From Rehab to Routine: Ensuring Lasting Lifestyle Changes After Cardiac Rehabilitation – First Experiences from the “Love Your Heart” Program

Abstract

Objective. The study assesses how well patients follow secondary prevention measures after completing an outpatient cardiac rehabilitation (CR) program.

Materials and Methods. This research involves 63 patients who completed an outpatient CR pro- gram between 2018 and 2020 at the Istrian Health Center in Pula, Croatia. Socio-demographic characteristics, levels of physical activity, adherence to a Mediterranean diet, and compliance with medical recommendations were assessed in a survey to gather data.

Results. Out of the 63 patients surveyed, 51 responded (34 males, 17 females, average age 68.25 years). After completing a cardiac rehabilitation program, 78.4% maintained appropriate levels of physical activity but showed low adherence to a Mediterranean diet, with an average score of only 3.94 out of 9. Only a small percentage (2%) effectively followed medical recom- mendations.

Conclusion. Despite the fact that patients maintain physical activity, there are still challenges regarding adherence to nutritional recommendations and medical advice. Long-term adherence can be improved by utilizing technology, involving family members, and offering education. Future research should focus on identifying obstacles to adherence and developing approaches to achieve lasting behavioral change.