Related Experiment Video

Updated: Jul 29, 2025

A Novel Digital Platform for a Monitored Home-based Cardiac Rehabilitation Program
04:24

A Novel Digital Platform for a Monitored Home-based Cardiac Rehabilitation Program

Published on: April 19, 2019

11.6K

Adherence of Older Cardiac Patients to a Home-Based Cardiac Rehabilitation Program

Dennis van Erck1, Michel Terbraak1,2, Christine D Dolman3

  • 1Cardiology, Amsterdam University Medical Centers, University of Amsterdam, 1105AZ Amsterdam, The Netherlands.

Geriatrics (Basel, Switzerland)
|May 23, 2023
PubMed

Insights

Most older cardiac patients referred to home-based cardiac rehabilitation (HBCR) adhere to the program. This suggests older adults are motivated and capable of completing HBCR after hospital discharge.

Area of Science:

  • Cardiology
  • Geriatrics
  • Rehabilitation Medicine

Background:

  • Referral rates for home-based cardiac rehabilitation (HBCR) are suboptimal in elderly and frail cardiac patients.
  • Healthcare professionals often have low expectations regarding patient adherence to HBCR.

Purpose of the Study:

  • To assess adherence rates to HBCR among elderly and frail cardiac patients post-hospitalization.
  • To identify baseline characteristics differentiating adherent from nonadherent patients.

Main Methods:

  • Utilized data from the Cardiac Care Bridge (NTR6316).
  • Included hospitalized cardiac patients aged 70 years and older at high risk of functional decline.
  • Defined adherence as completing at least two-thirds of the nine intended HBCR sessions.

Main Results:

  • 29% of eligible patients were not referred due to mortality, non-return home, or practical issues.
  • Of those referred (n=109), 67% demonstrated adherence to HBCR.
  • Non-adherence was associated with older age (84 vs. 82 years) and higher handgrip strength in men (33 vs. 25 kg).

Conclusions:

  • The majority of older cardiac patients referred to HBCR after hospitalization adhere to the program.
  • Findings challenge assumptions about low adherence in this population, indicating motivation and capability.
  • Supports increased referral of elderly and frail cardiac patients to HBCR.

Keywords:
adherencefrailtyhome-based cardiac rehabilitationolder cardiac patients

More Related Videos

Using Continuous Data Tracking Technology to Study Exercise Adherence in Pulmonary Rehabilitation09:42

Using Continuous Data Tracking Technology to Study Exercise Adherence in Pulmonary Rehabilitation

Published on: November 8, 2013

13.6K
Assessment of Dependence in Activities of Daily Living Among Older Patients in an Acute Care Unit06:52

Assessment of Dependence in Activities of Daily Living Among Older Patients in an Acute Care Unit

Published on: September 30, 2020

9.9K

Related Concept Videos

Documentation in Long-Term and Home Healthcare Setting01:29

Documentation in Long-Term and Home Healthcare Setting

Documentation in long-term care facilities and home healthcare settings is crucial for ensuring continuous, coordinated, and comprehensive care for patients. Each setting has its specific documentation processes and tools:
Long-Term Care Facilities
938
Heart Failure VII: Nursing Interventions01:30

Heart Failure VII: Nursing Interventions

The first step in nursing management of a patient with heart failure involves thoroughly assessing the patient's medical history.Subjective Data: Obtain the patient's medical history of coronary artery disease, hypertension, myocardial infarction, and symptoms like dyspnea, orthopnea, and paroxysmal nocturnal dyspnea.Objective Data: Conduct a physical examination to identify findings such as jugular vein distention, pulmonary crackles, tachycardia, murmurs, peripheral edema, and vital signs,...
127
Cardiomyopathy V: Interprofessional Care01:29

Cardiomyopathy V: Interprofessional Care

Managing cardiomyopathy involves addressing underlying or precipitating causes, treating heart failure with medications, and implementing dietary changes and a balanced exercise and rest regimen.Lifestyle ModificationsCardiomyopathy patients should adopt a low-sodium diet to reduce fluid retention and manage heart failure. A personalized exercise and rest plan helps maintain physical fitness without overstraining the heart. Avoiding alcohol and tobacco is essential to prevent further damage to...
19
Cardiomyopathy VI: Nursing Management01:29

Cardiomyopathy VI: Nursing Management

Assessment: Nursing management of patients with cardiomyopathy begins with a thorough assessment of the patient's history, including a family history of cardiomyopathy or sudden cardiac death, personal history of heart disease, hypertension, diabetes, and any alcohol consumption or drug use.During the physical examination, assess vital signs, look for signs of heart failure (such as edema, jugular venous distention, and cyanosis), auscultate for abnormal heart sounds (like murmurs and gallops),...
19
Heart Failure VI: Adjunct Therapies01:22

Heart Failure VI: Adjunct Therapies

Additional therapies for treating patients with heart failure (HF) may include procedural interventions, supplemental oxygen, the management of sleep disorders, and nutritional therapy.Procedural InterventionsImplantable Cardioverter-Defibrillator: For patients at risk of life-threatening arrhythmias due to severe left ventricular dysfunction, an Implantable Cardioverter-Defibrillator (ICD) can detect and terminate these arrhythmias, preventing sudden cardiac death and improving survival rates.
18
Aortic Regurgitation IV: Nursing Management01:17

Aortic Regurgitation IV: Nursing Management

A nurse managing a patient with aortic regurgitation begins with a comprehensive assessment, including a review of the patient's medical history, family history, and lifestyle factors. During the cardiac examination, the nurse listens for heart sounds and checks for signs of valve abnormalities. The nurse also observes for symptoms such as dyspnea, orthopnea, and paroxysmal nocturnal dyspnea and assesses the patient's endurance and daily activity tolerance.Based on the findings, the nurse...
33