Original Article(s)
Vol. 13 (2025)
Educational group intervention as part of the multidisciplinary approach in cardiac rehabilitation: the experience of the Alessandria University Hospital
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All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
Received: 18 November 2024
Accepted: 11 March 2025
Accepted: 11 March 2025
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Background: cardiovascular diseases remain a major cause of morbidity and mortality worldwide. A multidisciplinary approach to cardiovascular rehabilitation is essential to improve patients' recovery and quality of life after a cardiac event. Materials and Methods: this paper describes the experience of the Alessandria University Hospital in implementing a multidisciplinary approach in Cardiac Rehabilitation. A team composed of rehabilitation cardiologists, physiotherapists, nurses and psychologists provides comprehensive and integrated patient care. Reference is made to the establishment of an educational group intervention on secondary prevention, centred on the person and on communication and relational aspects. The meetings of this multidisciplinary group focus on lifestyle modification, healthy eating, exercise, and psychological well-being. By addressing both physical and psychosocial factors, the aim is to reduce the risk of future cardiac events, improve functional capacity, and increase adherence to rehabilitation projects. Conclusions: future perspectives are discussed to foster in the person an increasing awareness of his or her state of health and a proactive attitude toward self-care.
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1. Visseren FL, Mach F, Smulders YM, et al. 2021 ESC Guidelines on cardiovascular disease prevention in clinical practice: developed by the task force for cardiovascular disease prevention in clinical practice with representatives of the European Society of Cardiology and 12 medical societies with the special contribution of the European Association of Preventive Cardiology (EAPC). European Heart Journal 2021;42:3227-337.
2. Celano CM, Villegas AC, Albanese AM, et al. Depression and anxiety in heart failure: a review. Harvard Review of Psychiatry 2018;26:175-84.
3. Ambrosetti M, Abreu A, Corrà U, et al. Secondary prevention through comprehensive cardiovascular rehabilitation: from knowledge to implementation. 2020 update. A position paper from the Secondary Prevention and Rehabilitation Section of the European Association of Preventive Cardiology. European Journal of Preventive Cardiology 2021;28:460-95.
4. Giannuzzi P, Temporelli PL, Marchioli R, et al. Global secondary prevention strategies to limit event recurrence after myocardial infarction: results of the GOSPEL study, a multicenter, randomized controlled trial from the Italian Cardiac Rehabilitation Network. Archives of Internal Medicine 2008;168:2194-204.
5. Dibben GO, Faulkner J, Oldridge N, et al. Exercise-based cardiac rehabilitation for coronary heart disease: a meta-analysis. European Heart Journal 2023;44:452-69.
6. Sofi F, Abbate R, Gensini GF, Casini, A. Accruing evidence on benefits of adherence to the Mediterranean diet on health: an updated systematic review and meta-analysis. The American journal of Clinical Nutrition 2010;92:1189-96.
7. Vassiliou VS, Tsampasian V, Abreu A, et al. Promotion of healthy nutrition in primary and secondary cardiovascular disease prevention: a clinical consensus statement from the European Association of Preventive Cardiology. European Journal of Preventive Cardiology 2023;30:696-706.
8. Wels J, Korda RJ, Joshy G, et al. Psychological distress and ischaemic heart disease: cause or consequence? Evidence from a large perspective cohort study. J Epidemiol Community Health 2017;71:1084-9.
9. Akosile W, Colquhoun D, Young R, et al. The association between post-traumatic stress disorder and coronary artery disease: a meta-analysis. Australasian Psychiatry 2018;26:524-30.
10. Peter RS, Meyer ML, Mons U, et al. Long-term trajectories of anxiety and depression in patients with stable coronary heart disease and risk of subsequent cardiovascular events. Depression and Anxiety 2020;37:784-92.
11. Sommaruga M. Positive affectivity and cardiovascular health. Monaldi Arch Chest Dis 2010;74:1-8.
12. Gruppo tecnico di lavoro “Psiche e cuore”. Interventi psicologici in cardiologia. Indicazioni per la pratica professionale e per un nuovo approccio normativo. Quaderno CNOP, 2024, Roma, Italy. Available from: https://www.psy.it/wp-content/uploads/2024/09/CNOP-N_11.pdf
13. Taylor RS, Fredericks S, Jones I, et al. Global perspectives on heart disease rehabilitation and secondary prevention: a scientific statement from the Association of Cardiovascular Nursing and Allied Professions, European Association of Preventive Cardiology, and International Council of Cardiovascular Prevention and Rehabilitation. European Heart Journal 2023;44:2515-25.
