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Showing 11 results for Rehabilitation
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Volume 1, Issue 2 (9-2012)
Abstract
Aim. This study aimed to evaluate the effect of cardiac rehabilitation on the quality of life in patients undergoing coronary artery bypass graft surgery (CABG). Background. Nowadays, CABG is common in many patients to treat complications of the cardiovascular disease. Method. This quasi-experimental study was conducted on 100 patients after coronary artery bypass graft surgery procedure (CABG). Based on objective and with regard to the inclusion criteria, the subjects were randomly divided into two groups of experimental and control groups. Cardiac rehabilitation program was conducted 24 sessions for the experimental group and the control group followed the usual program. Data were collected by demographic and SF-36 quality of life questionnaires at discharge (at the beginning of rehabilitation), the fourth week (after twelfth session) and the eighth week (after twenty fourth session) of cardiac rehabilitation. The data were analyzed by using Chi-square, independent T and RMANOVA tests. Findings. The findings showed that the experimental and control groups were not significantly different with each other in terms of demographic variables. Comparison of experimental and control groups by using independent T-test showed that approximately there was statistically significant difference in all quality of life components after 12 sessions of cardiac rehabilitation in experimental group (4 weeks after control group discharge). Also, the comparison of both groups showed that after 24 sessions of cardiac rehabilitation in experimental group (8 weeks after control group discharge), there was statistically significant difference in variables such as physical functioning, general health, vitality, emotional role (emotional limitations), mental health, physical and mental health component and quality of life. Conclusion. The results indicate a significant improvement on quality of life with cardiac rehabilitation intervention therefore, it is necessary to emphasize and encourage cardiac rehabilitation.
Saeed Siavoshi, Maryam Roshandel, Armin Zareiyan, Leyla Ettefagh,
Volume 1, Issue 3 (12-2012)
Abstract
Aim. The aim of this study was to evaluate the impact of cardiac rehabilitation on hemodynamic parameters in patients undergoing coronary artery bypass graft surgery (CABG). Background. Nowadays, CABG is common to treat complications of cardiovascular disease in many patients. Method. This clinical trial study was conducted on 50 patients after CABG. The patients were selected based on objective and with regard to the inclusion criteria. Rehabilitation program was conducted for 24 sessions. Data were collected by demographic questionnaire and hemodynamic parameters checklist at the beginning of rehabilitation, 12th session and 24th session of cardiac rehabilitation. The data were analyzed by using Chi-square, RMANOVA tests and SPSS software. Findings. The groups in terms of demographic variables were not significantly different with each other. The findings showed statistically significant differences in variables such as systolic blood pressure, pulse rate and arterial hemoglobin saturation. There were significant differences in these variables between the first and the last sessions (session 24), also between the first session and during the rehabilitation (session 12). There was a significant difference between the 12th and the end of rehabilitation (session 24) in the diastolic blood pressure (p=0.045), but no significant differences in other hemodynamic parameters were seen. Conclusion. The results indicate a relative improvement in some hemodynamic parameters with cardiac rehabilitation intervention therefore, it is necessary to pay more attention to the cardiac rehabilitation.
Seyed Ziaeddin Dakei, Ahmad Hemmat Far, Kamal Azizbeigi,
Volume 3, Issue 1 (6-2014)
Abstract
Abstract
Aim.The aim of this study was to examine
the effect of heart rehabilitation by resistance and endurance training on
functional capacity and quality of life in male patients with myocardial
infarction.
Background.Half of all people who have a heart
attack will survive, but they might end up with a weakened heart and loss of
functional capacity. It is necessary for nurses to gain essential knowledge to
improve the patient’s quality of life and functional capacity.
Method. In this experimental study, 24 male
patients with a history of myocardial infarction were recruited and randomly
allocated to the endurance training group (n=8), resistance training group
(n=8), and control group (n=8). Exercise training was implemented for 50-60
minutes at three sessions in weeks for eight weeks. Endurance training was
implemented at 60-85% maximum heart rate on treadmill, while resistance
training was implemented at 40-70% one repetition (RM) in three sets with leg
press, calf elevation, and leg cruel exercises. Before and after intervention,
functional capacity was assessed with modified Bruce test and quality of life
was evaluated with SF-36 questionnaire for all groups under study.
Findings.The results showed that there was a
statistically significant difference in functional capacity of resistance
(P=0.002) and endurance (P=0.03) training group with control group. However,
there was not significant difference in quality of life between endurance and
resistance training groups.
