5 CONCLUSION
This review aimed to explore the quality of studies that examined the
impact of CRPs on HRQOL for CABG patients, and all of these studies
agreed that the in and out-patient who participated in the CRI had a
positive effect after CABG surgery in terms of HRQOL included the
domains of HRQOL (sleep disturbance, social isolation, pain, energy
level, emotional reaction, and physical abilities). On the other hand,
CRI was differing from one study to another, not all of them contain all
aspects that should focus on for CABG patients, or they were
comprehensive. Also, the time that CRI tested its effect on HRQOL
differs. Some were shortly after surgery and some were late months after
surgery. This study recognized a gap in which majority of literature
focused on the impact of CRPs for in-patients. Accordingly, more studies
are needed that measure the impact of CRPs on out-patients after CABG
surgery.
Moreover, the reviewed studies found that the combination interventions
in CRP which include physical exercise, dietary intervention, and
educational intervention had a remarkable effect on some specific
health-related outcomes like (heart rate, cholesterol, triglyceride, and
body mass index). The above information is asserting the importance of
developing better strategies that help in the integration of CRPs into
the usual treatment plans among CABG patients.