BACKGROUND: The waiting period for coronary artery bypass surgery is a difficult time for patients and families. Pre-operative cardiac rehabilitation may be safe and effective, but there is limited evidence regarding patients' experience and perceptions of such intervention. AIM: To describe patients' experiences of a pre-operative programme of cardiac rehabilitation developed specifically for those awaiting coronary artery bypass surgery. METHOD: A convenience sample of eight patients awaiting non-urgent surgery who had completed a 12 week pilot programme of cardiac rehabilitation were invited to be interviewed using a descriptive phenomenological approach. Domicillary interviews using an open technique were taped, transcribed and analysed using Colaizzi's framework. RESULTS: Participants described this programme as a useful means of improving exercise capacity and decreasing anxiety. Through the combination of exercise, advice and support participants stated that their initial fear that exercise would cause a heart attack was replaced with confidence, enabling them to become fitter and modify other risk factors. CONCLUSIONS: Findings of this study suggest that the programme was acceptable and perceived as beneficial by participants. Further research is required to evaluate the efficacy of pre-operative rehabilitation on risk factor modification.
BACKGROUND: The waiting period for coronary artery bypass surgery is a difficult time for patients and families. Pre-operative cardiac rehabilitation may be safe and effective, but there is limited evidence regarding patients' experience and perceptions of such intervention. AIM: To describe patients' experiences of a pre-operative programme of cardiac rehabilitation developed specifically for those awaiting coronary artery bypass surgery. METHOD: A convenience sample of eight patients awaiting non-urgent surgery who had completed a 12 week pilot programme of cardiac rehabilitation were invited to be interviewed using a descriptive phenomenological approach. Domicillary interviews using an open technique were taped, transcribed and analysed using Colaizzi's framework. RESULTS: Participants described this programme as a useful means of improving exercise capacity and decreasing anxiety. Through the combination of exercise, advice and support participants stated that their initial fear that exercise would cause a heart attack was replaced with confidence, enabling them to become fitter and modify other risk factors. CONCLUSIONS: Findings of this study suggest that the programme was acceptable and perceived as beneficial by participants. Further research is required to evaluate the efficacy of pre-operative rehabilitation on risk factor modification.
Authors: Franklin Rosenfeldt; Lesley Braun; Ondine Spitzer; Scott Bradley; Judy Shepherd; Michael Bailey; Juliana van der Merwe; Jee-Yoong Leong; Donald Esmore Journal: BMC Complement Altern Med Date: 2011-03-09 Impact factor: 3.659
Authors: Andrew N Stammers; D Scott Kehler; Jonathan Afilalo; Lorraine J Avery; Sean M Bagshaw; Hilary P Grocott; Jean-Francois Légaré; Sarvesh Logsetty; Colleen Metge; Thang Nguyen; Kenneth Rockwood; Jitender Sareen; Jo-Ann Sawatzky; Navdeep Tangri; Nicholas Giacomantonio; Ansar Hassan; Todd A Duhamel; Rakesh C Arora Journal: BMJ Open Date: 2015-03-09 Impact factor: 2.692