Abstracts
Résumé
L’étude de Robichaud-Ekstrand (1993) démontre une amélioration plus précoce de la capacité globale d’autosoin des participants au programme d’exercices à domicile à la suite d’un récent infarctus du myocarde (IM), comparativement aux sujets qui reçoivent des soins usuels. Cet article présente une analyse secondaire des données pour déterminer la ou les composantes qui engendrent cette amélioration. Tous les participants ont complété l’échelle de la Exercise of Self-Care Agency (ESCA) à l’hôpital, puis aux 8e et 14e semaines suivant leur congé de l’hôpital. L’initiative et la responsabilité est à l’origine des gains plus précoces retrouvés dans la capacité globale d’autosoin chez les participants au programme d’exercices. Celles-ci reflètent une meilleure attitude pour ce qui est de prendre soin de soi-même et un niveau de motivation accru pour adopter des comportements de santé sains à 8 semaines pour les participants. Le concept de soi, les connaissances et la recherche d’information ainsi que l’engagement demeurent similaires avec ou sans programme d’exercices à domicile.
Mots-clés:
- infarctus du myocarde,
- réadaptation cardiaque,
- programme d’exercices,
- autosoin,
- initiative
Abstract
Robichaud-Ekstrand’s study (1993) showed earlier improvement in global self-care agency in recent low-risk myocardial infarction individuals participating in a home-based exercise program compared to subjects receiving usual care. This paper presents a secondary data analysis to determine which sub-concept is responsible for the more important improvement in global self-care agency. All participants completed the Exercise of Self-Care Agency (ESCA) scale at hospital pre-discharge, and at 8 and 14 weeks post-discharge. Initiative and responsibility is responsible for the earlier improvement in global self-care agency in exercise program participants (p = .001). These are demonstrated by participants’ better attitude to take care of themselves, and an increased level of motivation to adopt healthy behaviours at 8 weeks for participants.With or without a home-based exercise program, self-concept, knowledge and information seeking, as well as action taking remain similar.
Keywords:
- Myocardial Infarction,
- Cardiac Rehabilitation,
- Exercise Therapy,
- Self-care,
- Initiative
Appendices
Bibliographie
- Ailinger, R. L., et Dear, M. R. (1993). Self-care agency in persons with rheumatoid arthritis. Arthritis Care and Research. 6.134-140.
- Balady, G. J., Williams, M. A., Ades, P. A., Bittner, V., Comoss, P., Foody, J. A., et al. (2007). Core components of cardiac rehabilitation/secondary prevention programs : 2007 update : A scientific statement from The American Heart Association Exercise, Cardiac Rehabilitation, and Prevention Committee, the Council on Clinical Cardiology; the Councils on Cardiovascular Nursing, Epidemiology and Prevention, and Nutrition, Physical Activity, and Metabolism; and The American Association of Cardiovascular and Pulmonary Rehabilitation. Circulation. 27.121-129.
- British Heart Foundation (2005). Coronary heart disease statistics. London : Auteur.
- Brosseau, R., Juneau, M., Sirard, A., Savard, A., Marchand, C., Boudreau, M. H., et al. (1995). Safety and feasibility of a self-monitored, home-based phase II exercise program for high risk patients after cardiac surgery. The Canadian Journal of Cardiology. 11.675-685.
- Callaghan, D. (2005). Healthy behaviors, self-efficacy, self-care, and basic conditioning factors in older adults. Journal of Community Health Nursing. 22.169-178.
- Callaghan, D. (2006a). Basic conditioning factors’ influences on adolescents’ healthy behaviors, self-efficacy, and self-care. Issues in Comprehensive Pediatric Nursing. 29.191-204.
- Callaghan, D. (2006b). The influence of basic conditioning factors on healthy behaviors, self-efficacy, and self-care in adults. Journal of Holistic Nursing : Official Journal of the American Holistic Nurses’ Association. 24.178-185.
- Callaghan, D. M. (2006c). The influence of growth on spiritual self-care agency in an older adult population. Journal of Gerontological Nursing. 32.43-51.
