Effect of Multimodal Cardiac Rehabilitation Program on Patients after Acute Myocardial Infarction: Nursing Sensitive Outcomes

Abstract

Context: Multimodal cardiac rehabilitation (CR) is a combined variety of activities required to influence favorably the causal cause of the disease, aimed at providing patients after acute myocardial infarction with the optimal social, psychological, and physical conditions, so that they can avert their disease from continuing by their personal efforts. Aim: The aim of this study was to evaluate the effect of multimodal cardiac rehabilitation program on Patients after Acute Myocardial Infarction: Nursing Sensitive Outcomes. Study design: A quasi-experimental design was utilized to achieve the aim. The study was carried out from the beginning of February 2020 to January 2021. Setting: This study was conducted at Cardiac Outpatient Clinic affiliated to Ain Shams University Hospital, Cairo. Subject: A purposive non-probability/nonrandomized sample of sixty patients after myocardial infarction. Methods: data were collected using four tools as follow:1- Structured Interview Patient Questionnaire, 2- Patients’ Knowledge questionnaire, 3- Health care practices level assessment tool and 4- Nursing Sensitive Patient Outcomes Measuring Scales. Results: this study exposes a statistically significant differences between study and control groups regarding the nursing sensitive patient outcomes post-implementation of multimodal cardiac rehabilitation program at p (<0.05), compared to pre. There was statistically significant positive correlation between patients' total Nursing Sensitive outcomes and total health care practices level in the study and control groups pre/post-implementation of multimodal cardiac rehabilitation program at (P<0.001). The Conclusion: This study showed that multimodal rehabilitative measures are effective for decline of risk factors such as physical exercise, nicotine abstinence, weight loss, and cholesterol lowering by multimodal CR can improve all dimensions of nursing sensitive patient outcomes, also health care practices behavioral level post-implementation of program. Recommendation: promote health care providers especially nurses to incorporate multimodal CR program in the care protocols of patients with cardiovascular problems in different health care settings to progress patient outcomes.