Wellness motivation in cardiac rehabilitation

Article Abstract:

The effectiveness of cardiac rehabilitation after myocardial infarction (heart attack) is often minimal because many people are not motivated to change their behavior even after a serious cardiac event. Wellness motivation, or the individual intention to initiate or sustain health behavior, is a major factor in behavior change, and better awareness of the constituents of wellness motivation may help nurses to determine more effective strategies for influencing patients. Social support, whether the person believes he or she can influence the outcome (health locus of control), and the value the person places on health all affect wellness motivation. Fifty-two out of 120 men who were involved in cardiac rehabilitation responded to the survey. Respondents were likely to be more highly motivated than those who did not respond, and therefore the findings of this study are limited, not only to males, but to highly motivated patients. Those who believed they had control over their own health were found to be more highly motivated to initiate and change behavior. These individuals believed that health care providers were also able to influence the outcome, indicating an interaction between the patient and the health care provider in successful rehabilitation. Those who looked to the future, expected external recognition for activities, emphasized individual development, and had traditional, family or group goals were more likely to comply with rehabilitation. Nurses should be aware that motivation relating to cardiac rehabilitation may be increased by attention to the goals valued by the individual patient. Support from the rehabilitation staff may need to include emphasis on the patient's ability to have an impact on the outcome, development and implementation of goals, and the identification of problems and their solutions. Active involvement of family members and rehabilitation groups members may also influence motivation. (Consumer Summary produced by Reliance Medical Information, Inc.)

Practice, Rehabilitation nursing

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Effects of timing and reinforcement of preoperative education on knowledge and recovery of patients having coronary artery bypass graft surgery

Article Abstract:

The period prior to coronary artery bypass graft surgery (CABG) is a very stressful time for the patient. Studies have shown that providing educational sessions prior to the surgery can reduce patient symptoms of nausea and vomiting, and patients that participate in these sessions have fewer complications, require less pain medication, and have a shorter hospitalization period. In the past it was common practice to admit CABG patients to the hospital two to three days before the surgery. This allowed ample time for providing patient education before the final 24 hour waiting period, when patients become most anxious. Today, CABG patients are admitted the day before surgery and educational sessions are provided the afternoon or evening before the surgery, when patient tension and anxiety are the greatest. Anxiety is likely to reduce patient attention and learning ability. Therefore, a study was performed to evaluate the outcome of 20 CABG patients who received pre-admission teaching sessions in addition to the regular education sessions provided on the day of hospitalization. These patients participated in educational sessions 5 to 14 days prior to hospitalization. Four days before admission, they received a telephone call, and on the day of admission, they participated in the regular education program. Twenty other CABG patients received only the regular education program on the day of hospitalization. The patients who participated in the pre-admission teaching sessions had greater knowledge about CABG prior to the surgery, had more positive moods, and more favorable recoveries following surgery than those who were offered just the regular education session on the day of hospitalization. (Consumer Summary produced by Reliance Medical Information, Inc.)

Psychological aspects, Methods, Education, Patient education, Coronary artery bypass

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