Korean Journal of Adult Nursing (성인간호학회지)

Korean Society of Adult Nursing (한국성인간호학회)
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Effects of Tai Chi Exercises on Cardiovascular Risks, Recurrence Risk, and Quality of Life in Patients with Coronary Artery Disease

관상동맥질환자를 위한 타이치 적용 심장재활 프로그램이 심혈관 위험요소, 심혈관질환 재발 위험도 및 건강 관련 삶의 질에 미치는 효과

  • 송라윤 (충남대학교 간호대학) ;
  • 박문경 (우송정보대학 간호과) ;
  • 정진옥 (충남대학교 의학전문대학원) ;
  • 박재형 (충남대학교 의학전문대학원) ;
  • 성인환 (충남대학교 의학전문대학원)
  • Received : 2013.05.13
  • Accepted : 2013.10.15
  • Published : 2013.10.31
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Abstract

Purpose: The study aims to evaluate the effects of Tai Chi applied cardiac rehabilitation program(TCCRP) on cardiovascular risks, recurrence risk in ten years, and cardiac specific quality of life in individuals with coronary artery disease. Methods: The sample was comprised of individuals diagnosed with coronary artery disease within six months of the study who were referred by their primary physicians to participate in the TCCRP. The design was a pretest/posttest with non-equivalent groups with 30 in TCCRP program and 33 wait-listed comparison group. Results: The average age of all participants was sixty seven years. At the completion of the TCCRP, the Tai Chi group showed significant reduction in their ten year recurrent risk for coronary artery disease measured by Framingham's algorithm. The quality of life for the experimental group was reported as significantly higher than the comparison group, especially the area of general symptom. Conclusion: The outpatient cardiac rehabilitation with Tai Chi was applied effectively and safely without any complication to individuals with coronary artery disease. Tai Chi can be useful as an alternative exercise for cardiac rehabilitation program which may provide more access to individuals for cardiovascular risk management in the community settings.

