Cardiac Rehabilitation: Optimisation of the Functional Capacity of Patients Hospitalized With Cardiac Disease

NCT ID: NCT06546878

Last Updated: 2024-08-09

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 11 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2024-05-01
• Study Completion Date: 2024-07-30

Brief Summary

The World Health Organization [WHO] (2021) states that Cardiovascular Diseases [CVD] are the leading cause of death in the world, and in 2019 around 17.9 million deaths were caused by CVD and the national picture is no different. In Portugal, demographic ageing continues to be established by the increase in average life expectancy, which in turn leads to an increase in the percentage of the population with CVDs. Of particular note is Ischemic Heart Disease [IHD], which is the second leading cause of death in Portugal In order to prevent and combat the progression of CVD and its complications, Cardiac Rehabilitation [CR] programs have emerged as a secondary prevention method supported by relevant scientific evidence. In this sense, the Portuguese Society of Cardiology recognizes the role of the Rehabilitation Nurse Specialist as a crucial element of CR teams.

Objective: To evaluate the effectiveness of the phase I cardiac rehabilitation program in patients hospitalized with ischemic heart disease, in terms of functional capacity.

Conditions

Myocardial Ischemia; Heart Diseases

Study Design

• Allocation Method: NA
• Intervention Model: SINGLE_GROUP
• Primary Study Purpose: TREATMENT
• Blinding Strategy: NONE

Study Groups

Intervention Group

Group Type: EXPERIMENTAL

Cardiac Rehabilitation (Phase I) - nurse intervention

Intervention Type: PROCEDURE

The intervention consists of applying CR program (phase I ) following the Guidlines of American Association of Cardiovascular and Pulmonary Rehabilitation. The program was applied by adapting it to the patient, varying the intensity and frequency of the sessions, according to the FITT_VP acronym.

This phase consists of functional respiratory rehabilitation and motor rehabilitation exercises. Each session is divided into three parts, starting with a warm-up with breathing and isometric exercises, then the so-called peak, which consists of specific endurance/aerobic exercises, and at the end, as a recovery phase, relaxation exercises with stretching are instructed.

Also, health education sessions for patients/caregiver.

Interventions

Cardiac Rehabilitation (Phase I) - nurse intervention

The intervention consists of applying CR program (phase I ) following the Guidlines of American Association of Cardiovascular and Pulmonary Rehabilitation. The program was applied by adapting it to the patient, varying the intensity and frequency of the sessions, according to the FITT_VP acronym.

This phase consists of functional respiratory rehabilitation and motor rehabilitation exercises. Each session is divided into three parts, starting with a warm-up with breathing and isometric exercises, then the so-called peak, which consists of specific endurance/aerobic exercises, and at the end, as a recovery phase, relaxation exercises with stretching are instructed.

Also, health education sessions for patients/caregiver.

Intervention Type: PROCEDURE

Eligibility Criteria

Inclusion Criteria

• Patients with Myocardial Ischemia
• Patients who agree to take part in the rehabilitation exercise program
• Patients with the cognitive capacity to understand the instructions given, the exercises to be carried out and the teaching provided
• Patients with clinical and hemodynamic stability
• Patients participating in the rehabilitation exercise program for at least 2 sessions.

Exclusion Criteria

• Patients who do not meet the safety criteria for exercising after a cardiac event
• Patients with osteoarticular pathology that compromises their ability to exercise.

• Minimum Eligible Age: 18 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: Yes

Sponsors

José Manuel Afonso Moreira

OTHER

Sponsor Role: lead

Responsible Party

José Manuel Afonso Moreira

Clinical Professor

Responsibility Role: SPONSOR_INVESTIGATOR

Principal Investigators

José Moreira, MsC

Role: STUDY_CHAIR

University of Évora

Locations

Beja

Beja, , Portugal

Countries

Portugal

Other Identifiers

Polytechnic Institute of Beja

Identifier Type: -

Identifier Source: org_study_id