Conclusion.Resistance and endurance training can
improve functional capacity in male patients with a history of myocardial
infarction. However, resistance training is more effective than endurance
training in improving the functional capacity and quality of life.
Behzad Saki, Khosro Ebrahim, Amirhosein Abedi-Yekta, Leila Salehifard, Adeleh Malekipoor, Mohammad Hasabi,
Volume 3, Issue 4 (3-2015)
Abstract
Aim. The aim of this study was to investigate the effect of the eight-week concurrent training on quality of life in patients with myocardial infarction.
Background. Myocardial infarction is a major cause of mortality around the world. Myocardial infarction affects patient's quality of life significantly, and it is important to find modalities to reduce harmful effects of the disease.
Method. A randomized clinical trial was conducted. Thirty patients referred to Taleghani hospital, located in Tehran, Iran were recruited and randomly assigned to either experimental (n=15) or control group (n=15). Patients in experimental group trained three times a week for eight weeks in cardiac rehabilitation department of Taleghani hospital. Quality of life was evaluated before and after training by SF-36 questionnaire. In order to analyze the data, SPSS version 18 was used.
Findings. The results showed that when compared with control group, the quality of life in experimental group has increased significantly.
Conclusion. According to the findings, it seems that eight weeks of concurrent training can improve quality of life in patients with myocardial infarction.
Safoura Dorri, Asghar Khalifehzadeh Esfahani, Sara Dorri,
Volume 4, Issue 1 (6-2015)
Abstract
Aim. The purpose of the present study was to investigate the effect of cardiac rehabilitation on quality of life and return to work in patients with Acute coronary syndrome (ACS).
Background. ACS is one of the major cardiovascular diseases that can affects the patients’ quality of life and return to work.
Method. This was a clinical trial study conducted on 50 patients with ACS admitted to the coronary care units of the selected hospital of Isfahan University of Medical Sciences in 2013-2014. The participants were randomly assigned to control (n=25) or experimental group (n=25). The experimental group received phase 1 and 2 cardiac rehabilitation program, however, the control group received usual care. The data was collected via demographic questionnaire and SF-36 quality of life questionnaire, before and one month after intervention. Return to work was estimated through questions and then was compared in both groups.
Findings. There was no statistically significant difference between experimental and control groups in terms of demographic variables and cardiovascular risk factors. After intervention, in the experimental group, the mean scores in all domains of quality of life increased significantly (p<0.0001). In the control group, the mean score of quality of life, before and after the intervention was not significantly different. A statistical significant difference was found between the experimental and control groups in all domains of quality of life, except for general health and social function, in favor of the experimental group. No statistically significant difference was found between the groups in terms of the duration of return to work.
Conclusion. The results of this study showed that cardiac rehabilitation program can improve the quality of life in patients with ACS.
Zeinab Hajaliakbari,
Volume 6, Issue 3 (12-2017)
Abstract
Abstract
Aim. This review study was designed to identify the benefits of cardiac rehabilitation and the factors affecting the participation of cardiac patients in cardiac rehabilitation programs.
Background. Cardiovascular diseases are the main cause of death and hospitalization in developed countries. Given that cardiac rehabilitation is as an important component of care for all patients with acute cardiac events, the knowledge of the benefits of cardiac rehabilitation for the prevention of secondary complications of these conditions may reinforce the patients to participate in cardiac rehabilitation programs.
Method. This study is a review of the papers related to cardiac rehabilitation searched out by databases PubMed, Scopus, Google Scholar and Persian articles published in this subject.
Findings. The evidence has shown that those who have participated in cardiac rehabilitation programs are less likely to experience death and morbidity. In general, cardiac rehabilitation can prevent deaths due to heart disease, reduces the possibility of surgery and angiography and reduces the need for hospitalization. Studies over the last 30 years indicate that participating in cardiac rehabilitation programs improve functional capacity, risk factors, quality of life related to health and reduce cardiovascular mortality.
Conclusion. Cardiac rehabilitation is beneficial for patients with cardiovascular disease. It leads to reduction of mortality and morbidity, need for cardiac surgery, and re-hospitalization, and increases functional capacity, and quality of life.
Hedieh Salehpour, Samaneh Parchebafieh, Mohammad Saheb Al-Zamani,
Volume 8, Issue 1 (3-2019)
Abstract
Abstract
Aim. The aim of this study was to evaluate the effect of cardiac rehabilitation training on patients' quality of life after coronary artery bypass grafting at Dr. Lavasani Hospital in Tehran.
