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Updated: May 15, 2025
A Novel Digital Platform for a Monitored Home-based Cardiac Rehabilitation Program
Published on: April 19, 2019
The Effects of a Home-Based Cardiac Rehabilitation Program via the Line Application on Functional Capacity and
Suteetida Saensoda1,2, Piyawan Pokpalagon1, Suchira Chaiviboontham1
1Ramathibodi School of Nursing, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok 10400, Thailand.
Insights
A home-based cardiac rehabilitation (HBCR) program delivered via LINE significantly improved functional capacity and quality of life for open-heart surgery patients. This digital approach enhances self-care abilities post-surgery.
Area of Science:
- Cardiovascular Rehabilitation
- Digital Health Interventions
- Patient Self-Care
Background:
- Open-heart surgery necessitates effective post-operative recovery strategies.
- Traditional cardiac rehabilitation may have limitations in accessibility for some patients.
- Home-based programs offer a potential solution to improve patient adherence and outcomes.
Purpose of the Study:
- To evaluate the impact of a home-based cardiac rehabilitation (HBCR) program utilizing the LINE application.
- To assess the effects of HBCR on functional capacity and quality of life (QOL) in post-open-heart surgery patients.
Main Methods:
- A controlled study with 54 open-heart surgery patients, pair-matched into an intervention (HBCR via LINE) and control group.
- Functional capacity assessed using the six-minute walk test and Duke Activity Status Index.
- Quality of life measured with the Thai version of the Short Form-36 Survey, guided by Orem's self-care theory.
Main Results:
- The experimental group demonstrated significantly improved functional capacity compared to the control group (p < 0.05).
- Overall QOL, physical functioning, emotional roles, vitality, mental health, social functioning, and general health were significantly better in the intervention group (p < 0.05).
- No significant differences were observed in physical roles and bodily pain between groups (p > 0.05).
Conclusions:
- A LINE-based HBCR program can effectively enhance self-care capabilities in patients recovering from open-heart surgery.
- This digital intervention shows significant potential for improving functional capacity and overall quality of life.
- HBCR via LINE represents a promising, accessible approach to cardiac rehabilitation.
Abstract:
Background/Objectives: This study aims to investigate the effects of a home-based cardiac rehabilitation (HBCR) program via a LINE application on functional capacity and quality of life (QOL) in open-heart surgery patients. Methods: This study involved 54 open-heart surgery patients divided into a control group and an experimental group (27 intervention, 27 control) using pair matching. Participants in the intervention group participated in the HBCR program, while the control group received standard care. Orem's self-care theory was used as the conceptual framework. Functional capacity was measured via a six-minute walk test and the Duke Activity Status Index, while QOL was measured via the Thai version of the Short Form-36 Survey. Results: The findings from the study reveal that the patients who underwent open-heart surgery in the experimental group had significantly higher functional capacity compared to those in the control group (p < 0.05). Additionally, the overall QOL of the open-heart surgery patients in the experimental group was significantly better than that of the control group, alongside physical functioning, emotional roles, vitality, mental health, social functioning, and general health (p < 0.05). However, there were no significant differences between the two groups in terms of physical roles and bodily pain (p > 0.05). Conclusions: Using an HBCR program via the LINE application has the potential to enhance the at-home self-care ability of post-open-heart surgery patients, thus improving their functional capacity and QOL.
