Efficacy of Buteyko Breathing Technique on Anxiety, Depression, and Self-efficacy in Coronary Artery Bypass Graft Surgery Patients: A Protocol for Randomized Clinical Trial

Background: Annually, more than a lakh CABG procedure is performed in India aiming to restore blood circulation to heart muscles. But psychological factors like anxiety and depression among such patients pre and post-operatively are often overlooked. Our study aims to incorporate rehabilitation for psychological factors along with Cardiac rehabilitation using the Buteyko breathing technique among such population. Methods: Total 44 Post CABG patients after enrolment in the study will be divided into 2 groups to evaluate anxiety, depression, and self-efficacy, Conventional group (n=22) which receive in-hospital Cardiac rehabilitation for 2 weeks whereas the other group, the Experimental group (n=22) will receive In-hospital Cardiac rehabilitation along with Buteyko Breathing training. Discussion: Anchoring rehabilitation for psychological consequences in patients with CABG surgery will play a major role in fostering recovery, decrease the cost of Medicare and ameliorate symptoms. This will pave a path to incorporate the Buteyko breathing technique along with Cardiac rehabilitation as a holistic approach for CABG patients.

Download Full-text

Efficacy of Buteyko breathing technique on Anxiety, Depression and Self-efficacy in Coronary Artery Bypass Graft Surgery patients: A Randomized Clinical Trial

10.21203/rs.3.pex-1496/v1 ◽

2021 ◽

Author(s):

MOLI JAIN ◽

VISHNU VARDHAN ◽

VAISHNAVI YADAV

Keyword(s):

Clinical Trial ◽

Coronary Artery ◽

Coronary Artery Bypass Graft ◽

Cardiac Rehabilitation ◽

Self Efficacy ◽

Artery Bypass ◽

Bypass Graft ◽

Artery Bypass Graft ◽

Cabg Patients ◽

Anxiety Depression

Abstract Background: In India, with increasing trends of Coronary Artery bypass graft surgery, there has been little consideration in importance of psychological evaluation in those undergoing surgery. Our study aims to evaluate the efficacy of Buteyko breathing technique as a psychological intervention along with Phase 1 Cardiac Rehabilitation on Anxiety, Depression and Self-efficacy in CABG patients.Method: In this study, 44 CABG Patients will be enrol. Conventional group will receive 2 weeks Phase I Cardiac Rehabilitation and Experimental group will receive Buteyko Breathing exercises along with 2 weeks Phase I Cardiac Rehabilitation. The evaluations for Anxiety, Depression and Self-efficacy will be performed. Discussion:Collaborating secondary prevention for Psychological consequences in the management strategy after revascularization will help in decrease in-hospital stay, speedy return to work and can further ameliorate symptoms. This will open a window of opportunity for integrating early rehabilitation for psychosocial consequences to provide holistic management for CABG patients.The clinical trial registry-India(CTRI) registration number for this trial is CTRI/2021/05/033632.

Download Full-text

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

The Journal of Tehran University Heart Center ◽

10.18502/jthc.v13i3.132 ◽

2018 ◽

Cited By ~ 1

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.

Download Full-text

Planned discharge program effectiveness on cardiac self-efficacy and hope in patients undergoing coronary artery bypass graft surgery: A quasi-experimental study

Proceedings of Singapore Healthcare ◽

10.1177/20101058211064669 ◽

2021 ◽

pp. 201010582110646

Author(s):

Tayebeh Eghbali ◽

Batool Tirgari ◽

Zahra Dehghani ◽

Mansooreh A Forouzi

Keyword(s):

