Coronary Health Care最新文献_第8页

The effect of dietary modification on the training outcome and body composition in patients undergoing a cardiac rehabilitation programme 饮食改变对心脏康复患者训练结果和身体组成的影响

Coronary Health Care Pub Date : 2000-05-01 DOI: 10.1054/chec.2000.0068

S. King , S. David , H. Newton , D. Hevey , F. Rafferty , J.H. Horgan

{"title":"The effect of dietary modification on the training outcome and body composition in patients undergoing a cardiac rehabilitation programme","authors":"S. King , S. David , H. Newton , D. Hevey , F. Rafferty , J.H. Horgan","doi":"10.1054/chec.2000.0068","DOIUrl":"10.1054/chec.2000.0068","url":null,"abstract":"<div>The benefit of the exercise element of cardiac rehabilitation is well recognized. This study examines the influence of dietary modification during an exercise programme on changes in functional capacity in rehabilitation patients. Thirty male post coronary artery bypass graft patients were recruited. Prior to commencing a ten-week aerobic exercise programme all patients underwent a symptom limited exercise stress test (EST), body composition analysis, a fasting lipid profile and dietary assessment. Patients were assigned to one of three dietary regimens for the duration of the exercise programmes. Diets were modified in terms of carbohydrate and fat content as follows: diet A was an athletic type diet (60–65% carbohydrate, 20–25% fat), diet B was a traditional lipid-lowering diet (50–55% carbohydrate, 30% fat) and diet C was a weight-reducing lipid-lowering diet (50–55% carbohydrate, 30% fat). All baseline measurements were repeated on completion of the exercise programme. EST results for subjects who followed diet A, the high carbohydrate diet showed a significant improvement in functional capacity and duration of exercise post-training (P<0.007 and P<0.005 respectively). These improvements were achieved at a significantly lower heart rate for equal work load compared to the other two groups (P<0.005). These combined improvements were not achieved by either of the other two groups. The results of this study suggest that dietary manipulation significantly influences the outcome of exercise training in cardiac rehabilitation. The optimum diet in this patient group was a high carbohydrate, low fat, and weight-maintenance diet.</div>","PeriodicalId":100334,"journal":{"name":"Coronary Health Care","volume":"4 2","pages":"Pages 76-81"},"PeriodicalIF":0.0,"publicationDate":"2000-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1054/chec.2000.0068","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82681182","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 6

The BACR database of cardiac rehabilitation units in the UK 英国心脏康复单位BACR数据库

Coronary Health Care Pub Date : 2000-05-01 DOI: 10.1054/chec.2000.0072

H. Bethell , S. Turner , E.J. Flint , L. Rose

{"title":"The BACR database of cardiac rehabilitation units in the UK","authors":"H. Bethell , S. Turner , E.J. Flint , L. Rose","doi":"10.1054/chec.2000.0072","DOIUrl":"10.1054/chec.2000.0072","url":null,"abstract":"<div>Objectives: To identify: 1. All the cardiac rehabilitation units in the UK together with the names and addresses of their co-ordinators and the different health professionals involved. 2. The range of patient diagnoses treated. 3. The before and after assessment procedures used. 4. The provision of ongoing support for patients when they leave the programme. 5. Their arrangements for secondary prevention and knowledge of local protocols and arrangements for long-term care.Design : Questionnaire and telephone surveys. Main outcome measures: Names and addresses of all cardiac rehabilitation co-ordinators, the disciplines of their staff, the conditions which they treat, the treatments offered and the outcomes measured together with knowledge of and provision for long-term secondary prevention. Results: 300 centres were identified. Of the 294 who returned questionnaires, nearly all provided a mixture of exercise training, education and stress management. Age was an exclusion factor in 14%. Outcomes in the form of exercise tolerance was measured by 22%, psychological function by 60% and quality of life by 51%. Staffing included nurses, physiotherapists and dieticians in over 80% and doctors and pharmacists in over 60%. Psychologists and social workers were involved in less than 30%. The majority of co-ordinators were involved with or aware of secondary prevention initiatives in their area.</div>","PeriodicalId":100334,"journal":{"name":"Coronary Health Care","volume":"4 2","pages":"Pages 92-95"},"PeriodicalIF":0.0,"publicationDate":"2000-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1054/chec.2000.0072","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82624731","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 28

