(File Date: 2026-02-20 10:24:03) الدليل السعودي لبرامج إعادة التأهيل القلبي والو

Psychosocial Management Evaluation -Assess substance abuse. -Assess alcohol consumption. -Evaluate depression by Hospital Anxiety and Depression Scale (HADS) or PATIENT HEALTH QUESTIONNAIRE (PHQ-9). -Assess quality of life by SF-36 QUESTIONNAIRE. -Assess Anxiety by Anxiety Screen Questionnaire GAD-7. -Assess anger and Assess Emotion/mood. -Identify using of psychotropic medications. Plan and action  Psychotherapy counseling in term of adjustment to stress management and health-related lifestyle change (profession, car driving and sex activities resumption)  Modify patients’ environment and identify community resources (special equipment – facilities – social support- specific food, specialist …etc.) to support patient’s and.  Teach self-help strategies for depression and anxiety.  Develop a plan for continuous management if psychosocial issues are present . 2.2.9 Physical Activity Counseling Assessment Evaluate physical activity using the General Practice Physical Activity Questionnaire (GPPAQ), considering domestic, occupational, and recreational activities. Assess activities of daily living. Identify barriers to physical activity and the most challenging activities. Evaluate readiness to change behavior, self-efficacy, and barriers (e.g., time, motivation, medical issues, energy, social support). Intervention and plan Provide tailored physical activity counselling, including educational materials, and accommodate those with physically demanding jobs. Set activity goals: 30 minutes of activity, at least 5 days per week (e.g., parking farther from destinations). Recommend low-impact aerobic exercises to reduce injury risk. Encourage participation in domestic, occupational, and recreational activities. Promote self-care and stress management to enhance well-being. Advise avoiding unaccustomed vigorous physical activity and suggest enjoyable activities. Advise meeting metabolic requirements for recreational, occupational, and sexual activities (28), and aim for a minimum of 1000 kcal/week from physical activity. Provide recommendations to prevent musculoskeletal injuries related to physical activity.