Journal of healthcare quality research · 2021
[Evaluation of the efficacy of a psychological intervention program in a Cardiac Rehabilitation Unit after acute coronary syndrome].
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Pintor Reverte R, Chabbar Boudet M C, Valls Lázaro E, Albarrán Martín C, Untoria Agustín C, Garza Benito F
Аннотация
INTRODUCTION: Psychosocial factors influence the prognosis of cardiovascular disease. The improvement of these variables through cardiac rehabilitation programs showed inconclusive results. Our objective was to evaluate the benefits of a psychological intervention program in heart disease patients participating in a cardiac rehabilitation program.
MATERIAL AND METHODS: Quasi-experimental retrospective study that included 157 consecutive patients referred to the Cardiac Rehabilitation Unit from September 2017 to May 2018. Participants completed a battery of questionnaires at the beginning and at the end of the rehabilitation program in order to evaluate 9 psychosocial variables. Five of these variables were reevaluated at 12months. Finally, a comparative analysis was carried out between the group that performed a specific psychological intervention and the control group.
RESULTS: Average age 55±8 years. 77% (n=122) were male. 72% (n=113) carried out a specific psychological intervention program. After completing the program, the psychological intervention group improved statistically significantly in 8of the 9variables analyzed compared to only 2in the control group and with a higher effect size (medium or large size: Cohen's d> 0.5). Furthermore, this benefit was maintained at one year for the psychological intervention group.
CONCLUSIONS: Overall, face-to-face cardiac rehabilitation programs improve the psychological sphere of the patient with acute coronary syndrome. In addition, those patients who complete a specific psychological intervention program significantly improve a greater number of psychological variables and to a greater extent compared to those who do not.
MATERIAL AND METHODS: Quasi-experimental retrospective study that included 157 consecutive patients referred to the Cardiac Rehabilitation Unit from September 2017 to May 2018. Participants completed a battery of questionnaires at the beginning and at the end of the rehabilitation program in order to evaluate 9 psychosocial variables. Five of these variables were reevaluated at 12months. Finally, a comparative analysis was carried out between the group that performed a specific psychological intervention and the control group.
RESULTS: Average age 55±8 years. 77% (n=122) were male. 72% (n=113) carried out a specific psychological intervention program. After completing the program, the psychological intervention group improved statistically significantly in 8of the 9variables analyzed compared to only 2in the control group and with a higher effect size (medium or large size: Cohen's d> 0.5). Furthermore, this benefit was maintained at one year for the psychological intervention group.
CONCLUSIONS: Overall, face-to-face cardiac rehabilitation programs improve the psychological sphere of the patient with acute coronary syndrome. In addition, those patients who complete a specific psychological intervention program significantly improve a greater number of psychological variables and to a greater extent compared to those who do not.