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A Novel Digital Platform for a Monitored Home-based Cardiac Rehabilitation Program
Published on: April 19, 2019
Cardiac Rehabilitation Program Effect on Health-Related Quality of Life Among Patients With Coronary Artery Bypass
Mohammad Alrahahleh1, Maha Subih, Raya Megdadi
1Departments of Nursing (Dr Alrahahleh and Ms Megdadi) and Cardiology (Mr Altarabsheh), Queen Alia Heart Institute, Amman, Jordan; School of Nursing, Al-Zaytoonah University of Jordan, Amman, Jordan (Dr Subih); Interventional Cardiology and Electrophysiology, School of Medicine, Jordan University of Science and Technology, Irbid, Jordan (Mr Alfawaeer); and Department of Nursing, Alarbi Hospital, Amman, Jordan (Mr Saad and Ms Khalil).
Insights
Cardiac rehabilitation programs (CRPs) significantly improve health-related quality of life (HRQOL) and physiological factors in patients after coronary artery bypass graft (CABG) surgery. CRPs are essential for enhancing recovery and well-being post-CABG.
Area of Science:
- Cardiology
- Rehabilitation Medicine
- Health Psychology
Background:
- Coronary artery bypass graft (CABG) surgery requires significant lifestyle adjustments for patients post-discharge.
- These lifestyle changes often lead to a diminished health-related quality of life (HRQOL) in CABG patients.
- The need for structured support, such as cardiac rehabilitation programs (CRPs), is evident to mitigate these negative impacts.
Purpose of the Study:
- To evaluate the impact of a cardiac rehabilitation program (CRP) on the health-related quality of life (HRQOL).
- To assess the effect of a CRP on key physiological factors in patients following coronary artery bypass graft (CABG) surgery.
- To determine the efficacy of CRPs in improving post-discharge outcomes for CABG patients.
Main Methods:
- A quasiexperimental pre-/posttest design was employed.
- Two groups (experimental and control), each with 30 CABG patients, participated.
- The Arabic version of the Nottingham Health Profile was used to measure HRQOL, alongside sociodemographic and physiological variables.
Main Results:
- The experimental group receiving the CRP showed a statistically significant improvement in HRQOL and its domains compared to the control group (P = .01).
- The CRP group demonstrated significant improvements in specific physiological variables 3 months after surgery.
- These findings highlight the positive influence of CRPs on both subjective well-being and objective health indicators.
Conclusions:
- Cardiac rehabilitation programs (CRPs) are a crucial intervention for patients undergoing coronary artery bypass graft (CABG) surgery.
- CRPs demonstrably enhance health-related quality of life (HRQOL) in post-CABG patients.
- Implementing CRPs is recommended for administrators and cardiologists to improve patient recovery and physiological outcomes.
Abstract:
Coronary artery bypass graft (CABG) necessitates modification in patients' lifestyle after discharge, which leads to a decrease in their health-related quality of life (HRQOL). Hence, cardiac rehabilitation programs (CRPs) are needed. This study aimed to explore the effect of a CRP on HRQOL and physiological factors on CABG patients after discharge. The study used a quasiexperimental pre-/posttest design. Two experimental and control groups tested with 30 patients with CABG surgery participated in a rehabilitation center after discharge. The Arabic version of the Nottingham Health Profile for measuring HRQOL was used. In addition to several sociodemographic and physiological variables, findings indicated a significant improvement in HRQOL and its domains for the experimental group after CRP (mean = 2.06, SD = 1.7) when compared with the control group (mean = 19.9, SD = 3.1; P = .01), as well as some physiological variables 3 months after surgery. The CRP is an important intervention that administrators and cardiologists should take into consideration for CABG patients. It improves not just their HRQOL but also many physiological indicators.
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