The acute mood effects of a single rehabilitation exercise session on cardiac patients 单次康复运动对心脏病患者的急性情绪影响

Coronary Health Care Pub Date : 2000-05-01 DOI: 10.1054/chec.2000.0076

M.D. Gavin , H.J.N. Bethell , S.C. Turner

引用次数: 2

DIARY OF FORTHCOMING EVENTS 即将举行的活动日记

Coronary Health Care Pub Date : 2000-05-01 DOI: 10.1054/chec.2000.0085

引用次数: 0

The psychosocial and physical impact of exercise rehabilitation following coronary artery bypass surgery 冠状动脉搭桥手术后运动康复的心理社会和生理影响

Coronary Health Care Pub Date : 2000-05-01 DOI: 10.1054/chec.2000.0067

A.B. Ross , E.E. Brodie , D. Carroll , C.A. Niven , R. Hotchkiss°

{"title":"The psychosocial and physical impact of exercise rehabilitation following coronary artery bypass surgery","authors":"A.B. Ross , E.E. Brodie , D. Carroll , C.A. Niven , R. Hotchkiss°","doi":"10.1054/chec.2000.0067","DOIUrl":"10.1054/chec.2000.0067","url":null,"abstract":"<div>A number of studies attest to the physical and psychosocial benefits of exercise rehabilitation following myocardial infarction (MI). There is substantially less evidence for rehabilitation following coronary artery bypass (CAB) surgery. In the present study CAB patients were allocated either to a comprehensive ten week exercise based rehabilitation programme or to a routine care condition; psychological well being, psychosocial adjustment and exercise tolerance were assessed before and after treatment. It was found that only the rehabilitation patients improved significantly in terms of self reported measures of general psychological morbidity, happiness, return to family life, and physical capacity. Further the rehabilitation patients showed greater improvement than the routine care patients on measures of well being, social interaction, uptake of household chores, sexual activity, pursuit of hobbies, and fear of exercise. Exercise based rehabilitation would appear to benefit CAB patients over and above changes contingent on routine care or the passage of time. Further research is required to establish whether such benefits persist.</div>","PeriodicalId":100334,"journal":{"name":"Coronary Health Care","volume":"4 2","pages":"Pages 63-70"},"PeriodicalIF":0.0,"publicationDate":"2000-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1054/chec.2000.0067","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88483238","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 12

Difference in exercise heart rate, oxygen uptake and ratings of perceived exertion relationships in male post myocardial infarction patients with and without beta blockade therapy 男性心肌梗死后患者接受和不接受β阻断治疗时运动心率、摄氧量和感知运动关系评分的差异

