| Name: | Description: | Size: | Format: | |
|---|---|---|---|---|
| 268.72 KB | Adobe PDF |
Advisor(s)
Abstract(s)
Heart transplantation is the gold-standard treatment for terminal heart failure. Despite being successful, pre- and post-transplant limitations interfere with patients’ functional capacity, self-care, and quality of life post-surgery. Rehabilitation is necessary to address these limitations, prevent complications, and promote a safe return home. This study analyzes the safety of a phase 1 cardiac rehabilitation protocol (RN4HTx) in heart transplant patients and its effects on self-care capacity. A quantitative, descriptive study was conducted with 19 heart transplant recipients. The protocol was implemented in collaboration with a rehabilitation professional, who monitored adverse events, hemodynamic variables, self-care capacity (Barthel) pre- and post-transplant, and functional capacity at discharge (6 min walk test). The results showed that 68.42% of recipients were men, with an average age of 50.21 years and 15 days of hospitalization post-transplant. Approximately 73.68% of recipients were transferred from other wards with changes in functional capacity. All patients progressed to the final stage of the program without adverse events. There was a notable improvement in self-care capacity before and after transplantation, with a measure of functional status of 310.035 m (6MWT). The study found that RN4HTx is a feasible cardiac rehabilitation program without adverse events in the immediate postoperative period following heart transplantation, positively impacting functional recovery and therapeutic self-care capacity, thus increasing the safety of returning home. This study was retrospectively registered on Clinical Trials—NCT06552390.
Description
Keywords
Cardiac rehabilitation Heart transplantation inpatient rehabilitation nursing
Pedagogical Context
Citation
Loureiro, Maria; Parola, Vítor; Duarte, João; Oliveira, Isabel; Antunes, Margarida, Coutinho, GF; Martins, Maria Manuela; Novo, André (2024). Cardiac rehabilitation to unpatient heart transplant—HRN4HTx intervention protocol. Nursing Reports. ISSN 2039-4403. 14:3. p. 2084-2094
Publisher
Multidisciplinary Digital Publishing Institute (MDPI)