Background. Coronary artery disease is the most common and serious chronic life-threatening disease. This disease affects many aspects of people's lives and reduces the quality of life. In many cases, coronary artery bypass graft surgery is needed to treat cardiac problems. Improving the quality of life is one of the important goals of participating in a cardiac rehabilitation program.
Method. In this one-group quasi-experimental study, 45 patients under coronary artery bypass graft surgery, hospitalized in Dr Lavasani Heart Hospital in Tehran, Iran, were selected by simple random sampling and were studied in a before-after design. Data collection tools included demographic questionnaire and Macnew Heart Disease Health-Related Quality of Life questionnaire. Cardiac rehabilitation training program was implemented in two sessions of 30 to 45 minutes with an interval of at least 24 hours at the time of hospitalization. Quality of life was measured in two stages, before the intervention and one month after the second training session. Data were analyzed in SPSS software version 25 using descriptive and inferential statistics.
Findings. The highest percentage of samples was male (57.8 percent), married (95.7 percent) and had primary education (47.8 percent). The mean age of women was 60.32±9.73 years, and the mean age of men was 60.50±12.60 years. After intervention, the mean quality of life score (128.71±4.95) increased significantly compared to the mean quality of life score before intervention (96.66±9.30) (p≤0.0001).
Conclusion. Cardiac rehabilitation in patients undergoing coronary artery bypass graft surgery can increase their quality of life. Nurses can play an important role in improving the quality of life of these patients through implementing cardiac rehabilitation training.
Banafsheh Ghorbani, Fatemeh Bahramnezhad, Mohammad-Hossein Mandegar, Phd Zohrehsadat Mirmoghtadaie,
Volume 8, Issue 1 (3-2019)
Abstract
Abstract
Aim. The purpose of this study was to review the importance of cardiac rehabilitation and physical activity training in the second phase of rehabilitation.
Background. Cardiac rehabilitation is defined as a comprehensive long-term program consisting of medical assessment, exercise program administration, correction of cardiovascular risk factors, training and counseling. Familiarizing nurses with the area of cardiac rehabilitation and providing necessary education to patients will have a significant effect on reducing complications and improving quality of life.
Method. This review study was carried out by library and internet searches in the years 2018-2019 using the keywords “coronary artery bypass graft surgery”, “adherence to treatment”, “cardiovascular disease”, “physical activity”, “exercises at home”, “cardiac rehabilitation” and their Persian equivalents. The search was carried out in databases, search engines PubMed, SID, MagIran, Web of Sciences, Cochrane Library, CINHAL, OVID, Google Scholar, Up-to-date, and Scopus without time limit. A total of 51 articles were found in relation to the subject under study, of which, 4 articles were excluded because of duplication and 10 articles were excluded because their full texts were not available. Finally, 37 articles were included in the study.
Findings. The role of the nurse in training cardiac patients for rehabilitation is of great importance. By educating patients about the principles of rehabilitation for prevention and management of complications, an important role can be played in improving the quality of life of patients and increasing their survival.
Conclusion. Nurses' acquaintance with the principles of cardiac rehabilitation is of particular importance. It is suggested that nurses consider rehabilitation education as one of the supportive therapeutic and preventive approaches and should always be familiar with the latest guidelines in this area.
Behzad Aria, Mohammad Parastesh, Mohammadreza Sadeghian Shahi , Farahnaz Ayatizadeh Tafti, Leyli Khavari Khorasani,
Volume 9, Issue 1 (3-2020)
Abstract
Abstract
Aim. This review discusses the exercise training that appear to be effective in cardiovascular patients with Covid-19.
Background. Nowadays, cardiovascular diseases are the pivotal leading causes of death in the world. Given the change of the human lifestyle into a sedentary one, the number of people with cardiovascular disease is rising dramatically. Recently, Covid-19 disease has endangered people's health in many countries and put a lot of pressure on their health care system. It also has had a significant impact on the global economy. The main features of this disease are high transmission rates and mortality. Although the prime cause of death from Covid-19 is respiratory failure, some patients experience severe cardiovascular problems such as congestive heart failure. Although drugs and therapeutic interventions have improved considerably, it is still challenges in prevention and rehabilitation for these diseases, especially in people with Covid-19, and the search for new strategies continues. Cardiac rehabilitation is a set of medical procedures and exercise training that aim to improve the mental status, physical function and overall increase the quality of life. One of the most important parts of cardiac rehabilitation is prescribing exercise.
