role of cardiopulmonary rehabilitation in improving physical and mental health outcomes of participants with heart or lung diseases in a regional NSW centre.</p>\n </section>\n \n <section>\n \n <h3> Design</h3>\n \n <p>A retrospective study of adults who attended a 1-h session per week cardiac or pulmonary rehabilitation programme at Bathurst Hospital between January 2021 and December 2023.</p>\n </section>\n \n <section>\n \n <h3> Main Outcome Measures</h3>\n \n <p>Pre- and post-rehabilitation assessments were conducted, which included heart rate, blood pressure, oxygen saturation, waist circumference, rating of perceived exertion, 5-sit-to-stand test (5-STS), 6-min walk test (6MWT), and the patient health questionnaire-9 for assessment of depression (PHQ-9 score ≥ 10 = major depression).</p>\n </section>\n \n <section>\n \n <h3> Findings</h3>\n \n <p>Data for eligible participants (<i>n</i> = 186, mostly males 57.5%), aged 69 ± 12 years, were analysed. There were statistically significant improvements (pre vs. post) in mean PHQ-9 scores (6.3 vs. 4.2, <i>p</i> < 0.001), 5-STS (15.8 vs. 12.5 s, <i>p</i> < 0.001), 6MWT (328.6 vs. 377.9 m, <i>p</i> < 0.001) and waist circumference (104.7 vs. 103.9 cm, <i>p</i> < 0.03) post-rehabilitation. Compared with pre-rehabilitation measures, the overall proportion with major depression was significantly lower by 50% (25.3% vs. 12.4%, <i>p</i> < 0.05) post-rehabilitation. This decrease was significant for the cardiac (11.6% decrease) and pulmonary (15.4% decrease) rehabilitation participants.</p>\n </section>\n \n <section>\n \n <h3> Conclusion</h3>\n \n <p>Despite the limiting structure of one session per week for the cardiopulmonary rehabilitation programme at this regional centre, participants showed significant improvements in their mental and physical health at the end of the programme. Funding such organic programmes will yield a greater positive impact on the health of people in this region.</p>\n </section>\n </div>","PeriodicalId":55421,"journal":{"name":"Australian Journal of Rural Health","volume":"33 2","pages":""},"PeriodicalIF":1.9000,"publicationDate":"2025-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/ajr.70033","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Australian Journal of Rural Health","FirstCategoryId":"3","ListUrlMain":"https://onlinelibrary.wiley.com/doi/10.1111/ajr.70033","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"NURSING","Score":null,"Total":0}

引用次数: 0

Abstract

Introduction

Cardiopulmonary rehabilitation participation rates in regional Australia remain poor, with outcomes further worsened by the limited number of cardiopulmonary rehabilitation professionals in these settings.

Objective

This study investigated the role of cardiopulmonary rehabilitation in improving physical and mental health outcomes of participants with heart or lung diseases in a regional NSW centre.

Design

A retrospective study of adults who attended a 1-h session per week cardiac or pulmonary rehabilitation programme at Bathurst Hospital between January 2021 and December 2023.

Main Outcome Measures

Pre- and post-rehabilitation assessments were conducted, which included heart rate, blood pressure, oxygen saturation, waist circumference, rating of perceived exertion, 5-sit-to-stand test (5-STS), 6-min walk test (6MWT), and the patient health questionnaire-9 for assessment of depression (PHQ-9 score ≥ 10 = major depression).

Findings

Data for eligible participants (n = 186, mostly males 57.5%), aged 69 ± 12 years, were analysed. There were statistically significant improvements (pre vs. post) in mean PHQ-9 scores (6.3 vs. 4.2, p < 0.001), 5-STS (15.8 vs. 12.5 s, p < 0.001), 6MWT (328.6 vs. 377.9 m, p < 0.001) and waist circumference (104.7 vs. 103.9 cm, p < 0.03) post-rehabilitation. Compared with pre-rehabilitation measures, the overall proportion with major depression was significantly lower by 50% (25.3% vs. 12.4%, p < 0.05) post-rehabilitation. This decrease was significant for the cardiac (11.6% decrease) and pulmonary (15.4% decrease) rehabilitation participants.

Conclusion

Despite the limiting structure of one session per week for the cardiopulmonary rehabilitation programme at this regional centre, participants showed significant improvements in their mental and physical health at the end of the programme. Funding such organic programmes will yield a greater positive impact on the health of people in this region.

Abstract Image

查看原文本刊更多论文

新南威尔士地区每周一天心肺康复训练后身心健康结果的变化

澳大利亚地区心肺康复的参与率仍然很低，由于这些地区的心肺康复专业人员数量有限，结果进一步恶化。目的本研究探讨心肺康复在改善新南威尔士州区域中心心脏或肺部疾病参与者身心健康结果中的作用。设计一项回顾性研究，纳入2021年1月至2023年12月期间在巴瑟斯特医院每周参加1小时心脏或肺部康复计划的成年人。康复前和康复后的评估包括心率、血压、血氧饱和度、腰围、感觉劳累评分、5坐立测试（5-STS）、6分钟步行测试（6MWT）和患者抑郁评估健康问卷-9 （PHQ-9得分≥10 =重度抑郁）。分析了符合条件的参与者（n = 186，男性占57.5%），年龄69±12岁。康复前后患者PHQ-9平均分（6.3比4.2,p < 0.001）、5-STS（15.8比12.5 s, p < 0.001）、6MWT（328.6比377.9 m, p < 0.001）、腰围（104.7比103.9 cm, p < 0.03）均有统计学意义的改善。与康复前措施相比，康复后总体抑郁比例显著降低50% （25.3% vs. 12.4%, p < 0.05）。这种下降在心脏（下降11.6%）和肺（下降15.4%）康复参与者中是显著的。结论：尽管该区域中心的心肺康复方案限定为每周一次，但在方案结束时，参与者的身心健康状况有了显著改善。资助这种有机方案将对本区域人民的健康产生更大的积极影响。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Australian Journal of Rural Health 医学-公共卫生、环境卫生与职业卫生

CiteScore

2.30

自引率

16.70%

发文量

122

审稿时长

12 months

期刊介绍： The Australian Journal of Rural Health publishes articles in the field of rural health. It facilitates the formation of interdisciplinary networks, so that rural health professionals can form a cohesive group and work together for the advancement of rural practice, in all health disciplines. The Journal aims to establish a national and international reputation for the quality of its scholarly discourse and its value to rural health professionals. All articles, unless otherwise identified, are peer reviewed by at least two researchers expert in the field of the submitted paper.