Online J Rural Nurs Health Care. 2012;12(1):16-28.

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

Online journal of rural nursing and health care : the official journal of the Rural Nurse Organization

Lani M Zimmerman, Susan Barnason, Paula Schulz, Janet Nieveen, Chunhao Tu

PMID: 25298753 PMCID: PMC4185414

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.

Keywords: Cardiovascular Surgery; Physical Activity; Physical Functioning; Rural Urban Comparison

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Publication Types

• Journal Article

Grant support

• P20 NR011404/NR/NINR NIH HHS/United States
• R01 NR007759/NR/NINR NIH HHS/United States