Psychological changes in phase III cardiac rehabilitation
Cardiff Metropolitan University
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Cardiovascular disease is the main cause of death in the UK, accounting for over 245,000 deaths a,year. The main forms of cardiovascular disease are Coronary heart disease and stroke; both are caused by a blockage in the artery. Cardiac rehabilitation is the process by which patients recovering from Coronary heart disease are able to achieve their optimal physical, social, emotional, vocational and economic status. There is evidence to suggest that the cardiac rehabilitation alleviates anxiety and depression levels, and enhances self-esteem in cardiac patients. The purpose of this study was twofold; fnstþ to investigate differences between pre and post cardiac rehabilitation mean anxiety, depression and selÊesteem levels; and secondly to demonstrate that a significant correlation exists between these psychological variables moreover, that this correlation will be positive. Adults' aged 50 to 73 (n:ll) attended a 6-week phase III cardiac rehabilit¿tion programme at a hospital in Wales. The programme involved twice-weekly sessions consisting of an education class and cardiovascular exercise session. The Hospital Anxiety and Depression Scale was used to measure depression and anxiety levels, and self-esteem levels were obtained using and the Rosenberg self-esteem scale. Using a paired samples f Test the results concluded that anxiety and depression levels decreased during the programme (p<0.05) and selÊesteem levels increased (p<0.05). The correlation results were analysed using Pearson's Correlation Coefficient with a significance value of p<0.05 adopted. There was a relatively strong positive correlation (r: .71) between pre anxiety and pre depression levels (p<0.05), however no other significant correlations exist (p>0.05). These findings suggest that phase III cardiac rehabilitation is psychologically beneficial for cardiac patients attending a 6-week programme of exercise and education sessions.
BSc (Hons) Sport, PE and Recreation
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