Influence of chronic kidney disease on the effectiveness of cardiac rehabilitation in patients after cardiac surgery

Abstract

Background. patients with chronic kidney Disease (ckD), with an additional burden of cardiovascular disease, should be monitored, educated and treated through the close cooperation between multidisciplinary nephrology and cardiology teams. one of the elements by which this can be achieved is cardiac rehabilitation programs. Objectives. The aim of this study is to assess the effect of chronic kidney disease on exercise performance within cardiac patients. Material and methods. 92 patients qualified for stationary cardiac rehabilitation took part in a study conducted at the cardiac surgery clinic of the spsk 2 pomeranian Medical university in szczecin. Among them, a group with ckD (n = 24) and without (n = 68) was selected. statistical analysis was performed on the basis of data from medical records and the results of the 6-minute walk test. Results. patients with and without ckD improved the results of the 6-minute test. From an average result of 256.21 (± 138.99) at the beginning of the rehabilitation to an average of 385.96 (± 109.09) after that for patients with ckD and from average result of 281.01 (± 110.16) to an average result of 422.29 (± 96.39) for patients without ckD. Conclusions. cardiac rehabilitation has a positive effect on physical fitness and exercise tolerance both in patients with ckD and without. However, the coexistence of ckD results in less satisfactory results compared to the control group.

Effect of home-based cardiac rehabilitation programmes on the social health of patients with an Implantable Cardioverter Defibrillator (ICD): a semi-experimental study

“…Implementing the CR programme was considered as one of the best approaches to improve activity tolerance, control disease symptoms, improve and control hyperlipidaemia, lose weight, reduce smoking and improve mental and social health status, reduce stress and improve social function adaptation, return to work and reduce mortality [7,8]. Moreover, CR is performed in heart transplant patients, heart valve surgery patients, heart attack patients, chronic heart failure patients and those with cardiac devices; nurses play a prominent role in its formulation and implementation [9,10].…”