The findings from this systematic review suggest favorable effects on the readmission rates .
As well , the individualized patient education intervention is effective in promoting statistically significant changes in quality of life , performance of health behaviours , depression , and anxiety
The objective of this systematic review was to compare the effectiveness of individualized patient education interventions to st and ardized patient education interventions on the rate of readmission , performance of specific health behaviours , depression , anxiety , and cognition during the post-hospital discharge recovery period following cardiovascular surgery .
Program participation, exercise adherence, cardiovascular outcomes, and program cost of traditional versus modified cardiac rehabilitation.
Common concerns with the traditional protocol ( TP ) for cardiac rehabilitation include suboptimal program participation , poor facilitation of independent exercise , the use of costly continuous electrocardiographic ( ECG ) monitoring , and lack of insurance reimbursement . To address these concerns , a reduced cost-modified protocol ( MP ) was developed to promote independent exercise . Eighty low- to moderate-risk cardiac patients were r and omized to a TP ( n = 42 ) or a MP ( n = 38 ) and were compared over 6 months on program participation , exercise adherence , cardiovascular outcomes , and program costs . During month 1 , patients followed identical regimens , including 3 ECG-monitored exercise sessions/week , with encouragement to achieve > /=5 thirty-minute sessions/week . In week 5 , the TP continued with a facility-based regimen including 3 exercise sessions/week for 6 months and used ECG monitoring the initial 3 months . The MP discontinued ECG monitoring in week 5 and were gradually weaned to an off-site exercise regimen that was complemented with educational support meetings and telephone follow-up . Compared with TP patients , MP patients had higher rates of off-site exercise over 6 months ( p = 0.05 ) , and total exercise ( on site + off site ) during the final 3 months ( p = 0.03 ) . Also , MP patients were less likely to drop out ( p = 0.05 ) . Both protocol s promoted comparable improvements in maximal oxygen uptake ( p < 0.05 ) , blood lipids ( p < 0.001 ) , and hemodynamic measurements ( p < 0.002 ) . The MP cost $ 738 less/patient than the TP and required 30 % less staff ( full-time equivalents ) . These results suggest that a reduced cost MP was as effective as an established TP in improving physiologic outcomes while demonstrating higher rates of exercise adherence and program participation . Thus , the MP or a similar protocol has applicability to hospitals with large capitated or managed care population s to provide cost-effective cardiovascular risk reduction to patients
The findings from this systematic review suggest favorable effects on the readmission rates .
As well , the individualized patient education intervention is effective in promoting statistically significant changes in quality of life , performance of health behaviours , depression , and anxiety
The objective of this systematic review was to compare the effectiveness of individualized patient education interventions to st and ardized patient education interventions on the rate of readmission , performance of specific health behaviours , depression , anxiety , and cognition during the post-hospital discharge recovery period following cardiovascular surgery .