Predictors of Health-Related Quality of Life Among Women Participating in an Appointment-Based Cardiac Rehabilitation Program

被引:0
作者
Wright, Catherine X. [1 ]
Fournier, Sean [2 ]
Deng, Yanhong [3 ]
Meng, Can [3 ]
Tucker, Katherine [2 ]
Spatz, Erica S. [1 ,4 ]
Lichtman, Judith H. [4 ]
Zhu, Cenjing [4 ]
Dreyer, Rachel P. [5 ,6 ,7 ]
Oen-Hsiao, Joyce M. [1 ,2 ]
机构
[1] Yale Sch Med, Sect Cardiovasc Med, New Haven, CT USA
[2] Yale New Haven Hosp Heart & Vasc Ctr, New Haven, CT USA
[3] Yale Univ, Yale Ctr Analyt Sci, Sch Publ Hlth, New Haven, CT USA
[4] Yale Sch Publ Hlth, Dept Chron Dis Epidemiol, New Haven, CT USA
[5] Yale New Haven Hlth, Ctr Outcomes Res & Evaluat, Yale Sch Publ Hlth, New Haven, CT USA
[6] Yale Sch Publ Hlth, Yale Sch Med, Dept Emergency Med, New Haven, CT USA
[7] Yale Sch Publ Hlth, Dept Biostat Hlth Informat, New Haven, CT USA
关键词
cardiac rehabilitation; health-related quality of life; women; SURVEY QUESTIONNAIRE; DEPRESSIVE SYMPTOMS; EXERCISE CAPACITY; HEART; SF-36;
D O I
10.1097/JCN.0000000000001096
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
BackgroundAn alternative patient-centered appointment-based cardiac rehabilitation (CR) program has led to significant improvements in health outcomes for patients with cardiovascular disease. However, less is known about the effects of this approach on health-related quality of life (HRQoL), particularly for women.ObjectiveWe examined the effects of a patient-centered appointment-based CR program on HRQoL by sex and examined predictors of HRQoL improvements specifically for women.MethodsData were used from an urban single-center CR program at Yale New Haven Health (2012-2017). We collected information on patient demographics, socioeconomic status, and clinical characteristics. The Outcome Short-Form General Health Survey (SF-36) was used to measure HRQoL. We evaluated sex differences in SF-36 scores using t tests and used a multivariate linear regression model to examine predictors of improvements in HRQoL (total SF-36 score) for women.ResultsA total of 1530 patients with cardiovascular disease (23.7% women, 4.8% Black; mean age, 64 +/- 10.8 years) were enrolled in the CR program. Women were more likely to be older, Black, and separated, divorced, or widowed. Although women had lower total SF-36 scores on CR entry, there was no statistically significant difference in CR adherence or total SF-36 score improvements between sexes. Women who were employed and those with chronic obstructive pulmonary disease were more likely to have improvements in total SF-36 scores.ConclusionBoth men and women participating in an appointment-based CR program achieved significant improvements in HRQoL. This approach could be a viable alternative to conventional CR to optimize secondary outcomes for patients.
引用
收藏
页码:64 / 73
页数:10
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