Plenary 1: The Hospital – A Staff Empowering ... - HPH-Conference

More documents

Recommendations

Info

Parallel Sessions Parallel Sessions 2: Thursday, April 12, 2007, 14.15-15.45 Session 2-1: Health promotion needs of hospital patients: Systematic assessment and service design Effects of a multifactorial cardiac rehabilitation programme for patients with an Implantable Cardioverter Defibrillator (ICD) Catherine Bellew Background Cardiac rehabilitation is well established for patients with ischaemic heart disease, especially those that have suffered acute damage to the heart or had surgical procedures carried out on the coronary artery vessels or valves (Thompson et al 2003; Giannuzzi et al 2003). Nowadays, more and more individuals are having implantable cardioverter defibrillators (ICD) implanted, which have been shown to reduce mortality (AVID 1997, Moss et al 1996, Moss et al 2002). The effect of a cardiac rehabilitation programme for ICD recipients has not been well studied and no research on the subject in Ireland exists. Aim The aim of the study was to investigate the effects of a multifactorial cardiac rehabilitation programme for ICD recipients in comparison to other cardiac patients, in an Irish setting. Methods and Preliminary Results 28 ICD recipients (82% male) were compared to a control group of 79 cardiac patients (83% male). The ICD Group had mean age of 61 with a range in age from 36 to 76 years and a standard deviation (SD) of 9.50 years. Control Group mean age of 58 (Range 36-79yrs, SD= 9.81yrs). Exercise capacity was assessed using a treadmill exercise test prior to cardiac rehabilitation and post cardiac rehabilitation. Hospital anxiety and depression (HAD) scores and Global Mood Scale (GMS) were recorded pre and post the programme. METS (mean; SD) increased from 5.4 METS (SD=2.45) to 8.3 METS (SD=2.26) following attendance at cardiac rehabilitation for the ICD group (t=7.72, DF 25 p=.000). METS (mean SD) for the control group increased from 8.3 METS (2.26) to 10.6 METS (2.66) following attendance at cardiac rehabilitation (t=10.327, DF 75 p=.000). (HADS (mean; SD) anxiety scores decreased during cardiac rehabilitation from 8.8 (4.02) to 6.5 (2.62), (t=4.745, DF 25 p=.000). for the ICD group. The mean (SD) HADS depression scores were 5.31 (2.75) pre cardiac rehabilitation decreasing to 4.50 (2.50). The mean HADS anxiety and depression scores for the control group decreased from 7.7 (4.16) to 5.8 (3.22) (t=7.72, DF 25 p=.000).) and 5.2 (3.33) to 3.6 (2.86) respectively following attendance at cardiac rehabilitation. The ICD group had an increase in GMS (mean; SD) from 20 (6.01) to 25 (6.60) (t=4.790, DF 24 p=.000).). GMS (mean; SD) increased from 22 (7.19) to 26 (5.65) for the control group t=5.962, DF 69 p =.000). One ICD recipient received a shock after the post treadmill exercise stress test for ventricular tachycardia. Otherwise none of the participants received a shock during the study period or had any ventricular arrhythmias. Conclusion Cardiac rehabilitation appears to be safe for ICD recipients. It can improve exercise capacity and lower psychological distress and improve mood. A large randomised multicentre trial is warranted. Connex to HPH Despite impressive survival rates after ICD implantation many ICD recipients report a less fulfilling life, fightend to exercise and engage in work and social activities. Cardiac Rehabilitation (CR) is well established for patients with coronary heart disease with benefits well documented. To date very few ICD recipients have been included in CR programmes. By inviting ICD recipients to these programmes has empowered patients to live healthier lives including reduce fear of exercising. Study carried out at Connolly Hospital Blanchardstown, Ireland a HPH Hospital. Contact Catherine BELLEW Hospital Connolly Hospital Blanchardstown Blanchardstown Dublin 15 Dublin IRELAND +353 164 658 00 cathbellew@eircom.net Health promotion in perioperative care: Effect upon outcome after spine surgery (RCT-study) Hanne Tønnesen, Per Rotbøll Nielsen, Lars Rasmussen, Benny Dahl Introduction An increasing number of patients undergo surgery for degenerative spine disease, which