@2024 Afarand., IRAN
ISSN: 2252-0805 The Horizon of Medical Sciences 2015;21(2):67-74
ISSN: 2252-0805 The Horizon of Medical Sciences 2015;21(2):67-74
Effect of Cardiac Rehabilitation Program on Quality of Life in Patients Undergoing Coronary Artery Bypass Graft Surgery
ARTICLE INFO
Article Type
Original ResearchAuthors
Mahdavi Shahri S.M. (*)Abbasi I. (1)
Mohammadi M. (2)
(*) Emegency Department, 22 Bahman Hospital, Gonabad University of Medical Sciences, Gonabad, Iran
(1) Medical Surgical Nursing Department, Nursing & Midwifery School, Tehran University of Medical Sciences, Tehran, Iran
(2) “Center for Nursing Care Research” and “Critical Care Nursing Department, Nursing and Midwifery School”, Iran University of Medical Sciences, Tehran, Iran
Correspondence
Address: No. 13, Alley 2, Bahar 3 Street, Gonabad, IranPhone: +985157224706
Fax: +985157228821
s.moslemmahdavi@gmail.com
Article History
Received: October 8, 2014Accepted: May 11, 2015
ePublished: June 20, 2015
ABSTRACT
Aims
The goal of Coronary Artery Bypass Graft surgery (CABGs) is to improve the quality of life in patients with coronary artery diseases. Many studies have suggested the implementation of a cardiac rehabilitation program after surgery required to achieve this goal. The aim of this study was to examine the effects of cardiac rehabilitation on quality of life in post-surgery patients.
Materials & Methods In this quasi-experimental which was conducted in 2012, 70 patients (35 patients in experimental group and 35 patients in control group) undergoing CABGs in Shahid Rajaei Heart Center of Tehran City were selected by achievable sampling method. The experimental group received 12 sessions of cardiac rehabilitation program according to their health condition. The control group was not participating in the rehabilitation program. The qualities of life of patients of both groups were measured by Ferrans & Powers Questionnaire of quality of life before and after the cardiac rehabilitation program. Data were analyzed in SPSS 16 software by Paired T, independent T and linear regression tests.
Findings The experimental and the control group were matched according to age and sex. There was no significant difference between two groups before intervention in the quality of life score. After intervention, the quality of life score were increased in both the experimental (19.99±1.11) and the control groups (18.49±1.48), respectively (p<0.001).
Conclusion Participation in cardiac rehabilitation program is effective in promotion of quality of life in CABG patients.
Materials & Methods In this quasi-experimental which was conducted in 2012, 70 patients (35 patients in experimental group and 35 patients in control group) undergoing CABGs in Shahid Rajaei Heart Center of Tehran City were selected by achievable sampling method. The experimental group received 12 sessions of cardiac rehabilitation program according to their health condition. The control group was not participating in the rehabilitation program. The qualities of life of patients of both groups were measured by Ferrans & Powers Questionnaire of quality of life before and after the cardiac rehabilitation program. Data were analyzed in SPSS 16 software by Paired T, independent T and linear regression tests.
Findings The experimental and the control group were matched according to age and sex. There was no significant difference between two groups before intervention in the quality of life score. After intervention, the quality of life score were increased in both the experimental (19.99±1.11) and the control groups (18.49±1.48), respectively (p<0.001).
Conclusion Participation in cardiac rehabilitation program is effective in promotion of quality of life in CABG patients.
CITATION LINKS
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[10]Mostafavi S, Saeidi M, Heidari H. Effects of a comprehensive cardiac rehabilitation program on the quality of life of patients with cardio-vascular diseases. Res Rehabil Sci. 2012;7(4):516-24. [Persian]
[11]Rothenhausler HB. The effects of cardiac surgical procedures on health-related quality of life, cognitive performance, and emotional status outcomes: A prospective 6-month follow-up study. Psychiatr Danub. 2010;22(1):135-6.
