Author/Authors :
komasi, saeid kermanshah university of medical sciences - clinical research development center, imam reza hospital, Kermanshah, Iran , soroush, ali kermanshah university of medical sciences - lifestyle modification research center, imam reza hospital, Kermanshah, Iran , saeidi, mozhgan kermanshah university of medical sciences - cardiac rehabilitation center, imam ali hospital, Kermanshah, Iran , brugnera, agostino university of bergamo - department of human and social sciences, Bergamo, Italy , rabboni, massimo papa giovanni xxiii hospital - 52th psychiatry unit, Bergamo, Italy , fulcheri, mario university “g. d’annunzio” of chieti-pescara - department of psychological, health, and territorial sciences, Chieti, Italy , carrozzino, danilo university “g. d’annunzio” of chieti-pescara - department of psychological, health, and territorial sciences, Chieti, Italy , marchettini, paolo centro diagnostico italiano - san raffaele hospital milano and pain center - department of neurology, Milan, Italy , compare, angelo university of bergamo - department of human and social sciences, Bergamo, Italy
Abstract :
Introduction: The causal attributions and perceived risk factors can affect patients’ healthbehaviors. Therefore, the present study aimed to assess (i) the effect of an outpatient cardiac rehabilitation (CR) program on perceived heart risk factors (PHRFs) and on psychological stress, and (ii) the role of changes of PHRFs at pre-post CR in predicting changes in psychological stress. Methods: In this longitudinal study, 110 CR patients were assessed from June to November 2016 in a hospital in Iran. Perceived heart risk factors and perceived stress were investigated using the PHRFs scale and the Depression, Anxiety, Stress Scale-21, respectively. PHRFs and DASS- 21 Stress scale scores were compared before and after 26 sessions of exercise-based CR through paired sample t-tests. In addition, we investigated the effect of PHRF’s change scores on DASS-21 Stress scale scores using linear regression analysis. Results: Results showed that CR has a little impact in improving the patients’ perception of heart risk factors, However, CR is significantly effective in reducing stress (P 0.05). Regression analysis evidenced that improvements in patients’ perception of risk factors can significantly predict a reduction in psychological stress (P = 0.030). The model explained 11.2% of the variance in the results. Conclusion: PHRFs appear to be significant predictive components of CR’s stress reduction. Practitioners should focus on patients’ perception of risk factors to facilitate stress management in CR program.
Keywords :
Cardiovascular Disease , Psychological Stress , Risk Factors , Rehabilitation
