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Post MI Rehabilitation/Post Surgery Rehabilitation
A heart attack is painful and frightening. Survivors, their families and carers must adapt psychologically and may need to make major lifestyle changes. Those who fail to change often experience a reduced quality of life. For those who deliver health care this can mean increased costs through more frequent and unnecessary patient contact.
There has long been evidence that comprehensive post-Myocardial Infarction (MI) rehabilitation programmes can reduce morbidity and mortality, reduce psychological distress, aid secondary prevention and improve the patient‘s quality of life. However traditional multi-disciplinary hospital-based programmes are not usually standardised or simple to provide.
The Heart Manual programme was designed with these factors in mind as a tool to enable health providers to deliver effective measurable post-MI rehabilitation with minimal disruption and cost, and with neutral impact on existing infrastructures and staffing.
As a result of the long-term success of the evidence-based, self-management programme, the Revascularisaiton edition has been launched following collaboration with the University of Birmingham in the development of a separate version of the Manual for use by revascularisation (CABG and angioplasty) patients.
The new version has been evaluated in Birmingham (Jolly et al 2005) with major NHS funding.
Results showed
- Home-based (Heart Manual) and supervised hospital-based rehabilitation programmes
equally improve outcomes at 6 months
- Secondary analysis: significant improvements for both programmes in smoking cessation,
HADS anxiety and total cholesterol levels at 6 months compared to baseline
We hope that in the long term, use of the self-management approach with this group of patient‘s l will bring as much help as the Post MI Manual has achieved.
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