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.

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

Erectile dysfunction and stress are among common post-CABG surgery complications. The present study was conducted to assess the effect of modified cardiac rehabilitation on “erectile dysfunction” and “coping with stress”. In the present clinical trial study, 126 male patients undergoing CABG surgery were randomly assigned to treatment (63 patients) and control (63 patients) groups. Control group received conventional cardiac rehabilitation program over 26 sessions. Treatment group received modified cardiac rehabilitation program, including Kegel exercise and training on stress coping strategies in the first four sessions of their rehabilitation program. Patients were assessed before and after cardiac rehabilitation program using the International Index of Erectile Dysfunction (IIEF-5) questionnaire and Endler and Parker Coping with Stress Scale. Data were analyzed in SPSS using ANOVA, T, and Chi square tests. Mean erectile function score significantly increased in both treatment and control groups, but the difference in mean scores for improvement in erectile function was greater in treatment group (P < 0.001). Analysis showed no significant difference in mean differences between two groups in all subscales of stress coping. Intragroup analysis showed significant differences in both groups between mean differences before and after intervention in task-oriented styles {treatment group (P < 0.002), control group (P < 0.001)}, and social diversion-oriented. The results showed that conventional and modified cardiac rehabilitation can be effective in improving erectile dysfunction and stress coping in task-oriented and social diversion-oriented styles in the men patients with left ventricular ejection fraction over 30% following CABG surgery. However, modified cardiac rehabilitation has greater benefits for improving erectile dysfunction.

The Effect of Modified Cardiac Rehabilitation on Erectile Dysfunction and Coping with Stress in Men Undergoing Coronary Artery Bypass Graft (CABG): A Clinical Trial

Background and Aims The family members of patients experience a high level of anxiety during the patient’s
CABG surgery. Information sharing with family members about the patient’s condition during surgery can
reduce their anxiety. The present study was conducted to compare the effect of information sharing with
electric boards and mobile phones on the anxiety of family members of patients undergoing CABG surgery.
Methods This randomized controlled trial was conducted on 80 family members of patients undergoing CABG
surgery. The intervention group was provided with information sharing using a mobile phone during the patient’s
surgery. The control group received their patient’s information on electric patient tracking board inserted
on the operating room wall. The study participants’ anxiety was evaluated using the Spielberger State-Trait
Anxiety Inventory (STAI), before and after the interventions. The obtained data were analyzed in SPSS using
descriptive and analytical statistics.
Results Before conducting the interventions, the mean±SD scores of anxiety were 49.03±12.82 and
47.80±10.41 in the test and control groups; the two study groups had no significant difference in this regard.
After the interventions, the mean score of anxiety significantly reduced in the intervention group; however, no
significant change was observed in the controls in this area. Additionally, the mean changes in anxiety score in
the intervention group were significantly higher than the controls (P≤0.5).
Conclusion According to the achieved results, informational support for the family members of patients can
reduce their anxiety during their patients’ surgery procedure.

Comparing the Effectiveness of Informational Communication With Mobile Phone and EMedia on Anxiety in Cerebral Palsy

1 Assistant Professor, Department of Medical– Surgical Nursing, Chronic Diseases (Home Care) Research Center, Faculty of Nursing and Midwifery, Hamadan University of Medical Sciences, Hamadan, Iran 2 MSc of Medical– Surgical Nursing, Faculty of Nursing and Midwifery, Hamadan University of Medical Sciences, Hamadan, Iran 3 Department of Medical Surgery, Hamadan University of Medical Sciences, Hamadan, Iran 4 Research Center for Modeling of Non-communicable Diseases and Department of Biostatistics & Epidemiology, School of Public Health, Hamadan University of Medical Sciences, Iran 5 Assistant Professor, Department of Cardiac Surgery, Hamadan University of Medical Sciences, Hamadan, Iran * Corresponding author: Mohsen Salavati, Department of Medical Surgery, Hamadan University of Medical Sciences, Hamadan, Iran. E-mail: salavatimohsen42@yahoo.com

Comparing the Effects of Education of the First Phase of Cardiac Rehabilitation on Self-efficacy of Men and Women after Heart Surgery: A Clinical Trial Study

This article reports the findings of a study designed to investigate the effectiveness of the Roy Adaptation Model, as it relates to improvements in nursing care outcomes for patients undergoing coronary bypass graft surgery. Results revealed that the implementation of a training program based on this model enhanced staff education and led to decreases in the level of fatigue and improved the quality of life for this group of patients.

The Effect of the Nursing Care Based on the Roy Adaptation Model on the Level of the Quality of Life and Fatigue in the Patients Undergoing Coronary Artery Bypass Graft Surgery.

Aims: The goal of Coronary Artery Bypass Graft surgery (CABGs) is to improve the quality of life in patients with coronary artery diseases. Many studies have suggested the implementation of a cardiac rehabilitation program after surgery required to achieve this goal. The aim of this study was to examine the effects of cardiac rehabilitation on quality of life in post-surgery patients. Materials & Methods: In this quasi-experimental which was conducted in 2012, 70 patients (35 patients in experimental group and 35 patients in control group) undergoing CABGs in Shahid Rajaei Heart Center of Tehran City were selected by achievable sampling method. The experimental group received 12 sessions of cardiac rehabilitation program according to their health condition. The control group was not participating in the rehabilitation program. The qualities of life of patients of both groups were measured by Ferrans & Powers Questionnaire of quality of life before and after the cardiac rehabilitation program. Data were analyzed in SPSS 16 software by Paired T, independent T and linear regression tests. Findings: The experimental and the control group were matched according to age and sex. There was no significant difference between two groups before intervention in the quality of life score. After intervention, the quality of life score were increased in both the experimental (19.99±1.11) and the control groups (18.49±1.48), respectively (p<0.001). Conclusion: Participation in cardiac rehabilitation program is effective in promotion of quality of life in CABG patients.

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Isa Abbasi

Papers

Effect of Cardiac Rehabilitation Program on Quality of Life in Patients Undergoing Coronary Artery Bypass Graft Surgery