Effect of the rehabilitation program on the fatigue of patients with coronary artery diseases
Social Determinants of Health,
Vol. 9 (2023),
1 January 2023
Background: This study aimed to evaluate the changes in fatigue of patients with coronary artery diseases after the rehabilitation intervention based on demographic and clinical variables.
Methods: This study was a single-arm clinical trial with a pre and post-intervention design. The statistical population of the study included patients with coronary artery diseases who underwent coronary artery bypass surgery or percutaneous coronary interventions, 4-6 weeks after discharge, referred to Khorramabad Cardiac Rehabilitation Center. They were selected by a purposeful sampling method. The data were collected through demographic and clinical information questionnaires and Piper Fatigue Measurement Questionnaire. Education on risk factors at home (weeks 4 and 8) was presented in the area of rehabilitation, the data were analyzed with descriptive and analytical statistics in SPSS software.
Results: Most of the patients were male (54.4%), married (87%), and in the age group of 47-58 years (50%). Their mean age was 54.63 ± 8.87 years, and the mean duration of heart disease in the subjects (by months) was 33.24 ± 50.84. Comparing the mean changes in fatigue after the intervention based on some influencing demographic variables of the patients, including age, gender, type of treatment, and the duration of the disease showed no significant difference (p>0.05).
Conclusion: The implementation of a home cardiac rehabilitation program by nurses, as a low-cost, accessible, and feasible intervention, can be considered an effective step in reducing the fatigue of patients with coronary artery disease and should be considered by managers.
- Clinical Trial
- Coronary Artery Disease
How to Cite
Nolte E, Mckee M. Caring for People with Chronic Conditions: A Health System Prespective, 1th edition, New York: Open University Press;2008. https://eurohealthobservatory.who.int/publications/m/caring-for-people-with-chronic-conditions-a-health-system-perspective
Woods SL, Froelicher ESS, Motzer SU, Bridges EJ. Cardiac Nursing, 6th edition, Philadelphia, Lippincott Williams & Wilkins;2010. https://www.amazon.com/Cardiac-Nursing-Susan-Woods-PhD/dp/0781792800
Amani F, Kazemnejad A, Habibi R, Hajizadeh E. Pattern of mortality trend in Iran during 1970-2009. Journal of Gorgan University of Medical Sciences. 2011;12(4):85-90. http://goums.ac.ir/journal/article-1-865-fa.html
Mosca L, Banka CL, Benjamin EJ, Berra K, Bushnell C, Dolor RJ, et al. Evidence-based guidelines for cardiovascular disease prevention in women: 2007 update. Circulation. 2007;115(11):1481-501. https://doi.org/10.1161/CIRCULATIONAHA.107.181546
Amirian Z, Hemati Maslak M. Jalali R. Khalkhali H. Salehi S. The Effects of Regular Physical Activity at Home on Patients' Quality of Life after Coronary Artery Bypass Surgery. Journal of Knowledge & Health in Basic Medical Sciences. 2013;8(2):51-56. https://doi.org/10.22100/jkh.v8i2.21
Putzki N, Katsarava Z, Vago S, Diener HC, Limmroth V. Prevalence and severity of multiple-sclerosis-associated fatigue in treated and untreated patients. Eur Neurol. 2008;59(3):136-42. https://doi.org/10.1159/000111876.
