Effectiveness of Phase II Cardiac Rehabilitation in Improving Quality of Life for Patients with Myocardial Infarction In Iraq, there is evidence to indicate that coronary heart disease ranks first as a cause of death and accounts for 25% of total death in all ages (WHO, 2010). The average age of people hospitalised with myocardial infarction (MI) seems to have shifted towards younger age groups (Alwan, 2004). Many MI survivors are at greatly increased risk of reinfarction (Campbell et al, 1998), and they potentially experience poor health-related quality of life (Failde and Soto, 2006). Unfortunately, from my work experience in cardiology, I notice that very limited services are offered to MI patients. In addition there is no effectual planning programme for them about exercise, education, counseling, and psychosocial therapy.To potentially rectify this concern, effective cardiac rehabilitation (phase II) is need which aims to restoration of optimal physiological, psychological status, and reduction of risk of cardiac morbidity and mortality (Lear and Ignaszewski, 2001). Accordingly, I have been interested to advance my knowledge and practice in cardiac rehabilitation (CR) which does not yet exist in Iraq.
This project aims to develop and implement training for nurses as well as undergraduate nursing students about phase II CR for patients with MI. However, my specific objective in the pursuit of the aim of the project is: to increase my knowledge about effectiveness of phase II CR programme, and to explore the role of advanced nurse practitioner in such a programme.