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Recovery after myocardial infarction. Effects of a caring rehabilitation programme |
Fridlund B, Hogstedt B, Lidell E, Larsson PA |
Scandinavian Journal of Caring Sciences 1991;5(1):23-32 |
clinical trial |
3/10 [Eligibility criteria: Yes; Random allocation: Yes; Concealed allocation: No; Baseline comparability: No; Blind subjects: No; Blind therapists: No; Blind assessors: No; Adequate follow-up: No; Intention-to-treat analysis: No; Between-group comparisons: Yes; Point estimates and variability: Yes. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed* |
The aim of the study was to evaluate a multifactorial rehabilitation programme based on interdisciplinary caring efforts for myocardial infarction (MI) patients. Randomly chosen MI-patients participated, either in a six-month rehabilitation programme (intervention group = 53) or in routine cardiac follow-ups (control group = 63). Subjective and objective instruments were used for measuring their health recovery. Biophysical improvements were showed as an increased physical capacity (p < 0.001) using a submaximal exercise test six months after MI, and less reinfarctions (p < 0.024) twelve months after MI, to the intervention patients' advantage. Psychological improvements were demonstrated in a higher life satisfaction (p < 0.001) six months and (0.1 > p > 0.05) twelve months after MI to the intervention patients' advantage. Social improvements were indicated as a better leisure situation (p < 0.004) six months after MI, and as a better partner situation (p < 0.010), including a less influenced sex life (p < 0.017), twelve months after MI to the intervention patients' advantage. As to the overall view, the caring rehabilitation programme appeared to be required for the MI-patients' health recovery. In order to be able to reach an optimal state of human health, an even more individualised programme seems to be necessary.
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