| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
ORIGINAL ARTICLES |
From the School of Psychology, University of St. Andrews, St. Andrews, Fife, Scotland.
Address reprint requests to: Marie Johnston, PhD, School of Psychology, University of St. Andrews, St. Andrews, Fife, KY16 9JU, Scotland.
OBJECTIVES: This study evaluated the effectiveness of cardiac counseling and rehabilitation programs led by a nurse counselor, compared with normal care on outcomes for myocardial infarction (MI) patients and their partners.
METHODS: A randomized controlled trial with follow-up to 1 year was conducted with 100 patients recruited within 72 hours of a first MI and their partners: a Control group received normal care; an Inpatient group received cardiac rehabilitation from a nurse counselor while in hospital; and an Extended group received the same cardiac rehabilitation as the Inpatient group, but with additional sessions continuing up to 6 weeks after discharge from hospital. The scales for main outcome measures were 1) knowledge of heart disease and treatment (correct, misconceptions, and uncertainty); 2) mood (Hospital Anxiety and Depression Scale); 3) satisfaction; 4) disability (Functional Limitations Profile).
RESULTS: Inpatient cardiac counseling and rehabilitation resulted in more knowledge, less anxiety, less depression, and greater satisfaction with care in both patients and partners and in less disability in patients, with effects enduring to 1 year. There was some evidence of additional benefit from the Extended program. Both nurse counselors achieved benefits on all outcome variables.
CONCLUSIONS: This Inpatient cardiac counseling and rehabilitation program resulted in significant and enduring benefits of clinical value. It is likely that it would be acceptable to most post-MI patients, many of whom are not offered or are unable to
Key Words: cardiac rehabilitation, • cardiac counseling, • myocardial infarction, • anxiety, • depression, • partners, • disability.
Abbreviations: MI = myocardial infarction;; HADS = Hospital Anxiety and Depression Scale;; CCU = coronary care unit;; FLP = Functional Limitations Profile;; WHO = World Health Organization;; ANOVA = analysis of variance.
This article has been cited by other articles:
 |
|
 |
|
  Post-Myocardial Infarction Depression Clinical Pra AAFP Guideline for the Detection and Management of Post-Myocardial Infarction Depression Ann. Fam. Med, January 1, 2009; 7(1): 71 - 79. [Full Text] [PDF]
|
|
|
|
 |
|
 R. Auer, J. Gaume, N. Rodondi, J. Cornuz, and W. A. Ghali Efficacy of In-Hospital Multidimensional Interventions of Secondary Prevention After Acute Coronary Syndrome: A Systematic Review and Meta-Analysis Circulation, June 17, 2008; 117(24): 3109 - 3117. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 A. M. Clark, L. Hartling, B. Vandermeer, and F. A. McAlister Meta-Analysis: Secondary Prevention Programs for Patients with Coronary Artery Disease Ann Intern Med, November 1, 2005; 143(9): 659 - 672. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 S. L. Grace, S. E. Abbey, R. Pinto, Z. M. Shnek, J. Irvine, and D. E. Stewart Longitudinal Course of Depressive Symptomatology After a Cardiac Event: Effects of Gender and Cardiac Rehabilitation Psychosom Med, January 1, 2005; 67(1): 52 - 58. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 D. R Thompson and R. J P Lewin CORONARY DISEASE: Management of the post-myocardial infarction patient: rehabilitation and cardiac neurosis Heart, July 1, 2000; 84(1): 101 - 105. [Full Text] [PDF]
|
|
|
|
|
|
R. A. Mayou, D. Gill, D. R. Thompson, A. Day, N. Hicks, J. Volmink, and A. Neil Depression and Anxiety As Predictors of Outcome After Myocardial Infarction Psychosom Med, March 1, 2000; 62(2): 212 - 219. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 H. Sherrard Counselling after a myocardial infarction improved mood for patients and their partners and decreased patient functional limitations Evid. Based Nurs., January 1, 2000; 3(1): 21 - 21. [Full Text]
|
|
|
|
 |
|
 Other articles noted Evid. Based Ment. Health, November 1, 1999; 2(4): 104 - 104. [Full Text]
|
|
|
|
|
|
D W JOHNSTON Lifestyle changes after a myocardial infarction Heart, November 1, 1999; 82(5): 543 - 544. [Full Text]
|
|
| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