Method. The keywords “Cardiovascular disease”, “Covid-19”, “Rehabilitation”, and “Exercise training” were searched out in databases, Science Direct, PubMed, Cochrane, Medline, CINAHL, SID, Iran Doc, and Magiran. Out of articles, 210 articles that were more relevant to the research topic were selected. After reviewing the studies thoroughly, 12 studies that were in line with the purpose of the study were selected and reviewed.
Findings. Exercise training prescribed for cardiovascular patients has prescribed over the years ranges from prescribing one type of exercise for all to prescribing exercise for each patient individually based on risk factors, age, and functional status. Continuous aerobic exercise, periodic aerobic exercise, and strength training have been used in most studies. Less intensity should be used when prescribing these exercises to cardiovascular patients with Covid-19.
Conclusion. In general, considering the beneficial effects of rehabilitation training in cardiovascular patients, it seems that a rehabilitation program based on appropriate exercise training can be effective in reducing the complications and mortality of cardiovascular patients with Covid-19. But more studies are needed to get more information.
Esmaeil Mohammadnejad, Faezeh Samadi, Ali Karimi Rozveh,
Volume 11, Issue 1 (3-2022)
Abstract
Abstract
Aim. This review discusses the studies that have investigated the effect of cardiac rehabilitation programs on people with Covid-19.
Background. It has been previously revealed the profits of cardiac rehabilitation for patients who suffer from cardiovascular diseases. With the occurrence of the covid-19 pandemic, many have suffered from cardiovascular complications due to the coronavirus infection. Despite the application of many medications and therapeutic interventions to control the side effects, many are still experiencing the secondary complications of the disease, specifically the cardiovascular complications, and the search for an effective solution continues. The use of cardiac rehabilitation for these patients may be effective.
Method. A broad search was conducted in scientific databases and search engines such as Science Direct, PubMed, Cochrane, Medline, SID, Scopus, CINAHL, OVID, Iran Doc, and Magiran with the keyboards “Covid-19”, “post covid-19 period”, “cardiac rehabilitation” and “rehabilitation” in both English and Persian language journals published between 2000 and 2022. After a comprehensive review, nine studies that met the purpose of this study were selected.
Findings. Cardiac rehabilitation programs decrease complications, mortality, and readmission of people with Covid-19, and modify the signs, physical and cardiovascular functions, and the quality of life in these patients.
Conclusion. For finer efficacy of cardiac rehabilitation programs, designating a program suited for the patient's condition, schedule adherence, and evaluation of the findings should be considered. It seems that cardiac rehabilitation programs can be beneficial for people with Covid-19 in reducing complications and mortality rates. More studies are needed for more information.
Zoleikha Abbasi, Mohammad Javadinejad, Mahbubeh Shali, Elham Navab,
Volume 11, Issue 1 (3-2022)
Abstract
Abstract
Aim. This review study was conducted with the aim of highlighting the importance of a preoperative preventive approach in the recovery of patients undergoing coronary artery bypass surgery.
Background. With the increase in the number of patients who are candidated for heart surgery, improving the health status before the operation is of great importance to optimize the results after the operation. This review has been conducted with the aim of evaluating the evidence related to the pre-rehabilitation of patients undergoing coronary artery bypass surgery.
Method. The present literature review was conducted by searching out library resources and databases, Scopus, Chochrane Library, Magiran, SID, PubMed, Up-to-date, OVID, CINAHL, and Web of Science with the keywords, coronary artery bypass surgery, pre-rehabilitation, cardiovascular disease and their Persian equivalents without time limit. From a total of 104 articles, 63 full texts articles entered the review stage, of which 17 articles entered the literature review.
Findings. The findings indicate the favorable effects of pre-rehabilitation on improving the quality of life and preventing complications in the early postoperative period. Pre-rehabilitation programs should adopt multifaceted approaches including nutrition, exercise, and anxiety reduction to improve patient resilience in the preoperative period. The pre-operative period is a critical opportunity to implement pre-rehabilitation interventions for vulnerable patients awaiting cardiac surgery.
Conclusion. Cardiac pre-rehabilitation includes a wide range of preventive interventions that can be taught by nurses to patients undergoing cardiac surgery. Pre-rehabilitation requires an interdisciplinary approach, because it suggests a change from the current model of health care and transformation from one-dimensional care to interdisciplinary care, which can be an effective tool for the medical and nursing system in timely identification of physical and mental disorders in initial preoperative assessment, preoperative education and management, as well as prevention of postoperative complications.
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