[12]Bradshaw PJ, Jamrozik KD, Gilfillan IS, Thompson PL. Asymptomatic long-term survivors of coronary artery bypass surgery enjoy a quality of life equal to the general population. Am Heart J. 2006;151(2):537-44.
[13]Behrouzifar S, Zenouzi S, Nezafati M, Esmaili H. Factors affecting the patients’ quality of life after coronary artery bypass graft. Iran J Nurs. 2009;22(57):31-41. [Persian]
[14]Shafiei Z, Babaee S, Nazari A. Relationship between mood state and quality of life in patients undergoing coronary artery bypass graft surgery. IJN. 2013;26(83):57-67. [Persian]
[15]Jarge M, Yalfani A, Nazem F, Jarge M. Survey on the efficacy of cardiac rehabilitation programs on anxiety and depression control in coronary artery bypass grafting patients (short report). J Rafsenjan Univ Med Sci. 2012;11(3):293-8.
[16]Abdallah MS, Wang K, Magnuson EA, Spertus JA, Farkouh ME, Fuster V, et al. Quality of life after PCI vs CABG among patients with diabetes and multivessel coronary artery disease: A randomized clinical trial. Jama. 2013;310(15):1581-90. [Persian]
[17]Esmaeili Z, Ziabakhsh Tabari S, Vazezzadeh N, Mohamadpour RA. Quality of life after coronary artery bypass grafting in Sari. J Mazandaran Univ Med Sci. 2007;17(61):170-4. [Persian]
[18]HajiAbadi F. Effect of coronary artery bypass graft surgery on various aspects of quality of life 3 months after surgery. J Mashhad Sch Nurs Midwif. 2004;9(19):58-64. [Persian]
[19]Hofer S, Kullich W, Graninger U, Wonisch M, Gassner A, Klicpera M, et al. Cardiac rehabilitation in Austria: Long term health-related quality of life outcomes. Health Qual Life Outcomes. 2009;7:99.
[20]Henkin Y. Participation in cardiac rehabilitation after coronary bypass surgery: Good news, bad news. Harefuah. 2012;151(9):522-4. [Hebrew]
[21]Leung YW, Grewal K, Gravely–Witte S, Suskin N, Stewart DE, Grace SL. Quality of life following participation in cardiac rehabilitation programs of longer or shorter than 6 months: Does duration matter?. Popul Health Manag. 2011;14(4):181-8.
[22]Shan L, Saxena A, McMahon R, Newcomb A. Coronary artery bypass graft surgery in the elderly: A review of postoperative quality of life. Circulation. 2013;128(21):2333-43.
[23]Barolia R, Ali F, Jaffar S. Coronary artery bypass grafting: quality of life of patients in Karachi. Br J Nurs. 2012;21(6):349-55.
[24]Hsu CJ, Chen SY, Su S, Yang MC, Lan C, Chou NK, et al. The effect of early cardiac rehabilitation on health-related quality of life among heart transplant recipients and patients with coronary artery bypass graft surgery Transplant Proc. 2011;43(7):2714-7.
[25]Davies P, Taylor F, Beswick A, Wise F, Moxham T, Rees K, et al. Promoting patient uptake and adherence in cardiac rehabilitation. Cochrane Database Syst Rev. 2010;(7):CD007131.
[26]Strong PC, Lee SH, Chou YC, Wu MJ, Hung SY, Chou CL. Relationship between quality of life and aerobic capacity of patients entering phase II cardiac rehabilitation after coronary artery bypass graft surgery. J Chin Med Assoc. 2012;75(3):121-6.
[27]Busch JC, Lillou D, Wittig G, Bartsch P, Willemsen D, Oldridge N, et al. Resistance and balance training improves functional capacity in very old participants attending cardiac rehabilitation after coronary bypass surgery. J Am Geriatr Soc. 2012;60(12):2270-6.
