Multidisciplinary team in cardiac rehabilitation and secondary prevention, from the assessment to the education: an educational project

Abstract

The authors explain the training project: "Multidisciplinarity in cardiac rehabilitation and secondary prevention: from the evaluation to the therapeutic education", the rationale and purpose of a pathway for patients with ischemic heart disease treated in the acute phase with both medical and surgical means, and then placed in a rehabilitation program. The training project was transformed into a learning event for the Region of Sicily and later for the Region of Tuscany that has adopted it, encouraging the spread over the entire region. It highlights the role of the team, which focuses on the patient, converging on it multidisciplinary expertise whose goal is the reintegration of the subjects in their life-context, with appropriate evaluation, treatment and changes in lifestyle. From the valuations and declining the specific interventions to each job profile according to the principle of synergy obtained by multi-professional integration. All phases of the training project (assessment, intervention, evaluation) are addressed by each of the professionals (nurse, dietitian, physiotherapist, psychologist) that under the responsibility of the cardiologist realize, within the welfare, a concrete process of therapeutic education from which no one can ignore the "vision" of a global care of the patient.

EFFECTS OF CARDIOVASCULAR REHABILITATION IN PATIENTS ADMITTED TO THE “Dr Benedek Geza” Hospital of Rehabilitation IN CARDIOVASCULAR Diseases, COVASNA

“…In our study, although no significant effects on risk factors were obtained, we mention the nonnegligible decrease of LDL-cholesterol and increase of HDL-cholesterol, under the conditions of the maintenance of hypolipidemic treatment over the period between the two admissions. Data in this respect are in accordance with the literature data [15,16,17,18]. Two recent studies have demonstrated that long-term physical training has a beneficial action on cardiovascular risk factors: decrease of the body mass index by 1%, decrease of the levels of total cholesterol by 1%, triglycerides by 5%, decrease of the LDLcholesterol/HDL-cholesterol ratio by 3%, increase of HDL-cholesterol levels by 3%, improvement of psychological factors, with a reduction of the depression score by 12.6%, of the anxiety score by 4.3%, and of the hostility score by 2.3% [19,20].…”

The perception of the illness and the self-efficacy in the management of emotions in cardiac patients

“…The group is a specialized therapeutic group whose aim is to help patients comprehend their medical condition and discover more about its symptoms. The goal is changing patients’ perception of life and their approach to it (Da Vico et al, 2014 ; Molinari, Compare, & Parati, 2007 ). The group psychotherapist tries to support the patients and help them manage their perceived feelings and emotions, caused by their heart disease condition (Dis, 2003 ; Ghedin et al, 2017 ), through support interventions.…”