The effect of home-based cardiac rehabilitation on depression score in patients with Ischemic Heart Disease: A longitudinal clinical trial study
نویسندگان
1 Professor, Health Promotion Research Center, Zahedan University of Medical Sciences, Zahedan, Iran
2 Psychiatrist, Isfahan Cardiovascular Research Center, Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran
3 Heart Failure Research Center, Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran
4 Assistant Professor, Health Promotion Research Center, Zahedan University of Medical Sciences, Zahedan, Iran
5 Assistant Professor, Health Promotion Research Center, Zahedan University of Medical Sciences, Zahedan, Iran
6 MSc, Cardiac Rehabilitation Research Center, Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran
7 Professor, Health Promotion Research Center, Zahedan University of Medical Sciences, Zahedan, Iran
8 Assistant Professor, Health Promotion Research Center, Zahedan University of Medical Sciences, Zahedan, Iran
9 BSc, Cardiac Rehabilitation Research Center, Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran
10 General Practitioner, Interventional Cardiology Research Center, Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran
11 Professor, Cardiac Rehabilitation Research Center, Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran
doi
10.48305/arya.v18i0.2407چکیده
BACKGROUND: Depression is common in patients with cardiovascular disease (CVD).Home-based cardiac rehabilitation (HBCR) is a program that alleviates depression. This studyaimed to determine and compare HBCR programs and usual care (UC) effects on depressioncontrol in patients with ischemic heart disease (IHD).METHODS: This clinical trial study was performed on 259 patients with IHD that were randomlyallocated to the HBCR and UC groups for stress management. Data were collected using the"Beck Depression Inventory" (BDI) at baseline and 6 and 12 months. Generalized estimatingequation (GEE) models were applied to examine the associations between times of the groupsand changes in outcomes over the study times. Data analysis was done in SPSS software at thesignificance level of 0.05.RESULTS: A total of 247 participants with a mean age of 55.22 ± 7.40 years participated in thisstudy, and 209 (84.6%) of the study participants were men. Among patients, 128 patients in theUC program and 119 patients in the HBCR program attended at least one of the pre-determinedvisits (months 6 and 12). The patterns of change of the depression parameter were similar throughthe course of the study between the two groups (P = 0.04). In the HBCR group, the depressionreduced continuously from baseline to 6 months, baseline to 12 months, and 6 to 12 months(P < 0.05). In the UC group, depression was significantly reduced from baseline to 6 months andfrom baseline to 12 months.CONCLUSION: HBCR was effective in continuous reducing of depression scores in long-termfollow-up of patients with IHD. These findings suggest that HBCR can alleviate depression inpatients who do not participate in hospital-based cardiac rehabilitation (CR).