Experimental Study ◽

Coronary Artery ◽

Self Efficacy ◽

Artery Bypass ◽

Bypass Graft ◽

Intervention Group ◽

Control Group ◽

Artery Bypass Graft ◽

Quasi Experimental ◽

Cabg Patients

Background Controlling risk factors and lifestyle modification in coronary artery bypass graft (CABG) patients plays an important role and leads to the empowerment of these patients to take care of themselves. One way to empower these patients is to improve their self-efficacy and hope. This study aimed to investigate the effect of the planned discharge on cardiac self-efficacy and hope of CABG patients. Methods In this quasi-experimental study, the sample consisted of 60 people (30 in the intervention group and 30 in the control group). Data were collected using the Miller Hope Questionnaire and Sullivan Cardiac Self-Efficacy Questionnaire. Data analysis was performed using central indices of mean and standard deviation and Chi-square, t-tests and one-way analysis of variance. The software used for data analysis was SPSS version 19. Results The mean age of participants in the control group was 91/9 ± 86/91 and in the intervention, group was 33/7 ± 7/58. There was no significant difference between the demographic characteristics, heart self-efficacy and hope scores of the participants in the control and intervention groups. After the intervention, there was a meaningful statistical difference between the two groups at discharge time and 1 month afterward in both hope and cardiac heart self-efficacy scores ( p = 0.001, 0.0001). Conclusion In this study, the implementation of the discharge program was effective in increasing the hope and cardiac self-efficacy of CABG patients and the use of the discharge plan is recommended to improve the outcomes of these patients.

Download Full-text

Efficacy of Alternative Cardiac Rehabilitation Delivery Formats in Improving Psychological Symptoms after Coronary Artery Bypass Grafting

The Journal of Tehran University Heart Center ◽

10.18502/jthc.v13i3.129 ◽

2018 ◽

Author(s):

Mozhgan Saeidi ◽

Ali Soroush ◽

Saeid Komasi ◽

Agostino Brugnera ◽

Marco Patucelli ◽

...

Keyword(s):

Coronary Artery ◽

Cardiac Rehabilitation ◽

Coronary Artery Bypass ◽

Psychological Symptoms ◽

Health Care Systems ◽

Artery Bypass ◽

Bypass Graft ◽

Cross Sectional Study ◽

Cross Sectional ◽

Cabg Patients

Background: Health-care systems always strive for alternative cardiac rehabilitation (CR) models to ensure that options available to patients better fit their needs, risk factor profiles, and preferences. We assessed the effects of hospital-based cardiac rehabilitation (HBCR) and hybrid cardiac rehabilitation (HCR) on psychological symptoms (i.e., anxiety, depression, and stress) among patients following coronary artery bypass graft surgery (CABG). Methods: This cross-sectional study recruited 115 CABG patients who were referred to the Department of Cardiac Rehabilitation at Imam Ali Hospital in the Iranian city of Kermanshah between January and May 2016. The patients were assigned to 1 of the 2 programs of HBCR (26 sessions) and HCR (10 sessions). The study population’s psychological symptoms were assessed using the Depression, Anxiety, and Stress Scale (DASS) before and after the intervention, and the data were analyzed using paired t-tests and ANCOVA. Results: A total of 105 (91%) patients concluded the CR program. Respectively, 50.8% and 26.2% of the participants in the HBCR and HCR programs were female. The mean age was 59.6±9.2 years in the HBCR group and 58.7±6.1 years in the HCR group. The ANCOVA results indicated that both HBCR and HCR programs were equally effective in reducing anxiety (P=0.001 vs. P=0.015) and stress (P=0.002 vs. P=0.003) among the CABG patients, while only HBCR was effective in alleviating depressive symptoms (P=0.001). Conclusion: Our results demonstrated the efficacy of HBCR and HCR in diminishing stress and anxiety levels among the CABG patients. However, depression was affected only by HBCR.