Coronary Health Care Pub Date : 2000-02-01 DOI: 10.1054/chec.1999.0056

X. Liu , D.A. Brodie , P.E. Bundred

{"title":"Difference in exercise heart rate, oxygen uptake and ratings of perceived exertion relationships in male post myocardial infarction patients with and without beta blockade therapy","authors":"X. Liu , D.A. Brodie , P.E. Bundred","doi":"10.1054/chec.1999.0056","DOIUrl":"10.1054/chec.1999.0056","url":null,"abstract":"<div>The purpose of the study was to examine the relationships between heart rate (HR), oxygen uptake (V·O2) and ratings of perceived exertion (RPE) in post myocardial infarction patients (PMIP). This will enable prediction equations to be established for V·O2and percentage peak V·O2. Two groups were examined so it was possible to establish whether these relationships were different between those using and not using beta blockade drugs. Thirty-six male recent PMIP performed a graded exercise test (modified Bruce protocol) during which time HR, V·O2and RPE were recorded at intervals of 30 seconds, 30 seconds and 3 minutes respectively. The subjects were sub-divided into a group on a drug regime including beta blockers (blockade;n = 17; aged 61.5±6.3 years) and a control group using no drugs likely to affect HR (non-blockade;n = 19; aged 62.1±6.0 years). The results showed that although HR related to V·O2with an r = 0.71, P<0.01 for blockade, and an r = 0.68, P< 0.01 for non-blockade, a significant difference (P< 0.01) existed between groups for the intercept of the regression lines. The relationship between RPE and HR had a similar trend. If HR was replaced by RPE to predict V·O2, the correlation coefficients increased and also the difference between groups in the intercept disappeared. The multiple regression equations were V·O2= 0.14 HR + 1.30 RPE-4.37 (r =0.80 , P< 0.01) for blockade, and V·O2= 0.16 HR + 1.31 RPE-10.80 (r = 0.77,P < 0.01) for non-blockade. The multiple regression improved the linear regression based on HR alone by 14% for blockade and 13% for non-blockade. The same improvements based on RPE alone were by 8% for both blockade and non-blockade.</div>","PeriodicalId":100334,"journal":{"name":"Coronary Health Care","volume":"4 1","pages":"Pages 48-53"},"PeriodicalIF":0.0,"publicationDate":"2000-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1054/chec.1999.0056","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90147706","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 4

The effects of exercise training on patients with chronic heart failure 运动训练对慢性心力衰竭患者的影响

Coronary Health Care Pub Date : 2000-02-01 DOI: 10.1054/chec.1999.0063

A. Taylor

引用次数: 3

Patient involvement in the evaluation of health care: identifying key issues and considering the way forward 病人参与卫生保健的评价:确定关键问题并考虑前进的道路

Coronary Health Care Pub Date : 2000-02-01 DOI: 10.1054/chec.1999.0052

S. Staniszewska, L. Ahmed

{"title":"Patient involvement in the evaluation of health care: identifying key issues and considering the way forward","authors":"S. Staniszewska, L. Ahmed","doi":"10.1054/chec.1999.0052","DOIUrl":"10.1054/chec.1999.0052","url":null,"abstract":"<div>Patients have become increasingly involved in the evaluation of care, most often through attempts to measure their satisfaction. However, difficulties in conceptualizing and measuring satisfaction have led to a questioning of the validity and usefulness of this approach. This paper identifies the main difficulties in measuring satisfaction and considers the implications for individuals working in the area of coronary health care. It reports the findings of a study which explored the expectations and experiences of a group of cardiac patients and constructed a two-part questionnaire in an attempt to measure these experiences. This paper focuses on the qualitative findings which identified the complexity of patient expectations. Expectations were found to be multidimensional in nature and to vary in content and strength. The paper also reports the feasibility of using patient-identified expectations as the basis for developing a two-part questionnaire. Despite the popularity of the concept of satisfaction, cardiac patients rarely evaluated their care in terms of a satisfaction response during interviews. These findings contribute to current concerns that satisfaction as a concept may not adequately capture the way patients judge or evaluate their care. If we are to develop a better understanding of evaluation from the patients’ perspective, greater emphasis needs to be placed on the clarification or identification of concepts which may be of more relevance and utility to both patients and health care professionals before attempts at quantitative measurement are undertaken.</div>","PeriodicalId":100334,"journal":{"name":"Coronary Health Care","volume":"4 1","pages":"Pages 39-47"},"PeriodicalIF":0.0,"publicationDate":"2000-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1054/chec.1999.0052","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87231172","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 18

The west of West Lothian Hospital: Community Cardiac Rehabilitation Project 西洛锡安医院西部:社区心脏康复项目

Coronary Health Care Pub Date : 2000-02-01 DOI: 10.1054/chec.1999.0058

J. Grimwood , F. Divers , R.M. Finnie

引用次数: 3

The effect of a coordinator on cardiac rehabilitation in a district general hospital 地区综合医院心脏康复协调人的作用

Coronary Health Care Pub Date : 2000-02-01 DOI: 10.1054/chec.1999.0061

C.R. Martin , G.S. Bowman , D.R. Thompson

引用次数: 8