Dispositional optimism and recovery from coronary artery bypass surgery: The beneficial effects on physical and psychological well-being.

1989 ◽  
Vol 57 (6) ◽  
pp. 1024-1040 ◽  
Author(s):  
Michael F. Scheier ◽  
Karen A. Matthews ◽  
Jane F. Owens ◽  
George J. Magovern ◽  
R. Craig Lefebvre ◽  
...  
Author(s):  
Vilma Dudonienė ◽  
Aleksandras Kriščiūnas ◽  
Akvilė Matukonytė

Physical therapy and regular physical activities (housekeeping, working outside, going up the stairs, walking or riding a bicycle), have many benefits for physical state in patients with heart diseases. Better physical state ensures patients’ well-being  and independence. The goal of cardiac rehabilitation program is not only to prolong life but also to improve physical functioning, symptoms, well-being, and health-related quality of life [1]. The aim of this study was to evaluate changes in the quality of life and determine the indices of 6 min walk after applying four-week physiotherapy, and one-year home activity program in patients who had undergone coronary artery bypass surgery. The tasks were to evaluate quality of life and determine the indices of 6 min walk in patients after coronary artery bypass surgery: 1) before physiotherapy; 2) after four-week physiotherapy in rehabilitation centre; and 3) after 12 months after surgery. The participants were 20 male patients (their mean age was 59.9 ± 4.83 years) who had undergone coronary artery bypass surgery. The patients completed 40 physiotherapy classes of 40–45 minutes (4 weeks, two times a day five days a week) in Virsuziglis Rehabilitation Centre. Besides, a home activity program for 12 months was prescribed for all patients to promote and maintain their physical activity. Measures: quality of life according to EQ-5D and the indices of 6 min walk were measured. Results: the indices of 6 min walk significantly increased after 4 weeks of physiotherapy and 12 months post surgery. After 4 weeks of physiotherapy the patients reported significant improvements in three of five dimensions of the quality of life. Significant improvements in the quality of life were defined 12 months post surgery. Conclusions: the quality of life and indices of 6 min walk test 12 months after coronary artery bypass surgery improved significantly.Keywords: coronary artery bypass, physical therapy, quality of life, 6 min walk test.


2001 ◽  
Vol 10 (1) ◽  
pp. 11-16 ◽  
Author(s):  
AC Ross ◽  
L Ostrow

BACKGROUND: Judgment of quality of life after coronary artery bypass surgery is usually based on objective measures of cardiovascular status. Quality of life cannot be determined solely objectively because such indicators do not explain how persons perceive and experience their lives. OBJECTIVES: To assess the quality of life and mood state over time in patients undergoing coronary artery bypass grafting and to improve understanding of subjective perceptions of well-being and how these perceptions change over time. METHODS: Three questionnaires, the Quality of Life Index, the Medical Outcomes Study 36-Item Short-Form Health Survey, and the Profile of Mood States, were administered at 3 different times (before surgery, 6 weeks after surgery, and 3 months after surgery) to a convenience sample of hospitalized adults undergoing coronary artery bypass surgery for treatment of coronary artery disease. RESULTS: For all 3 questionnaires, responses differed significantly over time. Mean scores were significantly different over time for total mood disturbance (P = .03), the socioeconomic domain of the Quality of Life Index (P = .02), and the physical functioning (P = .004), vitality (P = .007), and social functioning (P = .002) dimensions of the 36-item short-form survey. CONCLUSIONS: Subjective perceptions of physical and psychological well-being changed significantly from before surgery to 3 months after surgery. Measures of mood state, physical functioning, vitality, and social functioning improved significantly over time. However, satisfaction with the socioeconomic domain decreased significantly from before surgery to 3 months after surgery.


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