Early rehabilitation of the patients with acute coronary heart disease

Ispitujući depresivna stanja bolesnika, ispitali smo rezultate rane psihičke i fizičke rehabilitacije 20 bolesnika u odabranom uzorku po dobi, spolu i stručnoj spremi. Rana mobilizacija naših bolesnika rezultirala je dobrom fizičkom aktivnošću. Međutim, psihička rehabilitacija nije zadovoljavajuća usprkos entuzijazmu tima KJ. U naših bolesnika opadaju radost, anksioznost, raste tuga, agresivnost i odbijanje. Zato je potreban psihoterapeutski pristup u ranoj psihičkoj rehabilitaciji akutnih koronarnih bolesnika. Idealno je ranu hospitalnu fazu rehabilitacije produžiti ambulantnom rehabilitacijom do faze održavanja i vraćanja na posao. Tako bi se uz bolje rezultate skratio i period oporavka. Mala ekipa, u kojoj bi bio kardiolog, klinička sestra, psihoterapeut i socijalni radnik, mogla bi u potpunosti zadovoljiti kompletan program svih rehabilitacionih procesa.Testing our patients depressive behaviour we studied the results of early physical and psychological rehabilitation in 20 patients. They were selected by age, sex and qualification. Early mobilisation of our patients resultst in good physical activity. Nowever, for all our enthusiasm, psychological rehabilitation is not yet satisfying. In our patients both optimism and anxiety are reduced, but depression, agression and denial increase. Psychotherapeutic treatment is needed for early psychological rehabilitation. It is ideal in the early rehabilitation phase if it is followed first by the outpatient care rehabilitation, then by the maintenance phase to the final back-to-work phase. This would lead us to better results and shorter period of rehabilitation. A small group consisting of a cardiologist, nurse, psychotherapist, physical therapist and a social worker is able to cope perfectly well with the complete program of all rehabilitation processes