Phase II cardiac rehabilitation improves quality of life in Iranian patients after CABG

Abstract

The aim of this study was to determine the effects of a phase II cardiac rehabilitation programme on health-related quality of life (HRQoL) domains in cardiac patients following coronary artery bypass grafting (CABG). The study looked at post-CABG patients of Iranian origin who had been admitted to the Tehran Heart Center, Iran. Forty-four patients aged between 40–60 years, participated in the programme, 4–5 weeks after CABG. The SF-36 Health Survey was used to assess the health-related quality of life (HRQoL) domains before and after the programme, and at 3-month follow-up. The data were then compared with corresponding values for 882 healthy Iranian individuals of similar ages from the general population. The programme was safe and well-tolerated. The mean scores for all patients showed significant gains in all HRQoL domains, both at last exercise session and follow-up. Compared with mean scores at the last exercise session, the values at follow-up remained essentially unchanged in five domains. There were further significant gains in the mean scores for Role physical, Role Emotion and Bodily Pain at follow-up. The results suggest that the programme produced significant short-term and long-term improvements in physical, mental and emotional aspects of the patients' quality of life in this patients Further research is needed to correlate the values of the SF-36 scores with clinical outcomes, and to investigate the mechanisms by which the programme is effective.

Psychometric Properties of the Persian Version of Cardiovascular Management Self-efficacy Scale

“…Cardiovascular patients often experience symptoms such as fatigue, chest pain, anxiety, and depression, leading to a decline in their quality of life 5–11 . Patients' self-efficacy plays a positive role in improving their quality of life 12 by enhancing their ability to effectively manage their condition.…”

“…Cardiovascular patients often experience symptoms such as fatigue, chest pain, anxiety, and depression, leading to a decline in their quality of life. [5][6][7][8][9][10][11] Patients' self-efficacy plays a positive role in improving their quality of life 12 by enhancing their ability to effectively manage their condition. For example, patients with higher self-efficacy are better able to improve their diet, reduce stressors, and recognize the signs and symptoms of heart disease and of those symptoms indicating an acute event.…”