Effects of home-based cardiac exercise program on the exercise tolerance, serum lipid values and self-efficacy of coronary patients.

Fisun Senuzun, Cicek Fadiloglu, Lora E Burke, Serdar Payzin
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Abstract

Background: Exercise-based cardiac rehabilitation improves exercise capacity and reduces cardiac risk factors. The purpose of this pilot study was to examine the effects of a home-based cardiac exercise program (HBCEP) on exercise tolerance, serum lipids, and self-efficacy in coronary heart disease patients in Turkey. Self-efficacy theory provided the framework for this study's intervention.

Design: The study design was a pre-test and post-test experimental, randomized assignment.

Method: The study included 30 participants in a home-based cardiac exercise program (HBCEP; mean age=54.7+/-7.8) and 30 in control (C; mean age=52.7+/-6.5). The Phase II cardiac exercise program included three 45-60-min sessions per week for 12 weeks, and the enhancement of self-efficacy through educational sessions and the use of goal setting, modelling, and physiological feedback strategies. Both groups were comparable in their medical regimen, exercise capacity, and other measured variables pre-intervention. At baseline and after 12 weeks, exercise capacity was evaluated by exercise testing using the Bruce Protocol, self-efficacy was measured with the Cardiac Exercise Self Efficacy Index, and serum lipid values were measured.

Results: At the completion of the 12-week exercise program, the exercise capacity (P<0.001), total cholesterol (P=0.004), triglycerides (P=0.048), high-density lipoprotein-cholesterol (P=0.001), low-density lipoprotein-cholesterol (P=0.039), and self-efficacy (P<0.001) of the HBCEP Group were significantly improved compared to the control group.

Conclusion: These results suggest that a first-time HBCEP in Turkey can be successful in having patients adhere to a prescribed exercise program and reduce risk factors. Enhanced self-efficacy may have mediated the improved behavioural outcomes.

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家庭心脏运动方案对冠心病患者运动耐量、血脂值及自我效能的影响。
背景:以运动为基础的心脏康复可以提高运动能力,减少心脏危险因素。本初步研究的目的是检查以家庭为基础的心脏运动计划(HBCEP)对土耳其冠心病患者运动耐量、血脂和自我效能的影响。自我效能理论为本研究的干预提供了框架。设计:研究设计为测试前和测试后实验,随机分配。方法:该研究包括30名参加家庭心脏锻炼计划(HBCEP;平均年龄=54.7±7.8岁),对照组为30岁(C;平均年龄= 52.7 + / - -6.5)。第二阶段的心脏锻炼计划包括每周三次45-60分钟的锻炼,持续12周,并通过教育课程和目标设定、建模和生理反馈策略的使用来提高自我效能。两组在医疗方案、运动能力和干预前的其他测量变量方面具有可比性。在基线和12周后,采用布鲁斯方案运动测试评估运动能力,采用心脏运动自我效能指数测量自我效能,并测量血脂值。结果:在12周的运动计划完成后,运动能力(p)下降。结论:这些结果表明,土耳其首次HBCEP可以成功地使患者坚持规定的运动计划并减少危险因素。自我效能感的增强可能介导了行为结果的改善。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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