scholarly journals Effect of Cardiac Rehabilitation on Sexual Satisfaction of Patients After Coronary Artery Bypass Graft Surgery

2021 ◽  
Vol 30 (1) ◽  
pp. 2-13
Author(s):  
Parand Pourghane ◽  
◽  
Pegah Amiri Nejad ◽  
Syeed Mohammad Taghi Razavi Tousi ◽  
◽  
...  
Keyword(s):  
Coronary Artery ◽  
Cardiac Rehabilitation ◽  
Sexual Satisfaction ◽  
Artery Bypass ◽  
Bypass Graft ◽  
Rehabilitation Program ◽  
Artery Bypass Graft ◽  
Cardiac Rehabilitation Program ◽  
Cabg Surgery ◽  
Before And After

Background: Providing sexual counseling in cardiac rehabilitation program can improve patients’ sexual satisfaction and performance after Coronary Artery Bypass Graft (CABG) surgery. Objective This study aims to determine the effect of cardiac rehabilitation on sexual satisfaction of patients after CABG surgery. Materials and Methods: This descriptive-analytical study with a cross-sectional design was conducted on 108 patients with CABG surgery referred to cardiac rehabilitation centers in Rasht and Tehran, Iran in 2017-2018. A demographic form and Larsson’s sexual satisfaction questionnaire were used for data collection before and after 10 sessions of cardiac rehabilitation program. The collected data were analyzed in SPSS v. 18 software using paired t-test, Wilcoxon test, and ANCOVA considering a significance level at P<0.05. Results: The mean age of participants was 58.60±6.37 years. Their sexual satisfaction score significantly increased after the intervention and there was a statistically significant difference in sexual satisfaction before and after the intervention (P<0.001). The pre-test and post-test sexual satisfaction scores had no significant relationship with age, gender, years of marriage, duration of heart disease, comorbidities, occupational status, educational level, and economic status (P>0.05). Conclusion: It is necessary to pay attention to the sexual satisfaction of patients after CABG surgery to improve their sexual function and quality of life by creating an opportunity for them to participate in postoperative cardiac rehabilitation programs.

scholarly journals Particularities of cardiovascular rehabilitation after coronary artery bypass graft: a case report

2020 ◽  
Vol 11 (Vol.11, no.3) ◽  
pp. 323-327
Author(s):  
Adrian MOLNAR ◽  
Alexandru OPREA ◽  
Horatiu MOLDOVAN ◽  
Catalin TRIFAN ◽  
Diana SACUI
Keyword(s):  
Coronary Artery ◽  
Coronary Artery Bypass Graft ◽  
Coronary Revascularization ◽  
Artery Bypass ◽  
Bypass Graft ◽  
Rehabilitation Program ◽  
Artery Bypass Graft ◽  
Cardiac Rehabilitation Program ◽  
Cardiovascular Rehabilitation ◽  
Revascularization Procedures

Objectives. This paper assesses the importance and contribution of cardiovascular rehabilitation programs in the short- and long-term outcome following surgical revascularization procedures for patients with coronary artery disease (CAD). Methods. We present the case of a 64-year-old patient who benefited from a coronary artery bypass graft (CABG) procedure for CAD, followed by an individualized cardiac rehabilitation program. The case particularity consisted of the presence of associated peripheral vascular disease that imposed additional challenge in decision-making process regarding surgical therapy. Results and discussion. Immediately after surgery, the patient was included in a phase II residential recovery program, preceded by a ramp effort test. The rehabilitation program consisted of partial toning massage of the lumbosacral spine, and individual physiotherapy. Coronary revascularization procedures often cause lowered exercise capacity and declining physical activity levels. In our case even preoperative assessment showed a limited physical effort capacity, further reduced by the surgical intervention. The physiotherapy plan should be personalized, safe, effective, and must increase the independent mobility of patient soon after open heart surgery. Conclusions. The main contribution of cardiac rehabilitation program should be the improvement of physical and social status of patients undergoing surgical myocardial revascularization. This program should be included in the management of all cardiac heart disease patients who benefit from cardiac surgery procedures. Implementation of CR programs at most hospitals and community centres, as well as awareness about their efficacy, would result in higher participation after coronary revascularization interventions and improvement of functional parameters and quality of life.

scholarly journals Effects of the First Phase of Cardiac Rehabilitation Training on Self-Efficacy among Patients Undergoing Coronary Artery Bypass Graft Surgery

2018 ◽  
Author(s):  
Seyed Reza Borzou ◽  
Sasan Amiri ◽  
Mohsen Salavati ◽  
Ali Reza Soltanian ◽  
Gholamreza Safarpoor
Keyword(s):  
Coronary Artery ◽  
Cardiac Rehabilitation ◽  
Self Efficacy ◽  
Artery Bypass ◽  
Bypass Graft ◽  
Rehabilitation Program ◽  
Cardiac Rehabilitation Program ◽  
The Mean ◽  
Cabg Patients ◽  
And Control

