The impact of a self-management program on exercise adherence among patients discharged after coronary artery bypass grafts: A quasi-experimental study in Thailand

Abstract

Background: Exercise adherence is essential for maintaining the physical and mental health of patients after coronary artery bypass grafts (CABG). However, adherence is often poor, particularly in the early weeks after hospital discharge, leading to adverse health outcomes. Therefore, implementing self-management programs is crucial to promote and sustain long-term exercise adherence among these patients. Objective: This study aimed to examine the impact of self-management programs on exercise adherence in post-CABG patients. Methods: A quasi-experimental posttest-only control group study was conducted from April to November 2022 at Surat Thani Hospital in Thailand. Forty post-CABG patients were gender and age-matched and randomly assigned to either the control group (n = 20) or the experimental group (n = 20). The experimental group participated in a six-week self-management program for exercise adherence, utilizing telephone and LINE applications, while the control group received standard care. Data were collected using validated exercise adherence rating scales and a self-management questionnaire. Descriptive statistics and independent t-tests were employed for data analysis. Results: The mean exercise adherence score in the control group was 9.30 (SD = 4.91), whereas it was 21.30 (SD = 3.20) in the experimental group. The experimental group, which received the self-management program, exhibited significantly higher exercise adherence scores compared to the control group (t = 9.16, df = 32.65, p <0.001). Conclusions: This study demonstrates the effectiveness of a post-CABG self-management program in improving exercise adherence. Nurses play a crucial role in promoting and enhancing self-management during the pre-and post-discharge phases, and regular phone or LINE application contacts can have a positive impact on post-CABG patients. Policymakers should consider implementing self-management programs to encourage patients to maintain their exercise routines, leading to improved physical and mental well-being.

Revolutionizing Cardiac Care: A Comprehensive Narrative Review of Cardiac Rehabilitation and the Evolution of Cardiovascular Medicine

“…Advanced technologies, such as wearable devices and telehealth platforms, have been integrated into CR to tailor interventions to individual patient needs. This transformation aligns with the broader shift in healthcare toward patient-centered care and evidence-based practice [8]. The narrative review presented here embarks on a captivating journey through the annals of cardiovascular medicine.…”

Cardio-Oncology: Managing Cardiovascular Complications of Cancer Therapies

“…Radiation therapy, a crucial element of cancer treatment, can unintentionally impact the heart, resulting in radiation-induced heart disease (RIHD). RIHD comprises a range of cardiovascular problems, such as pericarditis, coronary artery disease, and valvular anomalies [33].…”

“…Radiation therapy, a crucial element of cancer treatment, can unintentionally impact the heart, resulting in radiation-induced heart disease (RIHD). RIHD comprises a range of cardiovascular problems, such as pericarditis, coronary artery disease, and valvular anomalies [ 33 ]. The risk of radiation-induced heart disease (RIHD) is contingent upon various factors, including the cumulative radiation dose, how the radiation is administered in divided doses, and the proximity of the heart to the area being irradiated.…”

“…Oncologists and cardiologists can utilize shared decision-making frameworks to incorporate cardiovascular risk evaluations into the comprehensive treatment plan, promoting a patient-centric approach [ 32 ]. Enhancing communication channels and implementing interdisciplinary educational programs reinforce teamwork, ensuring healthcare providers are well-prepared to negotiate the intricate overlap between cancer and cardiovascular disorders [ 33 ].…”

“…Cardio-oncology research is now investigating novel therapeutics to reduce the harmful effects of cancer treatments on the heart [ 33 ]. Dexrazoxane, a cardioprotective drug administered alongside anthracycline chemotherapy, exemplifies a therapeutic approach that has demonstrated potential in safeguarding cardiac function [ 34 ].…”