This part presents the effect of CRPs on HRQoL (both domains; physical
and mental) on CABG patients and on physiological aspects. All the
reviewed studies revealed that the CRP had a positive effect on CABG
patients’ HRQoL, and physiological variables.
Nobari et al.10 conducted a non-randomized controlled
trial on 97 CABG patients, in which 49 were allocated to the healthy
lifestyle empowerment program group (HLEPG), and the conventional
education group (CEG) (n=48). In the follow up both groups exhibited a
significant improvement in the HRQoL mean score but this increase was
obviously better in the HLEPG, using the SF-12 tool.
Zofaghari et al.11 study consisted of 50 patients who
underwent CABG surgery. The patients were randomly assigned to a control
group (n = 25) and a Physiotherapy (PT) group (n = 25). The control
group did not have any PT sessions, the PT group complete 16 sessions of
PT. The QoL scores of the PT patients significantly improved after the
intervention) in both the mental and physical components.
Salavati et al.14 conducted a randomized controlled
clinical study in Hamadan/ Iran on 110 patients to compare the effects
of CRPs versus normal care on the patients’ HRQOL after CABG surgery,
MacNew Heart Disease HRQOL questionnaire (27-item) was used to assess
the patient’s HRQOL, patients in the control group received routine
education at hospital discharge, experimental patients group, in
addition to the routine education had home-based CRP which included
exercise programs (obligation walking and education). They found
statistically significant improvement in the HRQOL of patients following
CRP.
Alexiev et al.8 study measured the impact of an early
comprehensive, individualized CRP soon after CABG and examined its
effect on exercise capacity and HRQOL. It was a prospective study
investigating two types of cardiac rehabilitation in 100 patients.
Patients were assigned to two groups. The outcome indicated that a
customized physiotherapy strategy designed to increase motion shortly
after cardiac surgery is safe, achievable, and more practical than a
usual program and improved patient HRQOL.
Akbari and Celik9 conducted a study that investigated
the impact of discharge exercise and post-discharge CR on HRQOL after
CABG surgery using the 36-item Short Form Survey. This
quasi-experimental study was conducted on a convenience 100 patients
undergoing CABG surgery. The intervention group was provided discharge
training and post-discharge counseling. The control group received only
the usual discharge and postoperative instructions. It was found that
discharge training and post-discharge counseling are effective in
improving postoperative HRQOL among patients who undergo CABG surgery.
Laustsen et al.12 conducted a follow-up study on 34
participants in Denmark. patients conduct exercise 60 minutes three
times per week with moderate intensity of exercise for 20 minutes per
session, HRQOL was assessed using (SF-36) questionnaire, and the results
showed that there was a significant increase in mental and physical
HRQOL.
Pacaric et al.13 in their prospective study conducted
for 47 patients in Croatia, before surgery and one-month post-surgery,
then one year after the rehabilitation program which took three weeks.
Significant improvement in all quality-of-life domains were noted after
rehabilitation.
Spiroski et al.15 studied 54 patients in Serbia after
CABG surgery who contributed in a 3‐week and 6‐month outpatient. The
inpatient interventions involved of daily walking for 45 minutes and
cycling 7 times/week. The outpatient interventions involved of cycling 3
times/week and walking 5 times/week for 45 minutes. The study found a
remarkable improvement in health-related factors such as HR, BP, BS, and
lipid profile for patients after CRP.