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The purposes of this study is to evaluate the improvement of a stress management involved cardiac rehabilitation program on the psychological states, quality of life and clinical outcomes of patients after acute myocardial infarction or heart failure.
The purposes of this study is to evaluate the improvement of a stress management involved cardiac rehabilitation program on the psychological states, quality of life and clinical outcomes of patients after acute myocardial infarction or heart failure. The investigators performed modified cardiac rehabilitation program involving stress management on the patients who suffered from acute myocardial infarction or severe heart failure who were admitted to the CCU. Then the psychological states, quality of life and clinical outcomes were followed up.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Control Group | Other | Group received education only |
|
| Traditional CR Group | Other | Group received cardiac rehabilitation including education and exercise |
|
| Stress-Modified CR Group | Experimental | Group received cardiac rehabilitation including education, exercise and stress management |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Modified CR | Behavioral | Stress management involved modified cardiac rehabilitation |
|
| Measure | Description | Time Frame |
|---|---|---|
| The score of anxiety test questionnaire decreased | The score of anxiety test questionnaire(Generalized Anxiety Disorder,GAD-7, normal range 0-21, partially reflecting the severity of anxiety with the higher score) decreased | 6 month |
| The score of Medical Outcomes Study Questionnaire Short Form 36 Health Survey (36-Item Short Form Survey) increased | The score of Medical Outcomes Study Questionnaire Short Form 36 Health Survey (abbreviation form is 36-Item Short Form Survey) increased. The SF-36 has eight scaled scores; the scores are weighted sums of the questions in each section. Scores range from 0 - 100 Lower scores = more disability, higher scores = less disability, The sections consists of Vitality, Physical functioning, Bodily pain, General health perceptions, Physical role functioning, Emotional role functioning, Social role functioning, and Mental health. The total score of SF 36 Health survey is higher, the quality of life is higher. | 6 month |
| The score of patient health questionnaire decreased | The score of patient health questionnaire (PHQ9, normal range 0-27，indicating the profile of depression with the higher score) decreased | 6 month |
| The score of Chinese perceived stress scale decreased. | The score of Chinese perceived stress scale (CPSS, 0-56, higher means more stress) decreased. | 6 month |
| Measure | Description | Time Frame |
|---|---|---|
| incidence of MACE in patients after acute myocardial infarction | any incidence of the following: death, cardiac death, AMI, revascularization, stroke | 6 month |
| incidence of MACE in patients with heart failure |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Jing Ma | Contact | +8613681257396 | crystalma@126.com |
| Name | Affiliation | Role |
|---|---|---|
| Jing Ma | Department of Cardiology in Chinese PLA General Hospital | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Chinese PLA General Hospital | Beijing | China |
all IPD that underlie results in a publication
starting 6 months after publication
The IPD of the publication will be shared, including characteristic data, results, clinical follow up data.
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| ID | Term |
|---|---|
| D006333 | Heart Failure |
| ID | Term |
|---|---|
| D006331 | Heart Diseases |
| D002318 | Cardiovascular Diseases |
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| ID | Term |
|---|---|
| D004522 | Educational Status |
| ID | Term |
|---|---|
| D012959 | Socioeconomic Factors |
| D011154 | Population Characteristics |
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| Traditional CR | Behavioral | Traditional cardiac rehabilitation |
|
| Education | Behavioral | Education |
|
death, cardiac death, resynchronization
| 6 month |
| improvement of exercise capacity | 6 minute walking distance | 6 month |
| incidence of rehospitalization | incidence of rehospitalization | 6 month |