[Ambulatory heart groups after inpatient cardiologic rehabilitation].
In n = 1504 consecutive patients after inpatient cardiac rehabilitation, we investigate how many patients can be motivated to join a so-called outpatient heart group, which sociographical and medical variables influence participation, and whether participation in a heart group prompts a more health-orientated nutrition. Applying a special team-based motivation programme, almost 30% of patients undergoing cardiac rehabilitation under the pension insurance scheme for workers can be motivated to join a heart group, who otherwise can hardly be prompted to do so. About 75% of them still participate in the heart group 7 months later. Initial and continuing participation are more probable in patients of middle age, male gender, with previous PTCA, moderately or severely restricted left ventricular function, and--for patients up to the age of 55 years--in case of reintegration or expected reintegration into work life. Patients after heart valve surgery are significantly less liable to join a heart group than CHD patients. Seven months after cardiac rehabilitation, medium cholesterol values have less increased among participants of heart groups than among non-participants. This may indicate a more stabilized health-orientated lifestyle among members of heart groups.
Klinik Bad Münster am Stein-Ebernburg der LVA Rheinland-Pfalz Fachklinik für Herz- und Kreislaufkrankheiten.
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D000328:Adult; D000359:Aftercare; D000368:Aged; D000553:Ambulatory Care; D015906:Angioplasty, Balloon, Coronary / Q000534:rehabilitation; D002784:Cholesterol / Q000097:blood; D001026:Coronary Artery Bypass / Q000534:rehabilitation*; D003327:Coronary Disease / Q000534:rehabilitation*; D018752:Diet, Fat-Restricted; D005260:Female; D005500:Follow-Up Studies; D019918:Heart Valve Prosthesis Implantation / Q000534:rehabilitation; D006801:Humans; D006937:Hypercholesterolemia / Q000534:rehabilitation*; D008019:Life Style; D008297:Male; D008875:Middle Aged; D009042:Motivation; D009203:Myocardial Infarction / Q000534:rehabilitation; D010348:Patient Care Team; D011446:Prospective Studies; D012657:Self-Help Groups; D016896:Treatment Outcome
D002784:Cholesterol
Ambulante Herzgruppen nach stationärer kardiologischer Rehabilitation.