Background: Heart surgery is vital for patients with coronary artery diseases that do not respond to drug treatments. We aimed to determine the effects of the implementation of the first phase of a cardiac rehabilitation program on self-efficacy in patients after coronary artery bypass graft surgery (CABG). Methods: This clinical trial study was conducted on 60 post-CABG patients by convenience sampling method in 2016. Those selected were randomly assigned to intervention (n=30) and control group (n=30). Overall, 72 hours after CABG, the first phase of the cardiac rehabilitation program both in theory and in practice (face-to-face and group methods) was conducted. Data were collected using a self-efficacy questionnaire completed by the patients in 3 stages: before the intervention, at discharge, and at 1 month after discharge. Data was analyzed by using analysis of covariance and repeated measures. Results: The mean of age in the intervention and control groups was 61.60±11.72 and 57.97±13. 4 years, respectively. There were 16 (53.3%) male patients in each group. The mean score of self-efficacy was not significantly different between the 2 groups before the intervention (P=0.076), whereas it had a meaningful statistical difference between the 2 groups at discharge and 1 month afterward (P<0.001). Conclusion:  The implementation of the first phase of the cardiac rehabilitation program not only augmented self-efficacy in regard to independent daily activities but also lessened the need for the second phase of the program among our post-CABG patients.

Adherence to guideline-directed medical therapy and its association with re-hospitalization and mortality following coronary artery bypass graft surgery

2020 ◽  
Vol 41 (Supplement_2) ◽  
Author(s):  
R Dankner ◽  
L Orenstein ◽  
K Laufer ◽  
L Olmer ◽  
A Ziv ◽  
...  
Keyword(s):  
Coronary Artery ◽  
Coronary Artery Bypass Graft ◽  
Cardiac Rehabilitation ◽  
Coronary Artery Bypass ◽  
Beta Blockers ◽  
Artery Bypass ◽  
Bypass Graft ◽  
Funding Source ◽  
Artery Bypass Graft ◽  
Cabg Surgery

Abstract Objectives We investigated associations with re-hospitalization, and intermediate- and long-term mortality, of cardio-thoracic surgeons' adherence to pharmacological guideline-directed medical therapy (GDMT) in discharge recommendations of coronary artery bypass graft (CABG) surgery patients. Methods In this longitudinal multicenter study, 1,131 patients who underwent elective CABG surgery in seven medical centers during 2004–2007 were interviewed in the hospital before surgery. Adherence of cardio-thoracic surgeons to GDMT was considered as prescribing medications from three families: antiplatelet therapy, beta-blockers and statins; and was determined from discharge letters. Patients were interviewed one-year after hospitalization to obtain information on re-hospitalizations and current medications. Mortality information was extracted from the Ministry of Internal Affairs registry and updated until March 2018. Results GDMT adherence was evident in the discharge recommendations of 638 patients (56.4%). A propensity score (PS)-weighted multivariate logistic regression showed a 26% lower 1-year risk of re-hospitalization/mortality among patients whose discharge recommendations reflected full adherence than among patients whose recommendations reflected partial adherence (OR=0.74, 95% CI: 0.57–0.97, p=0.03). A PS-weighted Cox proportional hazard model showed 24% lower intermediate (8 year)-term mortality hazard among patients with cardio-thoracic surgeons' adherence to GDMT, compared to other patients (HR=0.76, 95% CI: 0.59–0.98, p=0.03); however the protective effect was attenuated when examining long (14 year)-term mortality. Short- and intermediate-term protective effects were also found when considering only adherence to beta-blockers or statins. Use of GDMT increased 1-year after CABG surgery only in patients who attended cardiac rehabilitation programs after surgery and not in those who did not attend cardiac rehabilitation during that year. Conclusions The reference in CABG patients' discharge recommendations to GDMT was associated with a lower 1-y re-admissions/mortality and lower intermediate-term mortality. Cardio-thoracic surgeons should adhere closely to preventive medication guidelines. Cardiac rehabilitation is associated with better post CABG surgery patients preventive treatment. Funding Acknowledgement Type of funding source: Public grant(s) – National budget only. Main funding source(s): Israel National Institute for Health Policy

IMMUNE FUNCTION IN THE EARLY POSTOPERATIVE PERIOD PREDICTS OUTCOME IN CORONARY ARTERY BYPASS GRAFT (CABG) SURGERY

1990 ◽  
Vol 18 (Supplement) ◽  
pp. S252
Author(s):  
Marcus P. Haw ◽  
Gregory T. Steltzer ◽  
Emma J. Lewis ◽  
Bradley C. Borlase ◽  
Lynda Kabbash ◽  
...  
Keyword(s):  
Coronary Artery ◽  
Coronary Artery Bypass Graft ◽  
Immune Function ◽  
Coronary Artery Bypass ◽  
Postoperative Period ◽  
Artery Bypass ◽  
Bypass Graft ◽  
Early Postoperative Period ◽  
Artery Bypass Graft ◽  
Cabg Surgery
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