ISSN:0883-9212    

出版商:OVID    

年代:2003

数据来源: OVID

摘要:

PURPOSEThis study educated cardiac rehabilitation patients about the potential health benefits obtained from specific “heart healthy” functional foods and evaluated whether a targeted education program about these foods leads to their increased consumption or positive attitude changes.METHODSThe targeted audience was 69 cardiac rehabilitation patients (phases 2 and 3). Four foods (soy, oats, sterol/stanol ester-enhanced margarine, and nuts) were discussed in two 90-minute education sessions conducted 2 months apart. These sessions provided scientific information about each food, allowed participants to sample products, and collected data using both preeducation and follow-up surveys.RESULTSThe findings showed a significant increase in the reported consumption of all four functional foods (soy in particular), and several positive attitude changes concerning the relation between diet and heart health. Most of the participants (88%) either agreed or strongly agreed that they intended to continue incorporating functional foods into their diet to improve heart health.CONCLUSIONAccording to the reported attitudinal and behavioral intentions, the education of cardiac rehabilitation patients may lead to beneficial dietary changes conducive to the reduction of cardiovascular disease risk.

ISSN:0883-9212    

出版商:OVID    

年代:2003

数据来源: OVID

摘要:

PURPOSEDespite demonstrated benefits of cardiac rehabilitation and risk factor reduction, only 11% to 38% of eligible patients with cardiovascular disease (CVD) participate in cardiac rehabilitation programs. Women and older adults are particularly less likely to participate in cardiac rehabilitation. In an effort to broaden access to cardiac rehabilitation, the authors developed an alternative Internet-based program that allows nurse case managers to provide risk factor management training, risk factor education, and monitoring services to patients with CVD.METHODSThe evaluation consisted of a randomized, clinical trial involving 104 patients with CVD, 53 of whom used the program as a special intervention (SI) for 6 months and 51 of whom received usual care (UC).RESULTSThe results indicate that fewer cardiovascular events occurred among the SI subjects (15.7%) than among the UC subjects (4.1%) (P= .053), resulting in a gross cost savings of $1418 per patient. With a projected program cost of $453 per patient, the return on investment is estimated at 213%. More weight loss occurred in the SI group (−3.68 pounds) than in the UC group (+.47 pounds) (P= .003). The differences between the two groups in terms of blood pressure, lipid levels, depression scores, minutes of exercise, and dietary habits were not statistically significant.CONCLUSIONAn Internet-based case management system could be used as a cost-effective intervention for patients with CVD, either independently or in conjunction with traditional cardiac rehabilitation.

ISSN:0883-9212    

出版商:OVID    

年代:2003

数据来源: OVID

ISSN:0883-9212    

出版商:OVID    

年代:2003

数据来源: OVID

ISSN:0883-9212    

出版商:OVID    

年代:2003

数据来源: OVID

摘要:

PURPOSEActivity monitoring is considered a highly relevant outcome measure of respiratory rehabilitation. This study aimed to assess the usefulness of a new accelerometric method for characterization of walking activity during a 3-week inpatient rehabilitation program.METHODSAfter individual calibration of the accelerometer at different walking speeds, whole-day physical activity was recorded for 15 patients with chronic obstructive pulmonary disease on the first and the last days of the program, and for 10 healthy subjects. Data were expressed as percentage of time spent in inactivity, low level activity, and medium level activity, with the latter corresponding to usual walking speed.RESULTSThe patients spent more time being inactive and less time walking than healthy subjects. At the end of the rehabilitation program, medium level activity had increased from 4% to 7% of total recording time. However, the change was not significant after periods of imposed exercise training were excluded. Walking activity increased to a greater degree among the patients with preserved limb muscle strength at entry to the program. Although health status scores improved, the changes did not correlate with the changes in walking activity.CONCLUSIONThe findings lead to the conclusion that this new accelerometric method provides detailed analysis of walking activity during respiratory rehabilitation and may represent an additional useful measure of outcome.

ISSN:0883-9212    

出版商:OVID    

年代:2003

数据来源: OVID

ISSN:0883-9212    

出版商:OVID    

年代:2003

数据来源: OVID

ISSN:0883-9212    

出版商:OVID    

年代:2003

数据来源: OVID

ISSN:0883-9212    

出版商:OVID    

年代:2003

数据来源: OVID

ISSN:0883-9212    

出版商:OVID    

年代:2003

数据来源: OVID