Inpatient cardiac rehabilitation programs’ exercise therapy for patients undergoing cardiac surgery: National Korean Questionnaire Survey

Abstract

Inpatient cardiac rehabilitation (ICR) has been commonly conducted after cardiac surgery in many countries, and has been reported a lots of results. However, until now, there is inadequacy of data on the status of ICR in Korea. This study described the current status of exercise therapy in ICR that is performed after cardiac surgery in Korean hospitals. Questionnaires modified by previous studies were sent to the departments of thoracic surgery of 10 hospitals in Korea. Nine replies (response rate 90%) were received. Eight nurses and one physiotherapist completed the questionnaire. Most of the education on wards after cardiac surgery was conducted by nurses. On postoperative day 1, four sites performed sitting on the edge of bed, sit to stand, up to chair, and walking in the ward. Only one site performed that exercise on postoperative day 2. One activity (stairs up and down) was performed on different days at only two sites. Patients received education preoperatively and predischarge for preventing complications and reducing muscle weakness through physical inactivity. The results of the study demonstrate that there are small variations in the general care provided by nurses after cardiac surgery. Based on the results of this research, we recommended that exercise therapy programs have to conduct by exercise specialists like exercise physiologists or physiotherapists for patients in hospitalization period.

Current Status of Cardiac Rehabilitation in the Regional Cardiocerebrovascular Centers in Korea

“…Furthermore, equipment and maintenance of CR facilities and personnel are mandatory. Many of this study’s co-authors have published articles on CR’s status and impact on AMI’s prognosis [ 20 , 21 , 22 , 23 , 24 ]. There has been an increasing acceptance of CR nationwide and an introduction of CR insurance benefits in February 2017.…”

“…The results showed that while RCCs are equipped with the necessary facilities, equipment, and personnel, not all the essential components are in place. More standardized clinical performance and quality measures should be used to improve the CR quality in RCCs [ 20 , 21 ]. The outpatient CR program is still not as active as the inpatient program.…”

The effects of pre-transplantation center-based cardiac rehabilitation on the postoperative quality of life and adherence to exercise in patients undergoing heart transplantation

“…CBCR is usually recommended after discharge from the hospital to facilitate early recovery and prevent other cardiac illnesses. In general, inpatient cardiac rehabilitation for patients waiting for HTx is conducted in the ward and includes bed exercise and corridor walking [11]. In this report, CBCR was conducted at the S Medical Sports Center during hospitalization, and patients showed improvement in the QOL and adherence to exercise confirmed by using IPAQ after HTx.…”

Penatalaksanaan Fisioterapi Komprehensif Pada Kasus Pasca Coronary Artery By Pass Grafting Et Causa Coronary Artery Disease Involving 3 Vessels (CAD3VD): Case Report

“…Jantung merupakan salah satu organ terpenting dalam kehidupan manusia, namun pada beberapa kondisi dapat mengalami gangguan misalnya penyakit jantung koroner yang menjadi salah satu penyebab utama terjadinya kematian di dunia. Faktor resiko yang dapat menyebabkan penyakit jantung koroner diantaranya yaitu diabetes mellitus (DM), hipertensi, hiperkolesterolemia, merokok, penyakit ginjal kronis, usia, obesitas, kebiasaan sehari-hari dan dislipedemia (Arroyo-Rodríguez et al, 2018) Menurut Seo et al, 2017 prevalensinya terus meningkat selama periode 30 tahun kemudian berdasarkan data Riset Kesehatan Dasar tahun 2018, prevalensi penderita PJK di indonesia berdasarkan diagnosis dokter sebanyak 1,5% dengan peringkat prevalensi tertinggi adalah Provinsi Kalimantan Utara (2,2%), Daerah Istimewa Yogyakarta (2%) dan Provinsi Gorontalo (2%). Kemudian terdapat beberapa provinsi yang melebihi prevalensi nasional diantaranya Provinsi DKI Jakarta (1,9%) dan Provinsi Jawa Tengah (1,6%) (Kementerian Kesehatan, 2019) Penyakit jantung koroner adalah gangguan fungsi jantung disebabkan adanya stenosis pembuluh darah coroner karena pengendapan plak aterosklerotik, sehingga dapat mempengaruhi satu atau beberapa arteri (multi vessel).…”