title: Community health service center-based cardiac rehabilitation in patients with coronary heart disease: a prospective study.
abstract: Despite considerable efforts to encourage participation, even in some developed countries, proportion of patients participating in institution-based cardiac rehabilitation (CR) programs remained sub-optimal. The present study was designed to investigate the acceptability of community health service center (CHSC)-based Cardiac Rehabilitation (CR), and examine its effectiveness in terms of changes in quality of life (QOL), psychological state and exercise capacity.
  
  
  
  A consecutive series of eligible patients was recruited from the health registration system of two CHSCs in Shijiazhuang, Hebei, China. Patients in intervention site were provided with CR (CR-group) while patients in non-intervention site were offered the usual care (UC-group). Data regarding health-related QOL (HRQoL), psychological state and exercise capacity (6-min walk test = 6MWT) were collected and compared at baseline and at 6 months post-intervention.
  
  
  
  Among invited patients eligible for CR program, 65.3% participated, while 5.3% of the participants dropped out during follow-up. Patients in CR-group showed significant decrease in the scores for anxiety and depression as per the Hospital Anxiety and Depression Scale (HADS), along with marked increases in the Short-Form Health Survey (SF-12)-based Physical (PCS) and Mental Component Summary (MCS) scores. Moreover, the measurement of 6MWT showed a significant increase of 57.42 m walking distance among CR patients in contrast with a slight increase among UC patients.
  
  
  
  Given the high participation and low withdrawal along with considerable improvements in HRQoL, psychological state and exercise capacity, CHSC was likely to be the optimal setting for implementing CR for patients with CHD in China.
  
  
  
  ChiCTR-TRC- 12002500 . Registered 16 September 2012.
authors.affiliation: Department of Geriatrics, the Third Hospital of Hebei Medical University, No 139 Ziqiang Road, Shijiazhuang, Hebei, 050051, China.
authors.forename: Lixuan
authors.initials: L
authors.lastname: Zhang
authors.affiliation: Department of Geriatrics, the Third Hospital of Hebei Medical University, No 139 Ziqiang Road, Shijiazhuang, Hebei, 050051, China. hebeizhangli_1@163.com.
authors.forename: Li
authors.initials: L
authors.lastname: Zhang
authors.affiliation: Department of Geriatrics, the Third Hospital of Hebei Medical University, No 139 Ziqiang Road, Shijiazhuang, Hebei, 050051, China.
authors.forename: Jing
authors.initials: J
authors.lastname: Wang
authors.affiliation: Department of Geriatrics, the Third Hospital of Hebei Medical University, No 139 Ziqiang Road, Shijiazhuang, Hebei, 050051, China.
authors.forename: Fang
authors.initials: F
authors.lastname: Ding
authors.affiliation: Department of Geriatrics, the Third Hospital of Hebei Medical University, No 139 Ziqiang Road, Shijiazhuang, Hebei, 050051, China.
authors.forename: Suhua
authors.initials: S
authors.lastname: Zhang
mesh_terms: D000368:Aged; D001007:Anxiety; D000072038:Cardiac Rehabilitation; D002681:China; D003153:Community Health Services; D003324:Coronary Artery Disease; D003863:Depression; D003866:Depressive Disorder; D015444:Exercise; D005081:Exercise Therapy; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011446:Prospective Studies; D011788:Quality of Life; D011795:Surveys and Questionnaires
keywords: Community Health Services; Coronary Disease; Exercise capacity; HRQoL; Rehabilitation