[28]Keeping-Burke L, Purden M, Frasure-Smith N, Cossette S, Mc Carthy F, Amsel R. Bridging the transition from hospital to home: Effects of the VITAL telehealth program on recovery for CABG surgery patients and their caregivers. Res Nurs Health. 2013;36(6):540-53.
[29]Shrestha M, Baraki H, Khaladj N, Koigeldiyev N, Haverich A, Hagl C. Do patients profit from third time CABG?. Open J Cardiovasc Surg. 2009;2:1-5.
[30]Goyal TM, Idler EL, Krause TJ, Contrada RJ. Quality of life following cardiac surgery: Impact of the severity and course of depressive symptoms. Psychosom Med. 2005;67(5):759-65.
[31]Konstantina A, Helen D. Quality of life after coronary intervention. Health Sci J. 2009;3(2):66-71.
[32]Nedeljkovic UD, Krstic NM, Varagic-Markovic SL, Putnik SM. Quality of life and functional capacity one year aftercoronary artery bypass graft surgery. Acta Chir Iugosl. 2011;58(3):81-6.
[33]Bass IK. Quality of life three months after coronary artery bypass surgery: Effects of presurgical physical fitness [Dissertation]. Virginia Polytechnic Institute and State University; 1998.
[34]Attarbashi B, Hadian MR, Baqeri H, Tavakol K, Jalaie S, Nejatian M, et al. The effects of Phase II cardiac rehabilitation on quality of life scales in post coronary artery bypass grafts patients. MRJ. 2007;1(2-3):12-8. [Persian]
[35]Pourghane P, Hosseini MA, Mohammadi F, Ahmadi F, Tabari R. Patient's perception of cardiac rehabilitation after coronary artery bypass graft (CABG): A qualitative study. J Mazandaran Univ Med Sci. 2013;23(106):61-76. [Persian]
[36]Shabani R, Mozaffari M, Heidari Moghadam R, Shirmohamadi T, Vafaee R. Effect of cardiac rehabilitation program on quality of life in patients with myocardial infarction in Hamadan. Pejouhesh Med. 2013;36(5):117-22. [Persian]
[37]Shojaei F, Asemi M, Najaf Yarandi A, Hosseini F. Self care behaviours, quality of life among patients with heart failure. IJN. 2006;18(44):49-55. [Persian]
[38]Nabiamjad R. Survey of quality of life in patients after CABG [Dissertation]. Tehran: Iran University of Medical Sciences; 2009. [Persian]
[2]Leon AS, Franklin BA, Costa F, Balady GJ, Berra KA, Stewart KJ, et al. Cardiac rehabilitation and secondary prevention of coronary heart disease. Circulation. 2005;111(3):369-76.
[3]Go AS, Mozaffarian D, Roger VL, Benjamin EJ, Berry JD, Borden WB, et al. Heart disease and stroke statistics-2013 update: A report from the American Heart Association. Circulation. 2013;127(1):e6-245.
[4]Siavoshi S, Roshandel M, Zareyan A, Ettefagh L. The effect of cardiac rehabilitation care plan on quality of life in patients undergoing coronary artery bypass surgery. Alborz Univ Med Sci. 2013;2(4):217-26. [Persian]
[5]Bahramnezhad F. Comparative study on quality of life in patients after percutaneous transluminal coronary angioplasty and coronary artery bypass graft surgery. Cardiovasc Nurs J. 2012;1(2):8-15. [Persian]
[6]Gibbons RJ, Abrams J, Chatterjee K, Daley J, Deedwania PC, Douglas JS, et al. ACC/AHA 2002 guideline update for the management of patients with chronic stable angina-summary article: A report of the American College of Cardiology/American Heart Association Task Force on practice guidelines (Committee on the Management of Patients With Chronic Stable Angina). J Am Coll Cardiol. 2003;41(1):159-68.
