Effectiveness of Cardiac Rehabilitation for Patients after Coronary Artery Bypass Graft: Randomized Controlled Trial

Introduction: Cardiac rehabilitation is a program designed to help patients adopt healthy lifestyle changes. This study aims to investigate the effectiveness of a comprehensive cardiac rehabilitation program (CCRP) on anxiety, depression, perceived health status (PHS) and 90-day readmission rate in...

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Main Authors: Ali Suleiman Harbi, Kim Lam Soh, Putri Yubbu, Kim Geok Soh
Format: Article
Language:English
Published: Tehran University of Medical Sciences 2025-03-01
Series:Journal of Modern Rehabilitation
Subjects:
Online Access:https://jmr.tums.ac.ir/index.php/jmr/article/view/1222
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author Ali Suleiman Harbi
Kim Lam Soh
Putri Yubbu
Kim Geok Soh
author_facet Ali Suleiman Harbi
Kim Lam Soh
Putri Yubbu
Kim Geok Soh
author_sort Ali Suleiman Harbi
collection DOAJ
description Introduction: Cardiac rehabilitation is a program designed to help patients adopt healthy lifestyle changes. This study aims to investigate the effectiveness of a comprehensive cardiac rehabilitation program (CCRP) on anxiety, depression, perceived health status (PHS) and 90-day readmission rate in patients who underwent coronary artery bypass grafting (CABG). Materials and Methods: A total of 122 patients were randomized into two groups: The intervention group received CCRP. The program lasted for 12 weeks. Anxiety and depression were assessed using the hospital anxiety and depression scale (HADS) and PHS was assessed using the short form-36 health survey. The CCRP’s effectiveness was measured using analysis of variance (ANOVA). Results: The sample comprised 122 participants, of whom 85(69.7%) were male, with a mean age of 53.01±7.26 years. At baseline, the groups showed no significant differences. At 12 weeks and one month later, significant differences were observed between the groups for anxiety (F1=937.69, P<0.001, partial η2=0.90), depression (F1=1036.00, P<0.001, partial η2=0.91), physical component summary (PCS) (F1=14.73, P<0.001, partial η2=0.13) and mental component summary (MCS) (F1=13.87, P<0.001, partial η2=0.121) of PHS, respectively. Conclusion: CCRP is an effective intervention that can significantly improve anxiety, depression, and PHS. Although the readmission rate difference was insignificant, it may have resulted in substantial rewards. The protocol of the present study was registered and approved in ClinicalTrials.gov PRS.
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spelling doaj-art-4aedd3b211d742dda4e8044581066d1a2025-08-20T04:02:36ZengTehran University of Medical SciencesJournal of Modern Rehabilitation2538-385X2538-38682025-03-0119310.18502/jmr.v19i3.19089Effectiveness of Cardiac Rehabilitation for Patients after Coronary Artery Bypass Graft: Randomized Controlled TrialAli Suleiman Harbi0Kim Lam Soh1Putri Yubbu2Kim Geok Soh3Department of Nursing, Faculty of Medicine and Health Sciences, University Putra Malaysia (UPM), Seri Kembangan, Malaysia.Department of Nursing, Faculty of Medicine and Health Sciences, University Putra Malaysia (UPM), Seri Kembangan, Malaysia.Department of Paediatrics, Faculty of Medicine & Health Sciences, University Putra Malaysia (UPM), Seri Kembangan, Malaysia.Department of Sport Studies, Faculty of Educational Studies, University Putra Malaysia (UPM), Seri Kembangan, Malaysia. Introduction: Cardiac rehabilitation is a program designed to help patients adopt healthy lifestyle changes. This study aims to investigate the effectiveness of a comprehensive cardiac rehabilitation program (CCRP) on anxiety, depression, perceived health status (PHS) and 90-day readmission rate in patients who underwent coronary artery bypass grafting (CABG). Materials and Methods: A total of 122 patients were randomized into two groups: The intervention group received CCRP. The program lasted for 12 weeks. Anxiety and depression were assessed using the hospital anxiety and depression scale (HADS) and PHS was assessed using the short form-36 health survey. The CCRP’s effectiveness was measured using analysis of variance (ANOVA). Results: The sample comprised 122 participants, of whom 85(69.7%) were male, with a mean age of 53.01±7.26 years. At baseline, the groups showed no significant differences. At 12 weeks and one month later, significant differences were observed between the groups for anxiety (F1=937.69, P<0.001, partial η2=0.90), depression (F1=1036.00, P<0.001, partial η2=0.91), physical component summary (PCS) (F1=14.73, P<0.001, partial η2=0.13) and mental component summary (MCS) (F1=13.87, P<0.001, partial η2=0.121) of PHS, respectively. Conclusion: CCRP is an effective intervention that can significantly improve anxiety, depression, and PHS. Although the readmission rate difference was insignificant, it may have resulted in substantial rewards. The protocol of the present study was registered and approved in ClinicalTrials.gov PRS. https://jmr.tums.ac.ir/index.php/jmr/article/view/1222Cardiac rehabilitationAnxietyDepressionHealth status
spellingShingle Ali Suleiman Harbi
Kim Lam Soh
Putri Yubbu
Kim Geok Soh
Effectiveness of Cardiac Rehabilitation for Patients after Coronary Artery Bypass Graft: Randomized Controlled Trial
Journal of Modern Rehabilitation
Cardiac rehabilitation
Anxiety
Depression
Health status
title Effectiveness of Cardiac Rehabilitation for Patients after Coronary Artery Bypass Graft: Randomized Controlled Trial
title_full Effectiveness of Cardiac Rehabilitation for Patients after Coronary Artery Bypass Graft: Randomized Controlled Trial
title_fullStr Effectiveness of Cardiac Rehabilitation for Patients after Coronary Artery Bypass Graft: Randomized Controlled Trial
title_full_unstemmed Effectiveness of Cardiac Rehabilitation for Patients after Coronary Artery Bypass Graft: Randomized Controlled Trial
title_short Effectiveness of Cardiac Rehabilitation for Patients after Coronary Artery Bypass Graft: Randomized Controlled Trial
title_sort effectiveness of cardiac rehabilitation for patients after coronary artery bypass graft randomized controlled trial
topic Cardiac rehabilitation
Anxiety
Depression
Health status
url https://jmr.tums.ac.ir/index.php/jmr/article/view/1222
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AT putriyubbu effectivenessofcardiacrehabilitationforpatientsaftercoronaryarterybypassgraftrandomizedcontrolledtrial
AT kimgeoksoh effectivenessofcardiacrehabilitationforpatientsaftercoronaryarterybypassgraftrandomizedcontrolledtrial