- Carroll, D. L. (1995). The importance of self-efficacy expectations in elderly patients recovering from coronary artery bypass surgery. Heart & Lung : The Journal of Critical Care. 24.50-59.
- Cline, C. M., Israelsson, B. Y., Willenheimer, R. B., Broms, K., et Erhardt, L. R. (1998). Cost effective management programme for heart failure reduces hospitalization. Heart. 80.442-446.
- Craddock, R. B., Adams, P. F., Usui, W. M., et Mitchell, L. (1999). An intervention to increase use and effectiveness of self-care measures for breast cancer chemotherapy patients. Cancer Nursing. 22.312-319.
- Dalal, H. M., Evans, P. H., Campbell, J. L., Taylor, R. S., Watt, A., Read, K. L., et al. (2007). Home-based versus hospital-based rehabilitation after myocardial infarction : A randomized trial with preference arms--Cornwall Heart Attack Rehabilitation Management Study (CHARMS). International Journal of Cardiology. 119.202-211.
- Felder, E. (1990). Self-care agency and blood pressure control. Journal of Human Hypertension. 4.124-126.
- Fletcher, B. J., Dunbar, S. B., Felner, J. M., Jensen, B. E., Almon, L., Cotsonis, G., et al. (1994). Exercise testing and training in physically disabled men with clinical evidence of coronary artery disease. The American Journal of Cardiology. 73.170-174.
- Fonarow, G. C., Stevenson, L. W., Walden, J. A., Livingston, N. A., Steimle, A. E., Hamilton, M. A., et al. (1997). Impact of a comprehensive heart failure management program on hospital readmission and functional status of patients with advanced heart failure. Journal of the American College of Cardiology. 30.725-732.
- Goble, A. J., et Worcester, M. U. C. (1999). Best practice guidelines for cardiac rehabilitation and secondary prevention. Victoria, Australia : Department of Human Services.
- Graham, I., Atar, D., Borch-Johnsen, K., Boysen, G., Burell, G., Cifkova, R., et al. (2007). European guidelines on cardiovascular disease prevention in clinical practice : Full text. Fourth joint task force of The European Society of Cardiology and other societies on cardiovascular disease prevention in clinical practice (constituted by representatives of nine societies and by invited experts). European Journal of Cardiovascular Prevention and Rehabilitation. 14 Suppl. 2.S1-113.
- Gulanick, M. (1991). Is phase 2 cardiac rehabilitation necessary for early recovery of patients with cardiac disease? A randomized, controlled study. Heart and Lung. 20.9-15.
- Hanumanthu, S., Butler, J., Chomsky, D., Davis, S., et Wilson, J. R. (1997). Effect of a heart failure program on hospitalization frequency and exercise tolerance. Circulation. 96.2842-2848.
- Hart, M. A., et Foster, S. N. (1998). Self-care agency in two groups of pregnant women. Nursing Science Quarterly.11.167-171.
- Haskell, W. L., Alderman, E. L., Fair, J. M., Maron, D. J., Mackey, S. F., Superko, H. R., et al. (1994). Effects of intensive multiple risk factor reduction on coronary atherosclerosis and clinical cardiac events in men and women with coronary artery disease. The Stanford Coronary Risk Intervention Project (SCRIP). Circulation. 89.975-990.
- Heller, R. F., Knapp, J. C., Valenti, L. A., et Dobson, A. J. (1993). Secondary prevention after acute myocardial infarction. The American Journal of Cardiology. 72.759-762.
- Higgins, H. C., Hayes, R. L., et McKenna, K. T. (2001). Rehabilitation outcomes following percutaneous coronary interventions (PCI). Patient Education and Counseling. 43.219-230.
- Jolliffe, J. A., Rees, K., Taylor, R. S., Thompson, D., Oldridge, N., et Ebrahim, S. (2001). Exercise-based rehabilitation for coronary heart disease. Cochrane Database of Systematic Reviews [En ligne]. Issue 1 Art. No.1. CD001800. DOI:10.1002/14651858.CD001800.
