Document Type : Original Quantitative and Qualitative Research Paper
Authors
1
PhD Candidate in Nursing, Department of Psychiatric Nursing, University of Rehabilitation Sciences and Social Health, Tehran, Iran
2
PhD in Nursing, Assistant Professor, Department of Anesthesiology, School of Allied Medical Sciences, Alborz University of Medical Sciences, Karaj, Iran
3
MSc in Emergency Nursing, School of Nursing and Midwifery, Urmia University of Medical Sciences, Urmia, Iran
4
MSc in Psychiatric Nursing, Student Research Center, Hamadan University of Medical Sciences, Hamadan, Iran
5
BSc Student in Nursing, Department of Nursing, College of Medical Sciences, Islamic Azad university of Hamadan, Hamadan, Iran
10.22038/ebcj.2025.84061.3061
Abstract
Background: Coronary artery bypass graft (CABG) surgery significantly affects both the physical and psychological well-being of patients. Addressing the psychological symptoms that may arise during recovery is essential to improve overall health outcomes. Cardiac rehabilitation programs can enhance psychological well-being and support a smoother recovery process for these patients.
Aim: This study aimed to investigate the effect of cardiac rehabilitation on improving psychological symptoms measured by SCL-90-R in patients who have undergone CABG.
Methods: This randomized clinical trial study was carried out on 60 patients referred to a specialized hospital for cardiovascular diseases in Hamadan. The participants were divided into intervention and control groups using the permuted block randomization method. Along with the routine care after CABG surgery, the intervention group also received physical exercise and physiotherapy for heart rehabilitation. The exercises were tailored to each patient's cardiovascular condition and included walking on a treadmill, using a stationary bike, and doing aerobics and stretching exercises. These 60-minute sessions were held three times a week for one month. The control group only received routine care. The data was collected using the SCL-90-R questionnaire.
Results: At the beginning of the program, the average psychological indices score in the intervention and control groups was 182.1±14.9 and 196.5±25.1, respectively (p-value=0.503). After the intervention implementation, the average score was 113.7±14.9 and 272.2±32.0 in the intervention and control groups (p-value=0.000).
Implications for practice: This study demonstrated that cardiac rehabilitation following CABG positively impacts patients' psychological symptoms.
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