is, however, related to a significant development of postoperative complications. Recent evidence has been gathered for other surgical procedures about an improved outcome and reduced postoperative stay after preoperative smoking and alcohol cessation programs as well as after early rehabilitation programs (fast track surgery). Furthermore, no studies have been published concerning a combined program of the preoperative prevention programs and fast track surgery. Aim The aim was to evaluate the outcome after spine surgery when using an integrated program that combined preoperative prevention and early postoperative rehabilitation compared to the routine procedures. 30
Parallel Sessions Parallel Sessions 2: Thursday, April 12, 2007, 14.15-15.45 Method After informed consent 60 consecutive patients scheduled for degenerative lumbar disease were computer-randomized to intervention or control group. The control group followed the routines in the department. The intervention group followed the integrated and multidisciplinary program consisting of: � Preoperative intervention: 2 months prior to the operation smokers and harmful drinkers were offered smoking and alcohol cessation intervention. All the intervention patients had supplemental protein drinks and analgetic treatment improved, and they all had a program for home exercise (focusing upon muscle strength and cardio-pulmonary function) supervised by physiotherapist. � Early postoperative rehabilitation: Balanced pain therapy using epidural analgesia, accelerated rehabilitation program with nutrition rich of protein and intensive mobilisation immediately after surgery; all aiming quickly discharge from hospital. Results In total 28 patients entered the intervention group and 32 the control group. At inclusion time two months before surgery the groups were similar, but at time for operation the intervention group had developed a higher level of functionality (Roland- Morris, p < 0.01). After surgery the intervention group reached their milestones in the recovery process faster than the control group (p
Page 1: Health Promoting Hospitals 15 th In
Page 4 and 5: Table of Contents Session P 1-1: Su
Page 6 and 7: The Scientific Committee Hartmut BE
Page 8 and 9: The Main Conference Programme on Fr
Page 10 and 11: Plenary 2: Transforming the hospita
Page 12 and 13: Plenary 3: Empowering people for he
Page 14 and 15: World Day against Tobacco. In this
Page 16 and 17: Parallel Sessions Pre-conference: W
Page 18 and 19: Parallel Sessions Parallel Sessions
Page 44 and 45: Schottenfeldgasse 29 100 Vienna AUS
Page 46 and 47: Parallel Sessions Parallel Session
Page 50 and 51: Appri -EPSM des Flandres 59270 Bail
Page 54 and 55: 1090 Vienna AUSTRIA +43 1 427 748 2
Page 56 and 57: Evaluation Parallel Sessions Parall
Page 62 and 63: Outcome Parallel Sessions Parallel
Page 64 and 65: Contact Dr. Shu-Chin TUNG Departmen
Page 70 and 71: Poster Sessions Poster Session 1: T
Page 76 and 77: Contact Ms. Rose BYRNE Our Lady of
Page 82 and 83:
Poster Sessions Poster Session 1: T
Page 84 and 85:
Page 86 and 87:
LITHUANIA +370 678 174 81 s.marceni
Page 88 and 89:
Page 90 and 91:
Page 92 and 93:
Page 94 and 95:
Page 96 and 97:
Page 98 and 99:
Page 100 and 101:
Page 102 and 103:
Page 104 and 105:
Page 106 and 107:
Page 108 and 109:
Page 110 and 111:
Page 112 and 113:
Page 114 and 115:
Page 116 and 117:
Page 118 and 119:
Page 120 and 121:
Poster Sessions Poster Session 2: F
Page 122 and 123:
Page 124 and 125:
Page 126 and 127:
Page 128 and 129:
Page 130 and 131:
Page 132 and 133:
Page 134 and 135:
Page 136 and 137:
Page 138 and 139:
133. Meditation and pain control Po
Page 140 and 141:
Page 142 and 143:
Page 144 and 145:
Page 146 and 147:
Page 148 and 149:
Page 150 and 151:
Page 152 and 153:
ESTONIA +372 697 73 03 lagle.suuror
Page 154 and 155:
Page 156 and 157:
Page 158 and 159:
A Acler · 69 Acquistapace · 118,
Page 160 and 161:
Gilroy · 77 Giordano · 86 Giovane
Page 162 and 163:
Orsi · 133 O'Sullivan · 70 Ourano
Page 164:
AUASUJ_04070 Kongr SW_A4 e 17.03.20
show all

Plenary 1: The Hospital – A Staff Empowering ... - HPH-Conference

Create successful ePaper yourself

Delete template?

Save as template?