The Effectiveness of the Phase II Cardiac Rehabilitation Program on the Functional Capacity of the Heart and Quality of Life of Post-CABG Patients
Abstract
The Coronary Artery Bypass Graft (CABG) procedure is a form of surgical intervention carried out to treat coronary heart disease (CHD). Cardiac rehabilitation programs are training and education programs that aim to improve patients' heart health, especially after surgery. One of the goals of cardiac rehabilitation is to return patients to achieve optimal conditions, increase the functional capacity of the heart, and improve the quality of life. The purpose of the study was to test the effectiveness of the phase II cardiac rehabilitation program on increasing cardiac functional capacity and quality of life of post-CABG patients at H. Adam Malik Hospital Medan. The research design is a quasi-experimental one group pre-test and post-test design. The sampling technique is purposive sampling. The number of samples was 33 respondents. Data analysis was conducted using dependent t tests for heart rate (HR), systolic blood pressure, and diastole blood pressure. Data on respiratory rate (RR), METs, oxygen saturation (SpO2), and quality of life variables were used to test the wilcoxon. The results of the data analysis showed that there was no effect of the phase II cardiac rehabilitation program on HR and RR (p>0.05 value) because the majority of respondents took beta-blocker drugs. However, the results of statistical tests showed that there was an effect of the phase II cardiac rehabilitation program on systole and diastole blood pressure, METs, SpO2, and the quality of life of the respondents (p value <0.05). This study proves that the phase II cardiac rehabilitation program is effective in improving the functional capacity of the heart and the quality of life of post-CABG patients.
References
American Heart Association (AHA). (2019). Coronary artery disease-coronary heart disease.
Andra, C.A., Putra, H.D., Raynaldo, A.H., Sarastri, Y., Rusdiana. (2022). Functional capacity changes after cardiac rehabilitation program as a quality of life predictor in left ventricular dysfunction patients who underwent coronary artery bypass grafting. Azerbaijan Medical Journal, 62(6): 2757-2763.
Aziza, W. (2013). Quality of life of post-CABG (Coronary Artery Bypass Graft) patients: A phenomenological study. Proceedings: Pattimura University.
Deng, M., Wen, D., Song, Y., Zhao, L., Cui, Y., Xin, J., et al. (2025). Correlation between blood pressure control levels and long-term patency of saphenous vein grafts after coronary artery bypass grafting: a retrospective case-control study. International Journal of Cardiology Cardiovascular Risk and Prevention, 25 (200414). doi: 10.1016/j.ijcrp.2025.200414
Dirgantoro EW, Shadiqin A, Aisyah S. (2018). The effect of bike interval training on increasing the endurance of the heart and lungs of members of the bajai club cycle. Multilateral Journal of Physical Education and Sports, 17(1).
Dwiputra, B., Santoso, A., Purwowiyoto., et al. (2023). Resistance training decreases PCSK9 levels in patients undergoing phase II cardiac rehabilitation after coronary artery bypass grafting: A randomized study. PREPRINT, 1. doi: 10.21203/rs.3.rs-2513951/v1
Ministry of Health of the Republic of Indonesia. (2020). Heart disease is the highest cause of death. Jakarta: Ministry of Health of the Republic of Indonesia.
Osailan, A. S., & Abdelbasset, W. K. (2020). Cardiac rehabilitation in Saudi Arabia: A review of the current practice and future challenges. Journal of the Saudi Heart Association, 32(1): 1–8. doi: 10.37616/2212-5043.1010
Park, G.M., Yun, S.C., Cho, Y.R., et al. (2015). Prevalence of coronary atherosclerosis in Asian populations: findings from coronary computed tomography angiography. International Journal Cardiovascular Imaging 31: 659–668. doi: 10.1007/s10554-015-0587-0
Perić, V., Jovanović-Marković, S., Perić, D., Sovtić, S., & Davidović, G. (2015). Quality of life in patients of different age groups before and after Coronary Artery Bypass Surgery. Annals of Thoracic and Cardiovascular Surgery, 21(5): 474–480. doi: 10.5761/atcs.oa.15-00041.
Rahman, S., Haider, R., Shirin, H., Sobhan, A., Huq, K. (2024). Evaluate the quality of life in patients with percutaneous coronary intervention versus coronary artery bypass graft. Cureus, 16 (1): e52645. doi: 10.7759/cureus.52645
Raynaldo, A. (2021). Factors associated with return to work after coronary artery bypass grafting (CABG). European Journal of Preventive Cardiology, 28(Supplement_1). doi: 10.1093/eurjpc/zwab061.360
Schmidt-RioValle J., et al. (2020). Quality of life after coronary artery bypass surgery: A systematic review and meta-analysis. Environmental Research and Public Health, 17 (22): 8439. doi: 10.3390/ijerph17228439
Tessler, J & Bordoni, B. (2023). Cardiac rehabilitation. Treasure Island (FL): StatPearls Publishing.
World Health Organization (WHO). (2022). Measuring Quality of Life: The World Health Organization Quality of Life Instruments (The WHOQOL-100 and the WHOQOL-BREF). Geneva: World Health Organization.
Yuniadi, Y. (2015). Coronary Artery Disease: Choose CABG or PCI?. Indonesian Journal of Cardiology, 36(1): 1-3. doi: 10.30701/ijc.v36i1.434
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