[7]Smith SC, Feldman TE, Hirshfeld JW, Jacobs AK, Kern MJ, King SB, et al. ACC/AHA/SCAI 2005 guideline update for percutaneous coronary intervention: A report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (ACC/AHA/SCAI Writing Committee to Update the 2001 Guidelines for Percutaneous Coronary Intervention). J Am Coll Cardiol. 2006;47(1):e1-121.
[8]Eagle KA, Guyton RA, Davidoff R, Edwards FH, Ewy GA, Gardner TJ, et al. ACC/AHA 2004 guideline update for coronary artery bypass graft surgery: A report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Committee to Update the 1999 Guidelines for Coronary Artery Bypass Graft Surgery). Circulation. 2004;110(14):e340-437.
[9]Mosayebi A, Javanmard SH, Mirmohamadsadeghi M, Rajabi R, Mostafavi S, Mansourian M. The effects of cardiac tertiary prevention program after coronary artery bypass graft surgery on health and quality of life. Int J Prev Med. 2011;2(4):269-74.
[10]Mostafavi S, Saeidi M, Heidari H. Effects of a comprehensive cardiac rehabilitation program on the quality of life of patients with cardio-vascular diseases. Res Rehabil Sci. 2012;7(4):516-24. [Persian]
[11]Rothenhausler HB. The effects of cardiac surgical procedures on health-related quality of life, cognitive performance, and emotional status outcomes: A prospective 6-month follow-up study. Psychiatr Danub. 2010;22(1):135-6.
[12]Bradshaw PJ, Jamrozik KD, Gilfillan IS, Thompson PL. Asymptomatic long-term survivors of coronary artery bypass surgery enjoy a quality of life equal to the general population. Am Heart J. 2006;151(2):537-44.
[13]Behrouzifar S, Zenouzi S, Nezafati M, Esmaili H. Factors affecting the patients’ quality of life after coronary artery bypass graft. Iran J Nurs. 2009;22(57):31-41. [Persian]
[14]Shafiei Z, Babaee S, Nazari A. Relationship between mood state and quality of life in patients undergoing coronary artery bypass graft surgery. IJN. 2013;26(83):57-67. [Persian]
[15]Jarge M, Yalfani A, Nazem F, Jarge M. Survey on the efficacy of cardiac rehabilitation programs on anxiety and depression control in coronary artery bypass grafting patients (short report). J Rafsenjan Univ Med Sci. 2012;11(3):293-8.
[16]Abdallah MS, Wang K, Magnuson EA, Spertus JA, Farkouh ME, Fuster V, et al. Quality of life after PCI vs CABG among patients with diabetes and multivessel coronary artery disease: A randomized clinical trial. Jama. 2013;310(15):1581-90. [Persian]
[17]Esmaeili Z, Ziabakhsh Tabari S, Vazezzadeh N, Mohamadpour RA. Quality of life after coronary artery bypass grafting in Sari. J Mazandaran Univ Med Sci. 2007;17(61):170-4. [Persian]
[18]HajiAbadi F. Effect of coronary artery bypass graft surgery on various aspects of quality of life 3 months after surgery. J Mashhad Sch Nurs Midwif. 2004;9(19):58-64. [Persian]
[19]Hofer S, Kullich W, Graninger U, Wonisch M, Gassner A, Klicpera M, et al. Cardiac rehabilitation in Austria: Long term health-related quality of life outcomes. Health Qual Life Outcomes. 2009;7:99.
[20]Henkin Y. Participation in cardiac rehabilitation after coronary bypass surgery: Good news, bad news. Harefuah. 2012;151(9):522-4. [Hebrew]
[21]Leung YW, Grewal K, Gravely–Witte S, Suskin N, Stewart DE, Grace SL. Quality of life following participation in cardiac rehabilitation programs of longer or shorter than 6 months: Does duration matter?. Popul Health Manag. 2011;14(4):181-8.
