eISSN: 1897-4252
ISSN: 1731-5530
Kardiochirurgia i Torakochirurgia Polska/Polish Journal of Thoracic and Cardiovascular Surgery
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2/2017
vol. 14
 
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abstract:
Original paper

Impact of post-hospital cardiac rehabilitation on the quality of life of patients after surgical treatment for coronary artery disease

Józefa Dąbek
,
Ewelina Pyka
,
Joanna Piotrkowicz
,
Krystian Stachoń
,
Grażyna Bonek-Wytrych

Kardiochirurgia i Torakochirurgia Polska 2017; 14 (2): 120-126
Online publish date: 2017/07/05
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Introduction: The quality of life of cardiovascular patients is worse than that of healthy individuals. Pain, dyspnea, and fatigue impair daily activities, which in turn leads to decreased life satisfaction and emotional deterioration. The objective of comprehensive treatment, including early rehabilitation, is to reduce the risk of complications, progression, and recurrence of the disease, as well as to restore, maintain, or improve all aspects of the patient’s quality of life to the greatest extent possible.

Aim: To assess the quality of life of patients who underwent surgical treatment for coronary artery disease and completed the second phase of cardiac rehabilitation.

Material and methods: The study enrolled 100 patients undergoing early cardiac rehabilitation in stationary conditions after coronary artery bypass grafting. The group included 21 women and 79 men; their age ranged from 40 to 75 years. The study employed a questionnaire of our own design.

Results: Post-hospital cardiac rehabilitation resulted in quality of life improvements, especially with regard to psychological aspects, reducing the occurrence of anxiety from 44% to 21%. In addition, the rehabilitation program reduced the occurrence of subjective ailments such as chest pain (from 68% to 10%), fatigue (from 40% to 33%), and dyspnea (from 50% to 12%).

Conclusions: Despite the achievement of quality of life improvements among patients after surgery coronary artery by-pass grafting and early cardiac rehabilitation, the result is not fully satisfactory. Systematic treatment and education should be continued to further improve the health of patients.
keywords:

cardiac rehabilitation, quality of life, vascular bypass

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