Cortés O, Arthur HM. Determinants of referral to cardiac rehabilitation programs in patients with coronary artery disease: a systematic review. Am Heart J. 2006;151(2):249-56. https://doi.org/10.1016/j.ahj.2005.03.034
Grace SL, Abbey SE, Shnek ZM, Irvine J, Franche RL, Stewart DE. Cardiac rehabilitation II: referral and participation. Gen Hosp Psychiatry. 2002;24(3):127-34. https://doi.org/10.1016/s0163-8343(02)00179-2
Hoeman SP. Rehabilitation Nursing: Process, Application & Outcomes, 3th edition Philadelphia, Mosby;2002. https://www.amazon.com/Rehabilitation-Nursing-Process-Applications-Outcomes/dp/032301190X
Tantaewy NM, Shebl AM, Shereif WI, Weheda SM. Effect of Cardiac Rehabilitation Program on Lifestyle Pattern of Patients with Myocardial Infraction. Journal of Biology, Agriculture and Healthcare. 2013;3(8):9-21. https://www.iiste.org/Journals/index.php/JBAH/article/view/6719
Hosseinzadeh T, Pariad A, Kazemnejad A, Asiri S. Investigating the self-efficacy of patients with coronary artery disease and its predictive factors. Journal of Qom University of Medical Sciences. 2012;7(2):41-48. https://journal.muq.ac.ir/article-1-522-fa.html
Manneville F, Rotonda C, Conroy T, Bonnetain F, Guillemin F, Omorou AY. The impact of physical activity on fatigue and quality of life during and after adjuvant treatment for breast cancer. Cancer. 2018;124(4):797-806. https://doi.org/10.1002/cncr.31108
Nowicki A, Rzepka K, Farbicka P. The Influence of Physical Activity on the Severity of Fatigue in Patients Treated Radically because of Breast Cancer. Global Journal of Breast Cancer Research. 2013;1(2):43-52. https://www.scilit.net/article/45c674f43f0cb65ca2fad512f70da30f
Fennessy MM, Fink AM, Eckhardt AL, Jones J, Kruse DK, VanderZwan KJ, Ryan CJ, Zerwic JJ. Gender differences in fatigue associated with acute myocardial infarction. J Cardiopulm Rehabil Prev. 2010;30(4):224-30. https://doi.org/10.1097/HCR.0b013e3181d0c493
Eckhardt AL, Devon HA, Piano MR, Ryan CJ, Zerwic JJ. Fatigue in the presence of coronary heart disease. Nurs Res. 2014;63(2):83-93. https://doi.org/10.1097/NNR.0000000000000019
Fazel Asgarpoor A, Amini Z, Zeraati A, Esmaeli H. The effect of a care plan based on the Roy Adaptation Model on level of Fatigue in hemodialysis patients. Evidence Based Care. 2011;1(1):77-90. https://doi.org/10.22038/ebcj.2011.3766
Zahed F, Abolghasemi A, Narimani M, Salari A. The Relationship of Fatigue and Hostility with Health in Patients with Coronary Artery Disease. Journal of Guilan University of Medical Sciences. 2010;18(72):77-84. http://journal.gums.ac.ir/article-1-229-en.html
Mollaoğlu M. Fatigue in People Undergoing Hemodialysis. Dialysis & Transplantation. 2009;38(6):216-220. https://onlinelibrary.wiley.com/doi/full/10.1002/dat.20330
Falk K. Fatigue in patients with chronic heart failure patient experiences and consequences of fatigue in daily life. Master's Thesis, Institute of Health and Care Sciences, Göteborg University;2021.
Sajadi A, Farmahini Farahani B, Esmaeilpoor Zanjani S, Durmanesh B. Effective factors on fatigue in patients with chronic renal failure undergoing hemodialysis. Jccnursing. 2010;3(1):13-14. http://jccnursing.com/article-1-146-en.html
Arefi P. Investigating the effect of the phase one cardiac rehabilitation program on the patient's understanding of the disease and the anxiety and depression of patients with acute coronary syndrome. Master's thesis, Faculty of Nursing and Midwifery, Tehran University of Medical Sciences;2022.
Mohammadi Shahbalaghi F. Theoretical foundations of rehabilitation nursing. First edition, Tehran: University of Welfare and Rehabilitation Sciences;2006.
Barbour VL, Mead GE. Fatigue after Stroke: The Patient's Perspective. Stroke Res Treat. 2012;20(12):863031-42. https://doi.org/10.1155/2012/863031
Woods SL, Froelicher ESS, Motzer SU, Bridges EJ. Cardiac Nursing, 6th edition, Philadelphia, Lippincott Williams & Wilkins;2010.
Nazarko L. Cardiology: cardiac rehabilitation. Nursing and Residential Care;2013.
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