[22]Shan L, Saxena A, McMahon R, Newcomb A. Coronary artery bypass graft surgery in the elderly: A review of postoperative quality of life. Circulation. 2013;128(21):2333-43.
[23]Barolia R, Ali F, Jaffar S. Coronary artery bypass grafting: quality of life of patients in Karachi. Br J Nurs. 2012;21(6):349-55.
[24]Hsu CJ, Chen SY, Su S, Yang MC, Lan C, Chou NK, et al. The effect of early cardiac rehabilitation on health-related quality of life among heart transplant recipients and patients with coronary artery bypass graft surgery Transplant Proc. 2011;43(7):2714-7.
[25]Davies P, Taylor F, Beswick A, Wise F, Moxham T, Rees K, et al. Promoting patient uptake and adherence in cardiac rehabilitation. Cochrane Database Syst Rev. 2010;(7):CD007131.
[26]Strong PC, Lee SH, Chou YC, Wu MJ, Hung SY, Chou CL. Relationship between quality of life and aerobic capacity of patients entering phase II cardiac rehabilitation after coronary artery bypass graft surgery. J Chin Med Assoc. 2012;75(3):121-6.
[27]Busch JC, Lillou D, Wittig G, Bartsch P, Willemsen D, Oldridge N, et al. Resistance and balance training improves functional capacity in very old participants attending cardiac rehabilitation after coronary bypass surgery. J Am Geriatr Soc. 2012;60(12):2270-6.
[28]Keeping-Burke L, Purden M, Frasure-Smith N, Cossette S, Mc Carthy F, Amsel R. Bridging the transition from hospital to home: Effects of the VITAL telehealth program on recovery for CABG surgery patients and their caregivers. Res Nurs Health. 2013;36(6):540-53.
[29]Shrestha M, Baraki H, Khaladj N, Koigeldiyev N, Haverich A, Hagl C. Do patients profit from third time CABG?. Open J Cardiovasc Surg. 2009;2:1-5.
[30]Goyal TM, Idler EL, Krause TJ, Contrada RJ. Quality of life following cardiac surgery: Impact of the severity and course of depressive symptoms. Psychosom Med. 2005;67(5):759-65.
[31]Konstantina A, Helen D. Quality of life after coronary intervention. Health Sci J. 2009;3(2):66-71.
[32]Nedeljkovic UD, Krstic NM, Varagic-Markovic SL, Putnik SM. Quality of life and functional capacity one year aftercoronary artery bypass graft surgery. Acta Chir Iugosl. 2011;58(3):81-6.
[33]Bass IK. Quality of life three months after coronary artery bypass surgery: Effects of presurgical physical fitness [Dissertation]. Virginia Polytechnic Institute and State University; 1998.
[34]Attarbashi B, Hadian MR, Baqeri H, Tavakol K, Jalaie S, Nejatian M, et al. The effects of Phase II cardiac rehabilitation on quality of life scales in post coronary artery bypass grafts patients. MRJ. 2007;1(2-3):12-8. [Persian]
[35]Pourghane P, Hosseini MA, Mohammadi F, Ahmadi F, Tabari R. Patient's perception of cardiac rehabilitation after coronary artery bypass graft (CABG): A qualitative study. J Mazandaran Univ Med Sci. 2013;23(106):61-76. [Persian]
[36]Shabani R, Mozaffari M, Heidari Moghadam R, Shirmohamadi T, Vafaee R. Effect of cardiac rehabilitation program on quality of life in patients with myocardial infarction in Hamadan. Pejouhesh Med. 2013;36(5):117-22. [Persian]
[37]Shojaei F, Asemi M, Najaf Yarandi A, Hosseini F. Self care behaviours, quality of life among patients with heart failure. IJN. 2006;18(44):49-55. [Persian]
[38]Nabiamjad R. Survey of quality of life in patients after CABG [Dissertation]. Tehran: Iran University of Medical Sciences; 2009. [Persian]