Heart Vessels and Transplantation (Apr 2024)

Effects of the cardiac rehabilitation program on the quality of life in patients after open-heart surgery

  • Moldir Baibolova,
  • Berik A. Bolatbekov,
  • Kymbat S. Trusheva,
  • Kuramys S. Kuramysuly,
  • Zarina S. Bolatbekova,
  • Berikbay Yesenbekov

DOI
https://doi.org/10.24969/hvt.2024.479
Journal volume & issue
Vol. 8, no. 2

Abstract

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Objective: Cardiovascular disease (CVD) is a leading factor in global mortality and morbidity, but the use of effective cardiac rehabilitation tools improves the prognosis. The main benefits of cardiac rehabilitation include a 33% increase in metabolic equivalents and a 16% increase in maximal oxygen consumption. This improvement during exercise is associated with beneficial effects on quality of life (QoL) and cardiovascular outcomes. In this regard, it is important to determine the QoL of patients undergoing cardiac rehabilitation program. The purpose of the study: to assess the quality of life of patients who underwent a cardiac rehabilitation program after open-heart surgery using the SF-36 questionnaire. Methods: Overall, 104 patients admitted to the rehabilitation department through the state portal who underwent open -heart surgery were included in the study. The study design is a prospective clinical cohort analysis. The criteria for inclusion in the study are men and women who have undergone open-heart surgery over the age of 18 and exclusion criteria were specified. In patients, the SF-36 questionnaire was collected from the moment of admission to the day of discharge, as well as during the follow-up periods after 3-6 months, and the Wong-Baker scale was used to assess pain. Results: As a result of the QoL and pain assessment, it was found that the intensity of pain decreased by 1.3 times by 20%, the quality of life increased by 1.2 times by 17%, and the psychological status improved by 1.2 times by 15%. The patient's training increased not only physically, but also emotionally, which has a positive effect on the patient's QoL and social adjustment. The Wonga-Baker scale is used to track the presence of pain. Before cardiac rehabilitation, patients had 3-4-5-6 points on the Wonga-Baker scale, rarely 7-8-9-10 points, and after rehabilitation most often only 1-2-3 points, that is, the feeling of pain is much lower pressed. Conclusion: Conducting a cardiac rehabilitation program in patients after open-heart surgery improves their quality of life, social status and postoperative pain.

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