Quality of life during rehabilitation after coronary artery bypass surgery

Abstract

The effect of a three-phase comprehensive rehabilitation programme on the quality of life during the first postoperative year after coronary artery bypass surgery was studied in 205 male patients randomly allocated into a rehabilitation (R) and a hospital-based treatment (H) group. The rehabilitation programme included physical exercise, relaxation training, psychological group sessions, dietary advice and discussions about postoperative treatment of coronary disease. There was no difference between R and H groups in the frequency of postoperative complaints, number of hospital admissions and satisfaction of sexual life. An almost significantly greater number of subjects in R group than in H group perceived their health as good 12 months after surgery. The Beck Depression Index score decreased significantly in R group but not in H group during follow-up. A greater increase in hobby activities was observed in R group than in H group. More subjects in R group than in H group considered rehabilitation important for recovery, whereas more patients in H group considered support by the spouse and family, the subjective mental strength and a secure income as important.

Depression in Coronary Heart Disease Patients: Etiological and Screening Issues

“…Significant relationships have also been observed between depression and QoL in CHD patients adding credence to the notion that depression is part of a constellation of psychological and behavioural responses to the experience of CHD [19][20][21][22]. Given the focus of cardiac rehabilitation programmes on reducing risk factors and changing health behaviour [23,24], it is surprising that depression is often unrecognised in this group [25]. Cardiac rehabilitation programmes endeavour to empower patients to improve lifestyle activities with the goal of improving QoL and reducing mortality [26][27][28].…”

Yoga based cardiac rehabilitation after coronary artery bypass surgery: One-year results on LVEF, lipid profile and psychological states – A randomized controlled study

“…12 Several studies have documented the benefits of relaxation techniques in pre and post-operative period. In a two armed randomized controlled study, Engblom et al 13 showed increased hobby activities and reduction in scores on Beck's Depression Index during the first post-operative year after CABG in the group who had a comprehensive post-op rehabilitation (physical exercise, relaxation training, group discussion sessions and dietary advice) as compared to the group who had hospital based rehabilitation. Another study observed significant reductions in both state and trait anxiety after 6 weeks of progressive muscular relaxation in anxious patients after CABG.…”

Predictors of enhanced well‐being after coronary artery bypass surgery

“…Several studies have described enhanced quality of life after coronary artery bypass surgery by interpreting single item functional variables or single scores which do not fully capture the multidimensionality of the health-related quality of life concept [4][5][6]. Several studies have described enhanced quality of life after coronary artery bypass surgery by interpreting single item functional variables or single scores which do not fully capture the multidimensionality of the health-related quality of life concept [4][5][6].…”

“…or subjective well-being. Several studies have described enhanced quality of life after coronary artery bypass surgery by interpreting single item functional variables or single scores which do not fully capture the multidimensionality of the health-related quality of life concept [4][5][6].…”