Monaldi archives for chest disease = Archivio Monaldi per le malattie del torace / Fondazione clinica del lavoro, IRCCS [and] Istituto di clinica tisiologica e malattie apparato respiratorio, Università di Napoli, Secondo ateneo
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Monaldi Arch Chest Dis · Sep 2003
Review Practice Guideline Guideline[Guidelines for psychology activities in cardiologic rehabilitation and prevention].
The purpose of these guidelines is to provide specific recommendations in regard to psychological activities in cardiac rehabilitation (CR). Based on scientific evidence and clinical experience, the present guidelines are targeted for psychologists working in the field of cardiac rehabilitation and for the core component of CR, as well as for the health care providers, insurers, policy makers and consumers. In the introduction, the framework of Italian cardiac rehabilitation and psychology as well as the methodology used are defined, in accordance with the recommendations of the National Guidelines Programme of the Italian Health Ministry. ⋯ Section three describes the psychological characterization and the specificity of psychological interventions in different cardiac patients populations: patients with ischemic heart disease, patients after cardiac surgery, patients with chronic heart failure, patients after heart transplantation, patients with chronic peripheral artery disease, patients with pace-maker or implantable cardioverter defibrillator, high risk patients for cardiovascular disease, over 75 years of age and finally end-stage cardiac patients. The last section describes the processes of programme evaluation, audit and patient feedback as the main instruments recommended for continuous improvement of quality of psychological care in cardiac rehabilitation. The appendices contain a flow-chart describing the course of psychological interventions, a summary of recommendations for each cardiac condition and a glossary.