Key result
Following 6 weeks of phase II cardiac rehabilitation, improvements in patient self-reported health-related quality of life were mirrored by spouse proxy ratings across multiple domains.
Why the study?
Does 6 weeks of phase II cardiac rehabilitation improve patient and spouse proxy ratings of patient health-related quality of life in patients referred to cardiac rehabilitation?
Observational (n=84)
Does 6 weeks of phase II cardiac rehabilitation improve patient and spouse proxy ratings of patient health-related quality of life in patients referred to cardiac rehabilitation?
Answers are grounded in this paper and cite their sources.
Six weeks of phase II cardiac rehabilitation significantly improves patient health-related quality of life, and this improvement is accurately mirrored by spouse proxy ratings.
In Brief PURPOSE Little has been published about the differences or similarities in patient and spouse views of the patient's health-related quality of life (HRQL) related to cardiac rehabilitation (CR) participation. This study described patient versus spouse (proxy) ratings of patient HRQL prior to (T1) and after 6 weeks (T2) of phase II CR. METHODS A nonprobability sample of patients referred to phase II CR and their spouses were recruited (42 pairs). The Short Form 36 v.2 (SF-36) instrument was used to measure HRQL. Differences between group means were tested with paired-samples t tests (P < .05). RESULTS Improvements in patient self-report of HRQL from T1 to T2 were noted in physical functioning, role-physical, bodily pain, vitality, social functioning, role-emotional (all P <.001), mental health (P < .01), and both physical and mental component summary (P < .001). Spouse reports of patient HRQL improved in physical functioning, role-physical, bodily pain, vitality, social functioning, mental health (all P < .001), role-emotional (P < .01), and the physical (P < .001) and mental component summary (P < .01). Differences between patient and spouse were found at T1 in vitality and mental health (both P < .01). At T2, differences between patient and spouse were found in vitality (P < .001), physical functioning, mental health (both P < .05), and the mental component summary (P < .05). CONCLUSIONS Improvement of patient HRQL is mirrored by spouse viewpoint of patient HRQL. This unique finding has not previously been reported in the literature. This study describes patient versus partner (proxy) ratings of patient health related quality of life (HRQL) before and after 6 weeks of phase II cardiac rehabilitation. Improvement of patient HRQL was mirrored by proxy viewpoint of patient HRQL. This unique finding has not previously been reported in the literature.
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Fast et al. (2009) conducted an observational in Patients referred to phase II cardiac rehabilitation (n=84). Phase II cardiac rehabilitation vs. Baseline (T1) and spouse proxy ratings was evaluated on Health-related quality of life (HRQL) measured by the SF-36 (p=<.001). Following 6 weeks of phase II cardiac rehabilitation, improvements in patient self-reported health-related quality of life were mirrored by spouse proxy ratings across multiple domains.
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