Management of Anxiety in Coronary Artery Bypass Grafting Patients: The influence of Chair Aerobics and Nadisodhana Pranayama A Pilot Randomized Clinical Trial

Abstract

Background Anxiety is a primary concern affecting the prognosis of CABG patients. Relieving anxiety is thus a component of management in patients with CABG. Also, patients with bypass surgery express compromise in exercise tolerance. We use two feasible and cost-effective treatment techniques to know the improvement in symptoms of anxiety and exercise tolerance. Objective To evaluate the efficacy of chair aerobics and pranayama on anxiety in patients who underwent CABG. We hypothesized that there would be an improvement in anxiety in CABG patients after receiving the interventions. Methods In a total of 21 screened, 16 met eligibility requirements. These were randomized into two, group A and group B. Group A is treated with progressive chair aerobics, and group B with nadisodhana pranayama. Both groups were given standardised cardiac rehabilitation techniques. The duration was fifteen minutes of activity along with phase 1 cardiac rehabilitation. The treatment session was given once a day in the morning. The intervention starts from the post-operative day 3 to post-operative day 7. The anxiety is measured by the tool “hospital anxiety and depression scale”. The exercise capacity of the patient was measured by a 6-minute walk test. Heart rate is estimated to know the somatic and physiologic components of anxiety. Took all the outcome measures before the surgery and on post-operative day 7 by a blinded outcome assessor. Results: The results showed that the improvement in the p-value of HADS anxiety, depression, and heart rate of both groups is less than 0.05. The 6-minute walk test showed better improvement in the chair aerobics group with a p-value less than 005. Registration: The trial is prospectively registered in CTRI. The trial registration number is CTRI/2021/09/037008.

Management of Anxiety in Coronary Artery Bypass Grafting Patients: The Influence of Chair Aerobics and Nadisodhana Pranayama-A Pilot Randomized Clinical Trial

“…25,26 The area of anxiety was unexplored, and also quality research is required in this field to provide evidence. 27 We found that nadisodhana pranayama The p-value is more than 0.05 which shows that gender distributed equally. The mean value showed significant difference in all the parameters.…”