- Jolly, K., Taylor, R. S., Lip, G. Y., et Stevens, A. (2006). Home-based cardiac rehabilitation compared with centre-based rehabilitation and usual care : A systematic review and meta-analysis. International Journal of Cardiology. 111.343-351.
- Kearney, B. Y., et Fleischer, B. J. (1979). Development of an instrument to measure exercise of self-care agency. Research in Nursing and Health. 2.25-34.
- Law, M. R., Watt, H. C., et Wald, N. J. (2002). The underlying risk of death after myocardial infarction in the absence of treatment. Archives of Internal Medicine. 162.2405-2410.
- Lewin, B., Robertson, I. H., Cay, E. L., Irving, J. B., et Campbell, M. (1992). Effects of self-help post-myocardial-infarction rehabilitation on psychological adjustment and use of health services. Lancet. 339.1036-1040.
- Linden, B. (1995). Evaluation of a home-based rehabilitation programme for patients recovering from acute myocardial infarction. Intensive and Critical Care Nursing. 11.10-19.
- Marchionni, N., Fattirolli, F., Fumagalli, S., Oldridge, N., Del Lungo, F., Morosi, L., et al. (2003). Improved exercise tolerance and quality of life with cardiac rehabilitation of older patients after myocardial infarction : Results of a randomized, controlled trial. Circulation. 107.2201-2206.
- McBride, S. (1987). Validation of an instrument to measure exercise of self-care agency. Research in Nursing and Health. 10.311-316.
- McBride, S. H. (1991). Comparative analysis of three instruments designed to measure self-care agency. Nursing Research. 40.12-16.
- Nahcivan, N. O. (2004). A Turkish language equivalence of the exercise of self-care agency scale. Western Journal of Nursing Research. 26.813-824.
- NHS Centre for Reviews and Dissemination. (1998). Cardiac rehabilitation. Effective Health Care. 4.1-12.
- Orem, D. E. (2001). Nursing : Concepts of practice (6th ed.). St. Louis, MI : Mosby.
- Ornish, D. (1991). Can life-style changes reverse coronary atherosclerosis? Hospital Practice (Office Ed.). 26.123-126, 129-132.
- Ornish, D., Brown, S. E., Scherwitz, L. W., Billings, J. H., Armstrong, W. T., Ports, T. A., et al. (1990). Can lifestyle changes reverse coronary heart disease? The lifestyle heart trial. Lancet. 336.129-133.
- Owens, B. B. (2007). Self-care agency, health promoting lifestyle, and satisfaction with life in postmenopausal women who mall walk. Medsurg Nursing. 16.383-390.
- Pressly, K. B. (1995). Psychosocial characteristics of CAPD patients and the occurrence of infectious complications. ANNA Journal. 22.563-72; Discussion 573-4.
- Riesch, S. K., et Hauck, M. R. (1988). The exercise of self-care agency : An analysis of construct and discriminant validity. Research in Nursing and Health. 11.245-255.
- Robertson, K. A., et Kayhko, K. (2001). Cost analysis of an intensive home follow-up program for first-time post-myocardial infarction patients and their families. Dynamics. 12.25-31.
- Robichaud-Ekstrand, S., Juneau, M., Dupuis, G., et Gagnon, L. (1992). Very low risk myocardial infarction patients do not need an individualized formal exercise training program to improve functional capacity. Canadian Journal of Cardiology, Ottawa, Ontario. 8 (Suppl B) 98B.
- Robichaud-Ekstrand, S. (1993). Effets d’un programme d’exercices post-infarctus à domicile sur la capacité fonctionnelle, la capacité d’autosoin et la perception d’auto-efficacité. Thèse de Ph. D. inédite, Sciences biomédicales, Université de Montréal, Montréal, Québec.
- Robichaud-Ekstrand, S., Juneau, M., Dupuis, G., et Gagnon, L. (1993). Effets d’un programme d’exercices post- infarctus du myocarde (IM) à domicile. 61e Congrès De l’ACFAS. Recueil des résumés de communications, Rimouski, Québec.293.
