[Initial results with a comprehensive ambulatory rehabilitation program for heart patients].
213 patients (197 males and 16 females, mean age 58.5 years) have taken part during the first 5 years in our comprehensive out-patient cardiac rehabilitation program (101 patients after acute myocardial infarction, 73 patients after heart surgery and 39 patients with various cardiac problems). The program consists of three elements: (1.) regular physical training in an out-patient group three times a week for 6-12 weeks; (2.) information and education of the patient and if possible of the family about risk factors and life-style changes, and (3.) psychosocial support. During 10,838 hours of active rehabilitation, no life-threatening complication occurred. After completion of the program, 73% of the patients were fully rehabilitated (return to work in the active working population, reintegration in the family and daily life in the retired and non-working patients), 15% of the patients interrupted the program because of further invasive treatment, and in 11% the goal of the rehabilitation program was not achieved. Follow-up was carried out by a questionnaire 3-56 months (mean 25 months) later. The percentage of smokers decreased from 55% before the program to 18% (p < 0.05), regular physical exercise increased from 49% to 76% (p < 0.05), and the perceived stress level of high intensity decreased from 53 to 9% (p < 0.05). Our findings indicate that a comprehensive cardiac rehabilitation program in an out-patient setting in conjunction with a community hospital is feasible; it can be conducted with a high degree of safety and is followed by considerable lifestyle changes.
Medizinische und Orthopädische Klinik, Kantonsspital, Olten.
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Stäubli
D000328:Adult; D000368:Aged; D006348:Cardiac Surgical Procedures / Q000534:rehabilitation; D015444:Exercise; D005260:Female; D006266:Health Education; D006304:Health Status; D006331:Heart Diseases / Q000534:rehabilitation*; D006801:Humans; D008019:Life Style; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000517:prevention & control; D010349:Patient Compliance; D012008:Recurrence; D012189:Retrospective Studies; D012944:Social Support; D014938:Work Capacity Evaluation
Erste Erfahrungen mit einem komprehensiven ambulanten Rehabilitationsprogramm für Herzpatienten.