{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,14]],"date-time":"2025-05-14T00:41:26Z","timestamp":1747183286893,"version":"3.40.5"},"reference-count":24,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2018,11,18]],"date-time":"2018-11-18T00:00:00Z","timestamp":1542499200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Artificial Organs"],"published-print":{"date-parts":[[2019,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Few studies evaluated the effect of cardiac rehabilitation programs on perceived emotional and health status of left ventricular assist device (LVAD) patients, and none explored their effect on caregivers\u2019 strain. We enrolled 119 adult LVAD patients, together with their caregivers (<jats:italic>n<\/jats:italic> = 91), in two Rehabilitation Institutes that provided inpatient multidisciplinary activities. At admittance and prior to discharge they completed questionnaires evaluating patient emotional state and subjective perception of health status, caregiver strain, and patient and caregiver perception of the VAD. Six months after discharge, patients and caregivers were contacted again and asked specific questions about their quality of life. Patients\u2019 state anxiety and depression symptoms significantly diminished at discharge (0.000), whereas their perception of general health status rose (0.000). Caregivers\u2019 perceived strain also significantly decreased (0.001) and the perceived device management skill grew both for patients and caregivers (0.000). A substantial amount (36%) of psychologically frail patients and caregivers, although improving their emotional condition, never reached that of the less frail subjects. At the 6\u2010month follow\u2010up, both patients and caregivers appeared stable in evaluating respectively their general health and their caregiving\u2010related strain, compared to discharge. Our data show that a comprehensive inpatient rehabilitation program improves the emotional state of LVAD patients and of their caregivers, even in psychologically frailer subjects. Team approach makes patients and caregivers self\u2010confident about device management, increasing their knowledge, clarifying their doubts, and encouraging them to handle the difficulties met during the rehabilitation period, suggesting strategies to cope with daily life at home.<\/jats:p>","DOI":"10.1111\/aor.13351","type":"journal-article","created":{"date-parts":[[2018,8,30]],"date-time":"2018-08-30T11:07:46Z","timestamp":1535627266000},"page":"229-233","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["Does a Comprehensive Inpatient Rehabilitation Program Improve Patients\u2019 and Caregivers\u2019 Emotional State in LVAD Patients?"],"prefix":"10.1111","volume":"43","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9498-0166","authenticated-orcid":false,"given":"Silvia","family":"Rossi Ferrario","sequence":"first","affiliation":[{"name":"Psychology\u2010Neuropsychology Unit Istituti Clinici Scientifici Maugeri IRCCS, Scientific Institute of Veruno Veruno NO Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daniela","family":"Bacich","sequence":"additional","affiliation":[{"name":"Cardiolology Unit Madonna della Salute Hospital Porto Viro RO Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Laura","family":"Beltrame","sequence":"additional","affiliation":[{"name":"Cardiolology Unit Madonna della Salute Hospital Porto Viro RO Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gianluigi","family":"Balestroni","sequence":"additional","affiliation":[{"name":"Psychology\u2010Neuropsychology Unit Istituti Clinici Scientifici Maugeri IRCCS, Scientific Institute of Veruno Veruno NO Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Massimo","family":"Pistono","sequence":"additional","affiliation":[{"name":"Cardiologic Rehabilitation Department Istituti Clinici Scientifici Maugeri IRCCS, Scientific Institute of Veruno 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Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2018,11,18]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.healun.2016.01.002"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.healun.2015.10.003"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.healun.2013.10.017"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.healun.2014.02.014"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.healun.2014.10.001"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1097\/JCN.0000000000000378"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1177\/1474515113517607"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1097\/MAT.0000000000000681"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1097\/MAT.0000000000000736"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCOUTCOMES.116.002879"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2017-020927"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(17)30578-0"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1177\/2047487314558772"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jchf.2014.06.011"},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.1097\/PHM.0000000000000101"},{"key":"e_1_2_9_17_1","first-page":"470","article-title":"Association 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