{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,22]],"date-time":"2025-10-22T18:27:37Z","timestamp":1761157657764,"version":"build-2065373602"},"reference-count":37,"publisher":"MDPI AG","issue":"3","license":[{"start":{"date-parts":[[2024,8,23]],"date-time":"2024-08-23T00:00:00Z","timestamp":1724371200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Nursing Reports"],"abstract":"<jats:p>Heart transplantation is the gold-standard treatment for terminal heart failure. Despite being successful, pre- and post-transplant limitations interfere with patients\u2019 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\u2014NCT06552390.<\/jats:p>","DOI":"10.3390\/nursrep14030155","type":"journal-article","created":{"date-parts":[[2024,8,27]],"date-time":"2024-08-27T11:58:46Z","timestamp":1724759926000},"page":"2084-2094","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Cardiac Rehabilitation to Inpatient Heart Transplant\u2014HRN4HTx Intervention Protocol"],"prefix":"10.3390","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3201-3079","authenticated-orcid":false,"given":"Maria","family":"Loureiro","sequence":"first","affiliation":[{"name":"Instituto Ci\u00eancias Biom\u00e9dicas Abel Salazar, Cintesis-NursID, Unidade Local de Sa\u00fade de Coimbra, 3000-602 Coimbra, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0050-5004","authenticated-orcid":false,"given":"V\u00edtor","family":"Parola","sequence":"additional","affiliation":[{"name":"Nursing School of Coimbra (ESEnfC), The Health Sciences Research Unit-Nursing (UICISA:E), Centre for Evidence-Based Practice\u2014A Joanna Briggs Institute Centre of Excellence, 3004-011 Coimbra, Portugal"}]},{"given":"Jo\u00e3o","family":"Duarte","sequence":"additional","affiliation":[{"name":"Unidade Local de Sa\u00fade de Coimbra, 3000-602 Coimbra, Portugal"}]},{"given":"Isabel","family":"Oliveira","sequence":"additional","affiliation":[{"name":"Nursing School of Coimbra (ESEnfC), The Health Sciences Research Unit-Nursing (UICISA:E), 3004-011 Coimbra, Portugal"}]},{"given":"Margarida","family":"Antunes","sequence":"additional","affiliation":[{"name":"Unidade Local de Sa\u00fade de Coimbra, N\u00facleo de Investiga\u00e7\u00e3o em Enfermagem do CHUC, 3000-602 Coimbra, Portugal"}]},{"given":"Gon\u00e7alo","family":"Coutinho","sequence":"additional","affiliation":[{"name":"Faculdade de Medicina de Coimbra, Unidade Local de Sa\u00fade de Coimbra, 3000-602 Coimbra, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1527-9940","authenticated-orcid":false,"given":"Maria Manuela","family":"Martins","sequence":"additional","affiliation":[{"name":"Escola Superior de Enfermagem do Porto, Cintesis-NursID, 4200-450 Porto, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8583-0406","authenticated-orcid":false,"given":"Andr\u00e9","family":"Novo","sequence":"additional","affiliation":[{"name":"Instituto Polit\u00e9cnico de Bragan\u00e7a-Escola Superior de Sa\u00fade, LiveWell\u2014Research Center for Active Living and Wellbeing, 5300-121 Bragan\u00e7a, Portugal"}]}],"member":"1968","published-online":{"date-parts":[[2024,8,23]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"466","DOI":"10.5500\/wjt.v11.i11.466","article-title":"Exercise training in heart transplantation","volume":"11","author":"Kourek","year":"2021","journal-title":"World J. 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