- Robichaud-Ekstrand, S., Juneau, M., et Gagnon, L. (1993). Home-based exercise program for MI patients : Effects on functional capacity, self-care agency, and self-efficacy. Journal of Pulmonary Rehabilitation and Prevention. 13.351.
- Robichaud-Ekstrand, S., Juneau, M., et Gagnon, L. (1996). Home-based exercise program for MI patients : Effects on functional capacity, self-care agency, and self-efficacy. Proceedings of the 8th Biennial Conference of the Workgroup of European Nurse Researchers. Stockholm, Suède : SHSTF (Svenska Hälso- och Sjukvårdens TjänstemannaFörbund (SwedishAssociation of Health Officers). Vol. 2, 602-608.
- Robichaud-Ekstrand, S., et Loiselle, C. G. (1998). French validation of the "Exercise of Self-Care Agency" scale for heart patients. [Validation Francaise de l’échelle du "Exercise of Self-Care Agency" auprès de patients cardiaques] Recherche en soins infirmiers. 54.77-86.
- Simmons, S. J. (1993). Explaining health-promoting lifestyles of navy personnel. Military Medicine. 158.594-598.
- Sinclair, A. J., Conroy, S. P., Davies, M., et Bayer, A. J. (2005). Post-discharge home-based support for older cardiac patients : A randomised controlled trial. Age and Ageing. 34.338-343.
- So, H. S., et Lee, E. S. (1989). Validation of an instrument to measure exercise of self care agency and its predictors. Kanho Hakhoe Chi [the Journal of Nurses Academic Society]. 19.273-284.
- St Onge, J. L. (1995). Self-care styles in military veterans. Military Medicine. 160.521-526.
- Stewart, S., Pearson, S., et Horowitz, J. D. (1998). Effects of a home-based intervention among patients with congestive heart failure discharged from acute hospital care. Archives of Internal Medicine. 158.1067-1072.
- Stone, J. A., Arthur, H. M., et Canadian Association of Cardiac Rehabilitation Guidelines Writing Group (2005). Canadian guidelines for cardiac rehabilitation and cardiovascular disease prevention, second edition, 2004 : Executive summary. The Canadian Journal of Cardiology. 21 Suppl D.3D-19D.
- Taylor, C. B., Miller, N. H., Smith, P. M., et DeBusk, R. F. (1997). The effect of a home-based, case-managed, multifactorial risk-reduction program on reducing psychological distress in patients with cardiovascular disease. Journal of Cardiopulmonary Rehabilitation. 17.157-162.
- Taylor, R. S., Dalal, H., Jolly, K., Moxham, T., et Zawada, A. (2008). Home-based versus centre-based cardiac rehabilitation. (Protocol). Cochrane Database of Systematic Reviews 2008, Issue 2. Art. No.: CD007130. DOI: 10.1002/14651858.CD007130.
- Taylor, R. S., Brown, A., Ebrahim, S., Jolliffe, J., Noorani, H., Rees, K., et al. (2004). Exercise-based rehabilitation for patients with coronary heart disease : Systematic review and meta-analysis of randomized controlled trials. The American Journal of Medicine. 116.682-692.
- Wang, H. H., et Laffrey, S. C. (2000). Preliminary development and testing of instruments to measure self-care agency and social support of women in Taiwan. The Kaohsiung Journal of Medical Sciences. 16.459-467.
- Wielgosz, A., Arango, M., Johansen, H, Mao, Y, Nair, C., Paradis, G., et al. (2003). Le fardeau croissant des maladies cardiovasculaires et des accidents vasculaires cérébraux au canada. Ottawa, ON : Fondation des maladies du coeur du Canada.
- Yamashita, M. (1998). The exercise of self-care agency scale. Western Journal of Nursing Research. 20.370-381.
- Yusuf, S., Reddy, S., Ounpuu, S., et Anand, S. (2001). Global burden of cardiovascular diseases : Part I: General considerations, the epidemiologic transition, risk factors, and impact of urbanization. Circulation. 104.2746-2753.