Journal of Japan Academy of Nursing Science Volume 28, Issue 4 (December 2008)

A Study of the Efficacy of a Comprehensive Cardiac Rehabilitation Program with a Focus on Acquisition of Self-management Skills Michiko Moriyama 1 , Masumi Nakano 2 , Yuji Furui 3 , Takashi Nakaya 4 1Graduate School of Health Sciences, Hiroshima University 2Hiroshima city Asa Hospital 3HCC Health Care Committee Ltd. 4Faculty of Health and Welfare, Prefectural University of Hiroshima Keyword: 心筋梗塞 , 包括的心臓リハビリテーション , セルフマネジメント , myocardial infarction , comprehensive cardiac rehabilitation(CCR) , self management pp.17-26
Published Date 2008/12/20
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 Purpose:A comprehensive cardiac rehabilitation program was designed in order to modify lifestyle and to remove coronary risk factors through acquisition of self-management skills. The purpose of this study was to examine the efficacy of the program.

 Method:The program was implemented to 46 outpatients with ischemic heart disease at two hospitals.A nonrandomized,before-after trial was conducted on the program,where the patients were met by a nurse and a registered dietitian once a month for 30 minutes and were monitored monthly via a telephone.

 Results:Seven subjects dropped out from the program after the first session while the remaining 39 completed the program (the completion rate:84.8%), resulting in an improvement of all the indicators. Statistically significant improvements were observed in the following areas:The weight, abdominal circumference, HbA1c, dietary and exercise goal achievement rates, QOL, and sense of self-efficacy. The numbers of subjects showing Type A and depression were decreased. Relationships among an improvement in achievement rate, the sense of selfefficacy, and a betterment in the behavioral stage were observed.

 Conclusion:The results showed that the acquisition of self-management skills led to rectifying coronary risk factors and an improvement of QOL. The efficacy of the present program was thus confirmed.

Copyright © 2008, Japan Academy of Nursing Science. All rights reserved.


28巻4号 (2008年12月)
電子版ISSN 2185-8888 印刷版ISSN 0287-5330 日本看護科学学会