Psychological problems in rehabilitation after myocardial infarction: non-institutional approach.

While it is preferable for patients who have had myocardial infarction to return home, the homecoming should always take place under optimal conditions and we have discussed some of the problems that may arise. Patients and their families should be well informed by the physician and the psychologist, or the social worker about secondary prevention, the patient's clinical status and potential problems during the convalescent phase. Physiotherapy at home under the guidance of a qualified physiotherapist has a highly beneficial effect both physically and psychologically. Staying in touch with the patient by telephone once a week for 2 months after he leaves the hospital, appears to us to be an excellent idea. We have used this approach successfully in patients who, during their stay in hospital, appeared to be at risk for psychological complications. The psychologist and the social worker of the hospital where the patient was treated should also remain available to the patient and his family.