Comprehensive cardiac rehabilitation and quality of life in coronary artery bypass graft patients

Rooy, Lynn Van; Coopoo, Yoga

doi:10.24170/14-3-2714

Cited by 3 publications

(2 citation statements)

References 23 publications

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“… 44 This supports the notion of offering comprehensive rehabilitation to cardiac patients, which includes education. 45 , 44 In addition, a study consisting of interdisciplinary sessions on diet, behaviour change, education and support groups, in an attempt to reduce patients' weight, concluded that working in a multidisciplinary team would provide the patient with an adequate programme that will yield benefits for those willing to make behaviour changes. 46 …”

Section: Resultsmentioning

confidence: 99%

Challenges that healthcare practitioners experience in the comprehensive assessment of patients with non-communicable diseases: a preliminary investigation

Smith¹,

Morris-Eyton²,

Noorbhai³

et al. 2021

Afr H. Sci.

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Background: Resource allocation and access to comprehensive treatment in the public healthcare sector are always under pressure. This pressure takes the form of staff shortages, treatment models and the holistic care of patients, compromising basic healthcare in South Africa. Objectives: The study’s aim was to determine the challenges that healthcare practitioners experience while assessing patients with non-communicable diseases, in private and public healthcare sectors in the Gauteng Province of South Africa. Methods: The research design was exploratory and contextual. Qualitative data were collected through focus groups and semi-structured interviews among healthcare practitioners (n = 12). Data analysis took place using Atlas.ti 8.4 Windows (2020). Inter-rater reliability (r = 93.68%) was calculated to ensure the rigour and validity of the results. Results: From the discussion, four themes emerged: 1) limited consultation time; 2) overwhelming economic impact and healthcare cost for facilities and patients; 3) holistic patient care encompassing physical, mental and socioeconomic compo- nents; and 4) lack of patient education due to time constraints experienced by healthcare practitioners. Conclusion: Consultation times are reduced due to a shortage of medical staff, patient numbers, equipment, and poor working conditions. By improving these conditions, patients across all socioeconomic groups will be better assisted, treated, and educated, benefiting from equal access and quality healthcare. Keywords: Healthcare practitioners; non-communicable diseases; qualitative research.

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Section: Resultsmentioning

confidence: 99%

Challenges that healthcare practitioners experience in the comprehensive assessment of patients with non-communicable diseases: a preliminary investigation

Smith¹,

Morris-Eyton²,

Noorbhai³

et al. 2021

Afr H. Sci.

View full text Add to dashboard Cite

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“…Heart rehabilitation programs can also increase functional capacity due to increased cardiac output and improved post CABG heart function due to improvement in ventricular filling and pumping, as well as increasing of the difference in arteriovenous oxygen content, which shows the amount of oxygen taken by the respiratory system and used optimally by the musculoskeletal system during exercise. 8,13 The positive effects of physical exercise on cardiac rehabilitation include improving endothelial function and increasing nitric oxide, increasing myocardial blood flow, lowering blood pressure, and decreasing the progression of coronary artery atherosclerosis, where the overall result will improve the heart's performance and functional capacity of patients after CABG surgery. 14…”

Section: Discussionmentioning

confidence: 99%

Functional Capacity Change after Phase II Cardiac Rehabilitation as a Predictor of Major Adverse Cardiac Event in Left Ventricular Dysfunction Patients Underwent Coronary Artery Bypass Grafting

2021

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Background: Phase II cardiac rehabilitation is essential for management post coronary artery bypass graft (CABG), especially in patients with left ventricular systolic dysfunction. Change in functional capacity after phase II cardiac rehabilitation (∆METs) is an indicator of cardiopulmonary and hemodynamic improvement after CABG. This study assessed the correlation of ∆METs as a predictor of major adverse cardiac event (MACE) 3 months after CABG in patients with left ventricular systolic dysfunction. Methods: A cohort study was conducted on patients with left ventricular systolic dysfunction who underwent CABG between January 2019 to January 2021. Then patients were recruited to phase II cardiac rehabilitation, ∆METs was measured and tabulated by differences of functional capacity before and after the program. The abnormalities of ∆METs were discovered as a predictor of MACE determined by cut-off point, which is combination of death and rehospitalization. Patients were monitored for 3 months after CABG. Result: Among 91 patients, 24.2% had MACE (6.6% death and 17.6% rehospitalization). We found significant correlation between ∆METs and MACE with cut-off point 3.25 METs (p <0.001). Multivariate analysis using logistic regression showed lower ∆METs group had significant correlation with MACE (OR 0.135; p 0.03). Kaplan Meier survival analysis showed lower ∆METs group was predictor of MACE on 3 months after CABG, risk of MACE occurrence 3.9 times than higher ∆METs group (p <0.001). Conclusion: Change in functional capacity could predict MACE on 3 months follow-up of left ventricular systolic dysfunction patients who underwent CABG. Keywords: Change in functional capacity; left ventricular systolic dysfunction; MACE; CABG.

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The Profession of Biokinetics in South Africa: The Need for Access to the Public Healthcare System

Paul¹,

Ellapen²,

Muluvhu³

et al. 2022

Healthcare Access

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This chapter reviews the efficacy of the only South African exercise therapy profession (Biokinetics) in the rehabilitation of non-communicable diseases (NCDs). Biokinetics is a South African exercise therapy profession established in 1983 and which operates in both the pathogenic and fortogenic healthcare paradigms. Unfortunately, the profession of Biokinetics is restricted to the South African private healthcare sector. This chapter describes the scope of the profession of Biokinetics, empirical studies illustrating the efficacy of the profession in addressing society’s non-communicable disease epidemic, and the challenges inhibiting the profession from gaining access to the South African public healthcare sector. It is hoped that the presentation and critical appraisal of the empirical evidence which illustrates the contribution of the profession of Biokinetics to the rehabilitation of NCDs justifies the authors’ claims for the inclusion of the aforementioned profession in the South African public healthcare sector.

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Comprehensive cardiac rehabilitation and quality of life in coronary artery bypass graft patients

Cited by 3 publications

References 23 publications

Challenges that healthcare practitioners experience in the comprehensive assessment of patients with non-communicable diseases: a preliminary investigation

Challenges that healthcare practitioners experience in the comprehensive assessment of patients with non-communicable diseases: a preliminary investigation

Functional Capacity Change after Phase II Cardiac Rehabilitation as a Predictor of Major Adverse Cardiac Event in Left Ventricular Dysfunction Patients Underwent Coronary Artery Bypass Grafting

The Profession of Biokinetics in South Africa: The Need for Access to the Public Healthcare System

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