Download Full-text

Factors associated with return to work after coronary artery bypass grafting (CABG)

European Journal of Preventive Cardiology ◽

10.1093/eurjpc/zwab061.360 ◽

2021 ◽

Vol 28 (Supplement_1) ◽

Author(s):

A Raynaldo

Keyword(s):

Diabetes Mellitus ◽

Logistic Regression ◽

Coronary Artery ◽

Return To Work ◽

Coronary Artery Bypass ◽

Functional Capacity ◽

Artery Bypass ◽

Bypass Graft ◽

Factors Associated ◽

Cabg Patients

Abstract Funding Acknowledgements Type of funding sources: None. Background. Postoperative CABG patients will generally experience improvement in symptoms and functional capacity. Post-CABG patients are expected to be productive again in order to have a positive impact on both patient and the society socio-economically, in addition to other parameters such as morbidity, mortality and serious adverse events. Purpose to determine the factors that associated with return to work in CABG patients in one General Hospital. Methods. We analyzed data from Adam Malik Hospital registry of 68 patients who had undergone CR after coronary artery bypass graft (CABG) in 2017-2020. The outcomes assessed were work status in 6 month after CABG. Patients’ characteristics, sociodemographic, clinical parameters of functional capacity using 6 minutes of walk test (6MWT), T2DM, Hypertension and cholesterol level were assessed. Factors associated with return to work were identified using multivariable logistic regression. Results We identified 68 patients undergoing isolated CABG (2017–2020). One year after discharge for CABG, 40 (58.8%) patients had returned to the workforce. Factors associated with return to work were identified using bivariate logistic regression. Diabetes mellitus (odds ratio, 10.192; 95% confidence interval, 0.063–0.515). Conclusion Almost 2 from 3 patients after CABG returned to work within 6 months. Diabetes mellitus and functional capacity were associated with a lower likelihood of returning to work.

Download Full-text

Prognostic utility of early systolic lengthening by speckle tracking in patients undergoing coronary artery bypass graft

European Heart Journal - Cardiovascular Imaging ◽

10.1093/ehjci/jeaa356.181 ◽

2021 ◽

Vol 22 (Supplement_1) ◽

Author(s):

P Brainin ◽

S Lindberg ◽

F Olsen ◽

S Pedersen ◽

A Iversen ◽

...

Keyword(s):

Coronary Artery ◽

Coronary Artery Bypass Graft ◽

Speckle Tracking ◽

Prognostic Value ◽

Artery Bypass ◽

Bypass Graft ◽

Artery Bypass Graft ◽

Positive Strain ◽

All Cause Mortality ◽

Cabg Patients

Abstract Funding Acknowledgements Type of funding sources: Public grant(s) – National budget only. Main funding source(s): The Independent Research Fund Denmark Background Early systolic lengthening (ESL), a paradoxical stretch of myocardial fibers, has been linked to myocardial viability and contractile dysfunction. We assessed the long-term prognostic potential of ESL in coronary artery bypass graft (CABG) patients. Methods We retrospectively included patients (n = 709; mean age 68 years; 85% men) who underwent speckle tracking echocardiography (median 15 days) prior to CABG. Endpoints were cardiovascular death (CVD) and all-cause mortality. We assessed amplitude of ESL (%), defined as peak positive strain, and duration of ESL (ms), determined as time from Q-wave on the ECG to peak positive strain. We applied Cox proportional hazards models adjusted for the clinical risk tool, EuroSCORE II. Results During median follow-up of 3.8 years [IQR 2.7 to 4.9 years], 45 (6%) experienced CVD and 80 (11%) died. In survival analyses adjusted for EuroSCORE II, amplitude of ESL was associated with CVD (HR 1.37 [95%CI 1.13 to 1.66], P = 0.001) and all-cause mortality (HR 1.31 [95%CI 1.13 to 1.54], P = 0.001). Similar findings applied to duration of ESL and CVD (HR 1.17 [95%CI 1.08 to 1.26], P < 0.001) and all-cause mortality (HR 1.14 [95%CI 1.07 to 1.21], P < 0.001). The prognostic value of ESL amplitude was modified by sex (P interaction < 0.05), such that it was greater in women for both endpoints (Figure 1A-B). When adding ESL duration to EuroSCORE II, the net reclassification index improved significantly for both CVD and all-cause mortality. Conclusions Assessment of ESL provides independent and incremental prognostic information in addition to the EuroSCORE II for CVD and all-cause mortality in CABG patients. The prognostic value was greater in women. Abstract Figure. Prognostic value of ESL amplitude by sex

Download Full-text