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    Are there meaningful longitudinal changes in health related quality of life--SF36, in cardiac rehabilitation patients?

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    Authors
    McKee, Gabrielle
    Affiliation
    Trinity College Dublin School of Nursing and Midwifery Studies in collaboration, with Cardiac Rehabilitation Unit, St. James Hospital Dublin, Ireland., gmckee@tcd.ie
    Issue Date
    2012-02-01T10:44:58Z
    MeSH
    Aged
    Disability Evaluation
    Female
    *Health Status
    Heart Diseases/*psychology/*rehabilitation
    Humans
    Longitudinal Studies
    Male
    Middle Aged
    Patient Care Team
    Program Evaluation
    *Quality of Life
    Questionnaires/*standards
    Rehabilitation Centers/*organization & administration
    Reproducibility of Results
    Social Behavior
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    Citation
    Eur J Cardiovasc Nurs. 2009 Mar;8(1):40-7. Epub 2008 May 27.
    Journal
    European journal of cardiovascular nursing : journal of the Working Group on, Cardiovascular Nursing of the European Society of Cardiology
    URI
    http://hdl.handle.net/10147/207796
    DOI
    10.1016/j.ejcnurse.2008.04.004
    PubMed ID
    18504159
    Abstract
    BACKGROUND: This study aimed to observe changes in quality of life and minimal clinical important differences of quality of life over time in cardiac rehabilitation patients and to compare these with published normal data. METHODS: In this non-randomised study, SF36 questionnaires were completed by 187 patients recruited to a Phase III cardiac rehabilitation multidisciplinary outpatient programme. Data was collected at beginning, end and six months after Phase III cardiac rehabilitation programme. RESULTS: There were significant improvements in physical functioning, role limitation due to physical function, pain and general health perception scales, over the above time frame, from both a statistically and a mean clinical important difference point of view. These improvements occurred mainly during the cardiac rehabilitation programme phase. CONCLUSIONS: These improvements meant that patients six months post-cardiac rehabilitation were only 5% below the quality of life for an aged matched normal group. However patients still had significant deficits in physical role and emotional role limitations. Suitable measurement of quality of life on an individual basis, supported by normal values is needed. This would facilitate the identification of shortfalls in patient quality of life and the subsequent tailoring of care to address these individualised patient needs.
    Language
    eng
    ISSN
    1873-1953 (Electronic)
    1474-5151 (Linking)
    ae974a485f413a2113503eed53cd6c53
    10.1016/j.ejcnurse.2008.04.004
    Scopus Count
    Collections
    St. James's Hospital

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