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.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
TRIPLE
Enrollment
1,200
Stress management involved modified cardiac rehabilitation
Traditional cardiac rehabilitation
Education
Chinese PLA General Hospital
Beijing, China
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
Time frame: 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.
Time frame: 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
Time frame: 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.
Time frame: 6 month
incidence of MACE in patients after acute myocardial infarction
any incidence of the following: death, cardiac death, AMI, revascularization, stroke
Time frame: 6 month
incidence of MACE in patients with heart failure
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death, cardiac death, resynchronization
Time frame: 6 month
improvement of exercise capacity
6 minute walking distance
Time frame: 6 month
incidence of rehospitalization
incidence of rehospitalization
Time frame: 6 month