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References

  1. Benzer, W., Platter, M., Oldridge, N. B., Schwann, H., Machreich, K., Kullich, W., et al. (2007). Short-term patient-reported outcomes after different exercise-based cardiac rehabilitation programmes. European Journal of Preventive Cardiology, 14, 441-447. http://dx.doi.org/10.1097/HJR.0b013e32802bf7ae
  2. Center for Disease Control and Prevention. (2008). Receipt of outpatient cardiac rehabilitation among heart attack survivors-United States, 2005. MMWR: Morbidity and Mortality Weekly Report, 57, 89-94.
  3. D'Agostino, R. B., Vasan, R. S., Pencina, M. J., Wolf, P. A., Cobain, M., Massaro, J. M., et al. (2008). General cardiovascular risk profile for use in primary care: The Framingham heart study. Circulation, 117, 743-753. http://dx.doi.org/10.1161/Circulationaha.107.699579
  4. Eckel, R. H., Grundy, S. M., & Zimmet, P. Z. (2005). The metabolic syndrome. Lancet, 365, 1415-1428. http://dx.doi.org/10.1016/S0140-6736 (05)66378-7
  5. Erdfelder, E., Faul, F., & Buchner, A. (1996). GPOWER: A general power analysis program. Behavior Research Methods, Instruments, & Computers, 28, 1-11. https://doi.org/10.3758/BF03203630
  6. Evenson, K. R., & Fleury, J. (2000). Barriers to outpatient cardiac rehabilitation participation and adherence. Journal of Cardiopulmonary Rehabilitation, 20, 241-246. https://doi.org/10.1097/00008483-200007000-00005
  7. Heyward, V. H. (2005). Advanced fitness assessment and exercise prescription (K. T. Jang, D. H. Choi, H. Park, Y. W. Ko, D. T. Lee, & S. W. Kim, Trans.). Seoul: Hanmi Medical Publishing Co. (Original work published 2002).
  8. Hong, K. P., & Sung, J. (2006). Cardiac rehabilitation in patients with coronary artery disease. Hanyang Medical Reviews, 26, 75-79.
  9. Jin, Y. S. (2005). Guidelines for cardiac rehabilitation. Journal of the Korean Medical Association, 48, 808-821. http://dx.doi.org/10.5124/jkma.2005.48.9.808
  10. Khot, U. N., Khot, M. B., Bajzer, C. T., Sapp, S. K., Ohman, E. M., Brener, S. J., et al. (2003). Prevalence of conventional risk factors in patients with coronary heart disease. Journal of the American Medical Association, 290 , 898-904. http://dx.doi.org/10.1001/jama.290.7.898
  11. Lam, P. (2005). Tai Chi for diabetes handbook. Narwee, Australia: East Acton Tai Chi Productions.
  12. Lan, C., Chen, S. Y., Wong, M. K., & Lai, J. S. (2008). Tai Chi training for patients with coronary heart disease. Medicine and Sport Science, 52, 182-194. http://dx.doi.org/10.1159/000134299
  13. Lan, C., Su, T. C., Chen, S. Y., & Lai, J. S. (2008). Effect of T'ai chi chuan training on cardiovascular risk factors in dyslipidemic patients. Journal of Alternative and Complementary Medicine, 14, 813-819. http://dx.doi.org/10.1089/acm.2008.0143
  14. Lee, E. H., Tahk, S. J., Shin, J. H., Lee, Y. W., & Song, R. (2007). Development and a psychometric evaluation of cardiovascular disease-specific quality of life scale for Koreans. Journal of Korean Academy of Nursing, 37, 313-323. https://doi.org/10.4040/jkan.2007.37.3.313
  15. 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. http://dx.doi.org/10.1161/?01.CIR.0000066322.21016.4A
  16. Munro, B. H. (2002). Statistical methods for health care research (E. H. Lee, Y. H. Jung, J. S. Kim, R. Song., & K. Y. Hwang, Trans.). Seoul: Koonja(Original work published 2001).
  17. Park, I. S., Song, R., Ahn, S., So, H. Y., Kim, H. L., Joo, K. O. (2008). Factors explaining quality of life in individual with coronary artery disease. Journal of Korean Academy of Nursing, 38, 866-873. http://dx.doi.org/10.4040/jkan.2008.38.6.866
  18. Shepherd, C. W., & While, A. E. (2012). Cardiac rehabilitation and quality of life: A systematic review. International Journal of Nursing Studies, 49, 755-771. http://dx.doi.org/10.1016/j.ijnurstu.2011.11.019
  19. Song, R., Ahn, S., So, H. Y., Park, I. S., Kim, H. L, Joo, K. O., et al. (2009). Effects of Tai Chi exercise on cardiovascular risk factors and qualityof life in post-menopausal women, Journal of Korean Academy of Nursing, 39, 136-144, http://dx.doi.org/10.4040/jkan.2009.39. 1.136
  20. Song, R., & Lee, H. (2001). Managing health habits for myocardial infarction (MI) patients. International Journal of Nursing Studies, 38, 375-380. https://doi.org/10.1016/S0020-7489(00)00117-6
  21. Song, R., Park, I. S., So, H. Y., Kim, H. L., & Ahn, S. H. (2008). Applicability and program effects of Tai chi exercise in outpatients with coronary artery disease. Korean Journal of Adult Nursing, 20, 537-547.
  22. Taylor-Piliae, R. E. (2003). Tai Chi as an adjunct to cardiac rehabilitation exercise training. Journal of Cardiopulmonary Rehabilitation, 23 , 90-96. https://doi.org/10.1097/00008483-200303000-00004
  23. Taylor-Piliae, R. E., Haskell, W. L., Stotts, N. A., & Froelicher, E. S. (2006). Improvement in balance, strength, and flexibility after 12 weeks of Tai chi exercise in ethnic Chinese adults with cardiovascular disease risk factors. Alternative Therapies in Health and Medicine, 12, 50-58.
  24. Thomas, G. N., Hong, A. W., Tomlinson, B., Lau, E., Lam, C. W., Sanderson, J. E., et al. (2005). Effects of Tai Chi and resistance training on cardiovascular risk factors in elderly Chinese subjects: A 12-month longitudinal, randomized, controlled intervention study. Clinical Endocrinology, 63, 663-669. http://dhttp://dx.doi.org/10.1111/j.1365-2265.2005.02398.x
  25. Tsai, J. C., Wang, W. H., Chan, P., Lin, L. J., Wang, C. H., Tomlinson, B., et al. (2003). The beneficial effects of Tai Chi Chuan on blood pressure and lipid profile and anxiety status in a randomized controlled trial. Journal of Alternative and Complementary Medicine, 9 , 747-754. http://dx.doi.org/10.1089/107555303322524599
  26. Tsang, T., Orr, R., Lam, P., Comino, E. J., & Singh, M. F. (2008). Effects of Tai Chi on glucose homeostasis and insulin sensitivity in older adults with type 2 diabetes: A randomised double-blind sham-exercise-controlled trial. Age and Ageing, 37, 64-71. http://dx.doi.org/10.1093/ageing/afm127
  27. Wolf, S. L., O'Grady, M., Easley, K. A., Guo, Y., Kressig, R. W., & Kutner, M. (2006). The influence of intense Tai Chi training on physical performance and hemodynamic outcomes in transitionally frail, older adults. Journals of Gerontology. Series A, Biological Sciences and Medical Sciences, 61 , 184-189. https://doi.org/10.1093/gerona/61.2.184
  28. Yeh, G. Y., McCarthy, E. P., Wayne, P. M., Stevenson, L. W., Wood, M. J., Forman, D., et al. (2011). Tai chi exercise in patients with chronic heart failure: A randomized clinical trial. Archives of Internal Medicine, 171, 750-757. http://dx.doi.org/10.1001/archinternmed.2011.150
  29. Yusuf, S., Hawken, S., Ounpuu, S., Dans, T., Avezum, A., Lanas, F., et al. (2004). Effect of potentially modifiable risk factors associated with myocardial infarction in 52 countries (the INTERHEART study): Case-control study. Lancet, 364, 937-952. https://doi.org/10.1016/S0140-6736(04)17018-9
  30. Zhuo, D., Shephard, R. J., Plyley, M. J., & Davis, G. M. (1984). Cardiorespiratory and metabolic responses during Tai Chi Chuan exercise. Canadian Journal of Applied Sport Sciences, 9, 7-10.

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