Related Experiment Video
Updated: Jan 18, 2026
E-Patient Counseling Trial E-PACO: Computer Based Education versus Nurse Counseling for Patients to Prepare for Colonoscopy
Published on: August 1, 2019
The effectiveness of an educational program on health index in MI patients hospitalized in CCU ward
Reihane Askari1, Ahmadreza Yazdannik1, Iraj Shamsi2
1Special Care Nursing Department, Faculty of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran.
Insights
Early rehabilitation programs for acute myocardial infarction (MI) patients are safe and effective. This study found that early movement did not negatively impact physiological indexes, suggesting its benefit in patient care.
Area of Science:
- Cardiology
- Rehabilitation Medicine
- Critical Care Medicine
Background:
- Acute myocardial infarction (MI) presents a significant global health and economic burden.
- Early rehabilitation post-MI is crucial to mitigate adverse effects and improve patient outcomes.
- This study addresses the need for evidence on early intervention effectiveness in CCU patients.
Purpose of the Study:
- To evaluate the effectiveness of an early educational and rehabilitation program on the health index of acute myocardial infarction patients.
- To assess the impact of a 6-step rehabilitation program on physiological parameters in hospitalized MI patients.
Main Methods:
- A clinical trial involving 60 acute myocardial infarction patients randomly assigned to intervention (n=30) or control (n=30) groups.
- The intervention group received a 6-step rehabilitation program, while the control group received routine care.
- Physiological indexes (blood pressure, heart rate, oxygen saturation) were monitored pre-, during, and post-intervention.
Main Results:
- No statistically significant differences were observed in systolic/diastolic blood pressure, heart rate, or oxygen saturation between groups post-intervention.
- Clinically significant improvements were noted, indicating positive patient response to early movement.
- Early mobilization was found to be safe, not causing negative hemodynamic changes.
Conclusions:
- Early movement programs are safe and feasible for acute myocardial infarction patients in CCU settings.
- Implementing early rehabilitation can be beneficial, counteracting complications associated with prolonged immobility.
- The findings support the integration of early movement into standard care plans for MI patients.
Background:
Acute myocardial infarction (MI), as a serious and fatal heart disease and an important medical emergency, imposes the large financial burden on the health and treatment systems of countries and the family economy. In the meantime, starting rehabilitation programs after acute myocardial infarction as soon as possible can minimize the unfortunate and irreparable side effects. Therefore, the present study was conducted with the aim of evaluating the effectiveness of an educational program on health index in the MI patients hospitalized in CCU ward.
Materials And Methods:
This study was conducted as a clinical trial on 60 patients with acute myocardial infarction referred to hospitals affiliated to Isfahan University of Medical Sciences in 2022. The intervention group (n = 30) and control group (n = 30) were divided randomly. The intervention group received a 6-step rehabilitation program and the control group received the routine care. Before, during and after the intervention, the physiological indexes of the patients (systolic and diastolic blood pressure, heart rate, arterial blood oxygen saturation) were monitored. Data were analyzed using the SPSS version 20 software and descriptive and inferential statistical methods.
Result:
Difference between changes in mean scores of the systolic and diastolic blood pressure, heart rate, arterial blood oxygen saturation between two groups, after the intervention compared to before the intervention was not statistically significant. Moreover, there was no significant difference, during the intervention compared to before the intervention and after the intervention (P > 0 05) but clinically significant improvement was observed.
Conclusion:
Early movement of a patient with acute myocardial infarction does not cause negative changes in the physiological indexes and hemodynamic stability of the patient. Therefore, the use of early movement program in the treatment and care plan of acute myocardial infarction patients is safe and possible and useful considering the complications of prolonged immobility.
Related Concept Videos
01:28Acute Coronary Syndrome IV: Interprofessional Care
01:22Healthcare Associated Infections II: Preventive Measures
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
00:59Hospitals-II
Nurses that work in...
01:15Nursing Implementation
The five steps to implementing effective nursing care include reassessing the patient, reviewing and revising the existing nursing care plan, organizing the resources and care delivery, anticipating and preventing complications, and implementing nursing interventions.
01:22Myocarditis IV: Nursing Management
01:26Methods Of Healthcare Delivery System
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...