Rural Versus Urban Comparison: Physical Activity and Functioning Following Coronary Artery Bypass Surgery

Authors

  • Lani M Zimmerman University of Nebraska Medical Center
  • Susan Barnason University of Nebraska Medical Center
  • Paula Schulz University of Nebraska Medical Center College of Nursing-Lincoln Division
  • Janet Nieveen University of Nebraska Medical Center
  • Chunhao Tu University of New England

DOI:

https://doi.org/10.14574/ojrnhc.v12i1.67

Abstract

Purpose

The purpose of this sub-analysis was to compare the early recovery of elderly patients following coronary artery bypass surgery (CABS) by geographic location (urban/rural) on physical functioning and physical activity.

Methods

The sample was 124 subjects who had been in the usual care group (or control group) of a randomized controlled trial.  Subjects were categorized into geographic locales using Rural Urban Commuting Area (RUCA) codes: urban n=35, large rural n=17, small rural n=23 and isolated rural n=33. Measures included the Medical Outcomes Study Short-Form 36 and the RT3® accelerometer. Mixed linear models were used to analyze the data.

Results

No significant differences were found for physical functioning by RUCA group. However, there was a statistically significant difference for physical activity, for average kcals/kg/ per day (F = 3.01, p < .05) and average daily activity counts (F = 3.95, p <.01), with the subjects in large rural communities having significantly (p < 0.05) more average kcals/kg per day than urban subjects (M = 29.04 and M = 27.25 respectively). Subjects in the large rural also had significantly (p < .005) more average daily activity counts than urban (M = 216635 and M = 161221 respectively).

Conclusions

This is the first study to compare early recovery functioning and activity outcomes of CABS subjects by rural/urban locations.  Additional study is warranted to evaluate why these differences exist and the potential need to tailor interventions for CABS based on geographic location.

Key Words Rural Urban Comparison; Cardiovascular Surgery; Physical Activity; Physical Functioning.
 

Author Biographies

Lani M Zimmerman, University of Nebraska Medical Center

PhD, RN, FAAN, FAHA
Professor; College of Nursing-Lincoln Division

Susan Barnason, University of Nebraska Medical Center

PhD, APRN-CNS, CEN, CCRN, FAHA
Professor; College of Nursing-Lincoln Division

Paula Schulz, University of Nebraska Medical Center College of Nursing-Lincoln Division

Assistant Professor; University of Nebraska Medical Center
College of Nursing-Lincoln Division

Janet Nieveen, University of Nebraska Medical Center

PhD, RN, Assistant Professor; College of Nursing-Lincoln Division

Chunhao Tu, University of New England

PhD (c), Assistant Professor; College of Pharmacy

 

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Published

2012-03-08

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Section

Articles