KNGF Guideline Cardiac rehabilitation
KNGF Guideline Cardiac rehabilitation
KNGF Guideline Cardiac rehabilitation
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<strong>KNGF</strong> Clinical Practice <strong>Guideline</strong> for physical therapy in patients undergoing cardiac <strong>rehabilitation</strong><br />
Supplements<br />
Supplement 7 Instructions for relaxation<br />
It is very important that the patient not only receives instructions on how to relax, but that the physical therapist also evaluates to what<br />
extent the patient has actually understood the instructions and is able to apply them. To date, however, there are no reliable assessment<br />
instruments.<br />
The following assessments can be used. Assessments 1 and 2a are highly recommended. Assessment 3 takes more of the patient’s time, but<br />
yields more differentiated information.<br />
Three assessment instruments for relaxation instructions<br />
Assessment 1<br />
Assessment by therapist<br />
Does the therapist have the impression that the patients has learned to relax?<br />
1 = yes, clearly: patient is able to carry out the instruction and actually does so, then perceives that concrete changes have<br />
occurred, which they regard as positive.<br />
2 = unclear: the patient rarely if ever carries out the instruction, perceives little or no change and regards any changes as mixed<br />
or neutral.<br />
0 = no: the patient does not carry out any relaxation exercises or perceives no change at all or perceives mostly unpleasant<br />
changes.<br />
Assessment 2<br />
Self-assessment by patient<br />
2a. Evaluation questions to be asked at end of treatment:<br />
1a. Have you managed to find a way to practice relaxation that you can continue at home?<br />
2 = yes, definitely<br />
1 = yes, to some extent<br />
0 = no<br />
1b. If yes, which exercises do you prefer?<br />
2a. Do the relaxation exercises that you do at home have any effect?<br />
2 = yes, clearly<br />
1 = yes, to some extent<br />
0 = no<br />
2b. How do you notice this?<br />
3. Do you expect that you’ll keep up the relaxation exercises in the longer term?<br />
2 = yes, definitely<br />
1 = yes, provided…<br />
0 = no<br />
A sum score of 5 or 6 for these questions signifies a positive result of the relaxation instructions, while a sum score of 0 or 1 indicates<br />
the absence of any effect.<br />
Additional questions:<br />
4. Would you like further relaxation instructions?<br />
yes, definitely<br />
1 = yes, provided….<br />
no<br />
5. 1 = yes, provided…<br />
in a group<br />
individually<br />
V-08/2011<br />
35
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