PMID: 9187981May 1, 1997Paper

The effect of a home-based, case-managed, multifactorial risk-reduction program on reducing psychological distress in patients with cardiovascular disease

Journal of Cardiopulmonary Rehabilitation
C B TaylorR F DeBusk

Abstract

This study examined the effects of a nurse-case-managed, multifactorial, risk-reduction program on psychological distress among patients after myocardial infarction (MI). Five hundred eighty-five men and women aged 70 years or younger, who were hospitalized for acute MI in one of five San Francisco Bay Area hospitals, were randomized to receive a nurse-managed, home-based, multifactorial risk-reduction program (n = 293) or usual care (n = 292). The program, which began in the hospital, included a brief screen for five areas of psychological distress with further evaluation if indicated, monitoring during the follow-up phone calls, and referral for mental health treatment if needed. Patients were assessed with single-item scales at baseline, and at 6 and 12 months. Separate analyses were performed for patients with moderate-to-severe levels on the psychological distress domains and for those with low levels. There was a significant reduction in the psychological distress variables for all patient groups between baseline and 12 months. The program had a significant effect on reducing anxiety in the patient group with low levels of anxiety and reducing anger in the patient group with frequent episodes of anger but, overall, the tr...Continue Reading

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Citations

May 7, 2008·Quality of Life Research : an International Journal of Quality of Life Aspects of Treatment, Care and Rehabilitation·Frans Pouwer
Jan 17, 2007·The Journal of Cardiovascular Nursing·Lani Zimmerman, Susan Barnason
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May 11, 2005·Journal of Advanced Nursing·Kathleen Hartford
Feb 3, 2006·Scandinavian Journal of Medicine & Science in Sports·B K Pedersen, B Saltin
Jan 18, 2007·Rehabilitation Nursing : the Official Journal of the Association of Rehabilitation Nurses·Bernice C YatesCarol Ott
Apr 1, 2004·European Journal of Cardiovascular Nursing : Journal of the Working Group on Cardiovascular Nursing of the European Society of Cardiology·Joanne DollardSimon Stewart
Jan 6, 2016·The Cochrane Database of Systematic Reviews·Lindsey AndersonRod S Taylor
Jul 7, 2015·The Cochrane Database of Systematic Reviews·Jürgen BarthJulia A Critchley
Aug 5, 2003·Lippincott's Case Management : Managing the Process of Patient Care·David E HarrisKatherine Norton
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Nov 7, 2021·The Cochrane Database of Systematic Reviews·Grace DibbenRod S Taylor

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