14. Zigmond AS, Snaith RP. The hospital anxiety and depression scale. Acta Psychiatrica Scandinavica 1983;67:361-70.
15. Loucks EB, Schuman-Olivier Z, Britton WB, et al. Mindfulness and cardiovascular disease risk: state of the evidence, plausible mechanisms, and theoretical framework. Current Cardiology Reports 2015;17:1-11.
16. Izanloo M, Peyvandi P, Borjali A, et al. Comparison of the effectiveness of compassion-focused therapy and mindfulness-based stress reduction on cognitive emotion regulation among patients with coronary heart disease. Journal of Vessels and Circulation 2020;1:31-9.
17. Morgenroth O, Petersen LE, Frey N, Reinecke A. The predictive value of self-compassion for psychological adjustment in left ventricular assist device patients: an observational study. ESC Heart Failure 2022;9:2378-87.
18. Davidson KW, Mostofsky E, Whang W. Don't worry, be happy: positive affect and reduced 10-year incident coronary heart disease: the Canadian Nova Scotia Health Survey. European Heart Journal 2010;31:1065-70.
19. Huffman JC, Mastromauro CA, Boehm, JK, et al. Development of a positive psychology intervention for patients with acute cardiovascular disease. Heart International 2011;6:hi.2011.e13a.
20. Huffman JC, Beale EE, Celano CM, et al. Effects of optimism and gratitude on physical activity, biomarkers, and readmissions after an acute coronary syndrome: the gratitude research in acute coronary events study. Circulation: Cardiovascular Quality and Outcomes 2016;9:55-63.
21. Gilbert P, Simos G (eds.). Compassion-focused therapy: clinical practice and applications. Routledge, Abingdon-on-Thames, UK, 2022.
22. Gilbert P. The compassionate mind. Robinson, London, UK, 2009.
23. Giannantonio M. Psychotraumatology: fundamentals and operational tools. Edi.Ermes, Milan, Italy, 2009.
24. Dusseldorp E, Van Elderen T, Maes S, et al. A meta-analysis of psychoeducational programmes for coronary heart disease patients. Health Psychology 1999;18:506.
25. Lazzari D. Health psychology and chronic illness. Evidence-based interventions and disease management. Pacini Medica, Pisa, Italy, 2011.
26. Zou H, Cao X, Chair SY. A systematic review and meta-analysis of mindfulness-based interventions for patients with coronary heart disease. Journal of Advanced Nursing 2021;77:2197-213.
27. Neff KD. Self-compassion: theory, method, research, and intervention. Annual Review of Psychology 2023;74:193-218.
28. Burrai F, Micheluzzi V, Apuzzo L. Humanisation of care: innovation and care model. Journal of Clinical Nephrology and Dialysis 2020;32:47-52.
29. Shukor SFA, Amat NSA, Maulan S, Sa'Ari MY. The use of green outdoor environments for cardiac survivors' rehabilitation therapy. In: Bridging the Gap. ECLAS Conference, Rapperswil, Switzerland, 2016.
30. Milota MM, Van Thiel GJ, Van Delden JJ. Narrative medicine as a medical education tool: a systematic review. Medical Teacher 2019;41:802-10.
31. Fioretti C, Mazzocco K, Riva S, et al. Research studies on patients' illness experience using the Narrative Medicine approach: a systematic review. BMJ Open 2016;6:e011220.
32. Charon R. Narrative medicine: a model for empathy, reflection, professionalism, and trust. JAMA 2001;286:1897-902.
How to Cite
Educational group intervention as part of the multidisciplinary approach in cardiac rehabilitation: the experience of the Alessandria University Hospital. (2025). Working Paper of Public Health, 13. https://doi.org/10.4081/wpph.2025.10190
Copyright (c) 2025 Valter De Michelis, Patrizia Valorio, Stefano Migliorisi, Cristiana Bacchetta, Silvia Bona, Carolina Pelazza, Antonio Maconi
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
