Comparison Between Effects of Home Based Cardiac Rehabilitation Programs Versus Usual Care on the Patients' Health Related Quality of Life After Coronary Artery Bypass Graft

Mohsen Salavati, Gholamhossein Fallahinia, Ali Esmaeili Vardanjani, Hossein Rafiei, Saeid Mousavi, Mehdi Torkamani, Mohsen Salavati, Gholamhossein Fallahinia, Ali Esmaeili Vardanjani, Hossein Rafiei, Saeid Mousavi, Mehdi Torkamani

Abstract

Background & aim: To compare home-based cardiac rehabilitation with usual care on the patients' Health Related Quality of Life (HRQoL) after coronary artery bypass graft in patients with coronary artery bypass graft (CABG) surgery.

Methods: In a randomized controlled clinical conducted from March 2013 to June 2013, 110 patients with CABG surgery were randomly assigned into two groups. While patients in group I, were received usual care and patients in group II, in addition to the usual care were received home-based cardiac rehabilitation programs. The 27-item MacNew Heart Disease HRQoL questionnaire was used to evaluate the patient's HRQoL under and over 2 months after intervention.

Results: At the time of 0, mean score of HRQoL was 67.86±7.5 and 64.76±8.4 in patients in group I and group II, respectively (P> 0.05). Although mean score of HRQoL in all patients in both groups increased two month after intervention, but this increase in patients in group II were higher than patients in group I (154.93±4.6 vs 134.20±8.2). This difference were statistically significant (P< 0.05).

Conclusion: Quality of Life (QoL) can be considered as a quality indicator of health care systems. Results of present study showed that home-based cardiac rehabilitation program improved patients HRQoL after CABG surgery.

Conflict of interest statement

Conflict of Interest

The authors declare that there is no conflict of interests regarding the publication of this paper.

Figures

Figure 1
Figure 1
Mean score of HRQoL before program in patients in control and intervention groups
Figure 2
Figure 2
Mean score of HRQoL after program in patients in control and intervention groups
Figure 3
Figure 3
Mean score of HRQoL in patients in control group before and after program
Figure 4
Figure 4
Mean score of HRQoL in patients in intervention group before and after program

References

    1. Asadi-Lari M, Javadi H, Melville M, Oldridge N. B, Gray D. Adaptation of the MacNew quality of life questionnaire after myocardial infarction in an Iranian population. Health and Quality of Life Outcomes. 2003;1:23.
    1. Ballan A, Lee G. A comparative study of patient perceived quality of life pre and post coronary artery bypass graft surgery. Aust J Adv Nurs. 2007;24(4):24–8.
    1. Caine N, Harrison S. C, Sharples L. D, Wallwork J. Prospective study of quality of life before and after coronary artery bypass grafting. BMJ. 1991;302(6775):511–6.
    1. Ebrahimi M, Kazemi-Bajestani S. M, Ghayour-Mobarhan M, Ferns G. A. Coronary artery disease and its risk factors status in Iran: a review. Iran Red Crescent Med J. 2011;13(9):610–23.
    1. Hatmi Z. N, Tahvildari S, Gafarzadeh Motlag A, Sabouri Kashani A. Prevalence of coronary artery disease risk factors in Iran: a population based survey. BMC Cardiovasc Disord. 2007;30(7):32.
    1. Höfer S, Lim L, Guyatt G, Oldridge N. The MacNew Heart Disease health-related quality of life instrument: a summary. Health Qual Life Outcomes. 2004;8(2):3.
    1. IOM (Institute of Medicine) Promoting Cardiovascular Health in the Developing World: A Critical Challenge to Achieve Global Health. Washington, DC: The National Academies Press; 2010.
    1. Laslett L. J, Alagona P. J. R, Clark B. A, Drozda J. P, Saldivar F, Wilson S. R, Hart M. The worldwide environment of cardiovascular disease: prevalence, diagnosis, therapy, and policy issues: A report from the American College of Cardiology. J Am Coll Cardiol. 2012;60(25 Suppl):S1–49.
    1. Lindquist R, Dupuis G, Terrin M. L, Hoogwerf B, Czajkowski S, Herd J. A, Knatterud G. L. Post CABG Biobehavioral Study Investigators. Comparison of health-related quality-of-life outcomes of men and women after coronary artery bypass surgery through 1 year: findings from the POST CABG Biobehavioral Study. Am Heart J. 2003;146(6):1038–44.
    1. Mehralian H, Salehi S, Moghaddasi J, Amiri M, Rafiei H. The comparison of the effects of education provided by nurses on the quality of life in patients with congestive heart failure (CHF) in usual and home-visit cares in Iran. Glob J Health Sci. 2014;6(3):256–60.
    1. Oerkild B, Frederiksen M, Hansen J. F, Prescott E. Home-based cardiac rehabilitation is an attractive alternative to no cardiac rehabilitation for elderly patients with coronary heart disease: Results from a randomised clinical trial. BMJ Open. 2013;2:e001820.
    1. Pack Q. R, Goel K, Lahr B. D, Greason K. L, Squires R. W, Lopez-Jimenez F, Thomas R. J. Participation in cardiac rehabilitation and survival after coronary artery bypass graft surgery: A community-based study. Circulation. 2013;128(6):590–7.
    1. Poortaghi S, Baghernia A, Golzari S.E, Safayian A, Atri S. B. The effect of home-based cardiac rehabilitation program on self efficacy of patients referred to cardiac rehabilitation center. BMC Res Notes. 2013;23(6):287.
    1. Rantanen A, Kaunonen M, Sintonen H, Koivisto A.M, Astedt-Kurki P, Tarkka M. T. Factors associated with health-related quality of life in patients and significant others one month after coronary artery bypass grafting. J Clin Nurs. 2008;17(13):1742–53.
    1. Rantanen A, Tarkka M. T, Kaunonen M, Tarkka M, Sintonen H, Koivisto A. M, Astedt-Kurki P. Health-related quality of life after coronary artery bypass grafting. J Adv Nurs. 2009;65(9):1926–36.
    1. Saeidi M, Mostafavi S, Heidari H, Masoudi S. Effects of a comprehensive cardiac rehabilitation program on quality of life in patients with coronary artery disease. Arya Atheroscler. 2013;9(3):179–85.
    1. Shepherd C. W, While A. E. Cardiac rehabilitation and quality of life: A systematic review. Int J Nurs Stud. 2012;49(6):755–71.
    1. Stephens M. B. Cardiac rehabilitation. Am Fam Physician. 2009;80(9):955–9.
    1. Unsar S, Sut N, Durna Z. Health-related quality of life in patients with coronary artery disease. J Cardiovasc Nurs. 2007;22(6):501–7.
    1. WHO. Preventing chronic diseases: A vital investment. 2005. [Accessed June 15, 2014]. .

Source: PubMed

Patrocinadores e Colaboradores

Condições médicas

Intervenções de drogas

3
Se inscrever