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Effects of self-help post-myocardial-infarction rehabilitation on psychological adjustment and use of health services

Lewin, B. ; Robertson, I.R. ; Cay, E.L. ; Irving, J.B. ; Campbell, M.

The Lancet (British edition), 1992-04, Vol.339 (8800), p.1036-1040 [Periódico revisado por pares]

LONDON: Elsevier Ltd

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Título:
Effects of self-help post-myocardial-infarction rehabilitation on psychological adjustment and use of health services
Autor: Lewin, B. ; Robertson, I.R. ; Cay, E.L. ; Irving, J.B. ; Campbell, M.
Assuntos: Adaptation, Psychological ; Adult ; Aged ; Anxiety ; Biological and medical sciences ; Cardiology. Vascular system ; Cardiovascular disease ; Depression ; Electrocardiography ; Exercise ; Female ; General & Internal Medicine ; Health services ; Health Services - statistics & numerical data ; Heart ; Heart attacks ; Humans ; Life Sciences & Biomedicine ; Male ; Medical research ; Medical sciences ; Medicine, General & Internal ; Mental depression ; Middle Aged ; Myocardial infarction ; Myocardial Infarction - psychology ; Myocardial Infarction - rehabilitation ; Patients ; Physical fitness ; Rehabilitation ; Science & Technology ; Self Care - psychology ; Self help ; United Kingdom
É parte de: The Lancet (British edition), 1992-04, Vol.339 (8800), p.1036-1040
Notas: ObjectType-Article-2
SourceType-Scholarly Journals-1
ObjectType-Feature-1
ObjectType-News-3
content type line 23
Descrição: A home-based exercise programme has been found to be as useful as a hospital-based one in improving cardiovascular fitness after an acute myocardial infarction. To find out whether a comprehensive home-based programme would reduce psychological distress, 176 patients with an acute myocardial infarction were randomly allocated to a self-help rehabilitation programme based on a heart manual or to receive standard care plus a placebo package of information and informal counselling. Psychological adjustment, as assessed by the Hospital Anxiety and Depression Scale, was better in the rehabilitation group at 1 year. They also had significantly less contact with their general practitioners during the following year and significantly fewer were readmitted to hospital in the first 6 months. The improvement was greatest among patients who were clinically anxious or depressed at discharge from hospital. The cost-effectiveness of the home-based programme has yet to be compared with that of a hospital-based programme, but the findings of this study indicate that it might be worth offering such a package to all patients with acute myocardial infarction.
Editor: LONDON: Elsevier Ltd
Idioma: Inglês

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Effects of self-help post-myocardial-infarction rehabilitation on psychological adjustment and use of health services

Lewin, B. ; Robertson, I.R. ; Cay, E.L. ; Irving, J.B. ; Campbell, M.

LONDON: Elsevier Ltd

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