Authors (including presenting author) :
Ngan LY(1)(2), Chan NY(2), Chan SY(1)(2), Chau HK(1)(2), Man H(1)(2), Tang HY(1)(2), Tsoi YN(1)(2), Wan YH(1)(2), Cheng WC(1), Law WY(1), Wong YC(1), Chan WS(2), Choy HW(2), Ip YW(2), Wong WK(2)
Affiliation :
(1)Occupational Therapy Department, (2)Cardiac Rehabilitation Team, M&G Department, Princess Margaret Hospital
Introduction :
Coronary heart disease(CHD) comprising 67% of all heart disease deaths in Hong Kong. CHD increases mortality and morbidity, and induces negative impacts on the physiological, psychological, and social aspects of individuals(Benetti et al, 2010). These factors will greatly impair individuals’ quality of life(Sandstrom & Stahle, 2005). Phase II Cardiac Rehabilitation Program(CRPII) is designed to enhance secondary prevention and adoption of healthy lifestyle for patients after coronary events.
Objectives :
To evaluate the outcome of the brief CRPII on Health Related Quality of Life(HRQOL) in patients with CHD.
Methodology :
Quasi-experimental pre-post study was conducted to patients with CHD recruited to CRPII in PMH from 1 April 2018 to 31 December 2019. Patients would have undergone the multidisciplinary program in open group format including educational talks and exercise sessions with relaxation. The Chinese version of Short Form 36 Health Status Survey(SF-36) was administrated by the occupational therapists at the first and the last session of the CRPII for evaluating the HRQOL scores. Paired t-test was used to compare the pre-post SF-36 scores. Multiple regression was used to predict the difference of HRQOL scores from sex, hypertension(HT), diabetes mellitus(DM), hyperlipidemia, obesity, smoking status and drinking status.
Result & Outcome :
122 participants(81% males;19% females) with mean age and BMI of 60.6 (SD=8.36) and 26.3(SD=4.87) were recruited into the study. More than half of them were with HT and hyperlipidemia while one-third was with DM. Five participants(4%) were existing smokers and more than one-third were drinkers. All patients had undergone percutaneous coronary intervention. For SF-36, there was statistically significant increase in all health domain scores(p< 0.05) especially in Physical Functioning, Bodily pain, General Health, Vitality and Social Functioning(p< 0.001). There was no statistically significant predictor for the change of HRQOL scores from the tested variables(p>0.05). Participants with drinking habits(p=0.049) and hyperlipidemia(p=0.044) may be potential predictors in experiencing less bodily pain after CRPII(R2=0.147;p=0.031). In conclusion, the brief CRPII in PMH is effective in improving the HRQOL of patients with CHD. It has given more confidence on professionals to further develop the cardiac rehabilitation program in PMH.
