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- Title
Cardiac Rehabilitation of a Patient with Heart Failure. Combining Cognitive Behavioural Therapy, Motivational Psychological Interviewing with an Educational Program and an Exercise Program to Make His Life Better.
- Authors
Selim, Ghada; El Ghanam, Ahmed; Rizk, Mohamed; El Awam, Mohamed
- Abstract
Background Heart failure following acute myocardial infarction is a rapidly developing event leaving no time for adaptation. Depression, denial and anxiety are common especially in young active population. Objective Emphasizing cognitive behavioural therapy with an exercise-based cardiac rehabilitation program to accelerate recovery, improve quality of life, exercise tolerance, serf-confidence and early return to work. Methods The patient was a 47-year-old male with a history of hypertension (HTN), diabetes and hyperlipidemia who developed decompensated heart failure following myocardial infarction, and was referred to cardiac rehabilitation 2 weeks after hospital discharge. The patient suffered psychological disturbances due to maladaptation and was enrolled in a cardiac rehabilitation program that included medically supervised aerobic exercise, education for 10 weeks (20 visits) and motivational psychotherapy performed by psychologist. Results The patient gained improvements in; exercise tolerance, quality of life (QOL), based on the Short Form-12(SF-12), and a reduction in modifiable cardiac risk factors specifically reduced blood pressure with increased routine participation in cardiovascular exercise. No adverse events occurred during the intervention. Conclusions A 10-week exercise and education program was implemented safely and effectively early following hospital discharge. Combining cognitive behavioural therapy, motivational psychological interviewing have shown to improve patient's psychological defence mechanisms, compliance with medication regimens and attendance at exercise programs, thus achieving CR goals. Aerobic exercise was performed safely 2 weeks after the last hospital admission, provided exercise sessions were closely monitored.
- Subjects
CARDIAC rehabilitation; COGNITIVE therapy; EXERCISE therapy; HYPERLIPIDEMIA; PSYCHOTHERAPY
- Publication
Heart Mirror Journal, 2013, Vol 7, Issue 2, p118
- ISSN
1687-6652
- Publication type
Case Study