THE EFFECT OF HOME-BASED CARDIAC REHABILITATION ON DEPRESSION SCORE IN PATIENTS WITH ISCHEMIC HEART DISEASE: A LONGITUDINAL CLINICAL TRIAL STUDY

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نوع سند: مقاله ژورنالی
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JR_RYA-18-1_006

تاریخ نمایه سازی: 11 دی 1402

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 ۲۵۹ 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 ۶ and ۱۲ 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 softwareat the significance level of ۰.۰۵.RESULTS: A total of ۲۴۷ participants with a mean age of ۵۵.۲۲ ± ۷.۴۰ years participated in this study, and ۲۰۹ (۸۴.۶%) of the study participants were men. Among patients, ۱۲۸ patients in the UC program and ۱۱۹ patients in the HBCR program attended at least one of the pre-determined visits (months ۶ and ۱۲). The patterns of change of the depression parameter were similar through the course of the study between the two groups (P = ۰.۰۴). In the HBCR group, the depression reduced continuously from baseline to ۶ months, baseline to ۱۲ months, and ۶ to ۱۲ months (P < ۰.۰۵). In the UC group, depression was significantly reduced from baseline to ۶ months and from baseline to ۱۲ 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).

Authors

Marjan Jamalian

MSc, Cardiac Rehabilitation Research Center, Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran

Alireza Ansari-Moghaddam

Professor, Health Promotion Research Center, Zahedan University of Medical Sciences, Zahedan, Iran

Hamidreza Roohafza

Psychiatrist, Isfahan Cardiovascular Research Center, Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran

Mahdi Mohammadi

Professor, Health Promotion Research Center, Zahedan University of Medical Sciences, Zahedan, Iran

Leila Vakili

Heart Failure Research Center, Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran

Mohammad Hadi Abbasi

Assistant Professor, Health Promotion Research Center, Zahedan University of Medical Sciences, Zahedan, Iran

Safoura Yazdekhasti

BSc, Cardiac Rehabilitation Research Center, Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran

Gholamreza Masoudy

Assistant Professor, Health Promotion Research Center, Zahedan University of Medical Sciences, Zahedan, Iran

Hossein Heidari

General Practitioner, Interventional Cardiology Research Center, Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran

Hassan Okati-Aliabad

Assistant Professor, Health Promotion Research Center, Zahedan University of Medical Sciences, Zahedan, Iran

Masoumeh Sadeghi

Professor, Cardiac Rehabilitation Research Center, Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran

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