Abstract
Introduction: Coronary Heart Disease can result in impaired quality of life which can inhibit an early recovery with successful outcomes for cardiac patients. Objective: To investigate the effect of a structured cardiac education and early intervention cardiac rehabilitation program on quality of life in cardiac patients involving caregivers. Method: A quasi experimental study with a purposive sampling was carried out where 132 acute coronary syndrome patients hospitalized for treatment were recruited and allocated to the experiment and control group with and without caregivers. A structured educational intervention and cardiac rehabilitation was initiated for the experimental group with and without caregivers. The outcome was measured using the World Health Organization Quality Of Life-BREF (WHOQOL-BREF) instrument.Results: Data was measured with repeated measures ANOVA between baseline, discharge and follow-up between the intervention and control group with p<0.05 There was a statistically significant difference in QOL in both the groups with and without caregivers in the following domains: psychological health (F=3.784, p=0.002); social relationship (F=4.267, p=0.000) and environment (F=3.578, p=0.004). There was not a statistically significant difference between both the groups in the physical health domain (F=1.316, p=0.266).Conclusion: The results indicated that a structured cardiac educational intervention and cardiac rehabilitation with the involvement of the caregivers have significant effects on the quality of life of cardiac patients. The findings provide useful evidence to improve health outcomes of acute coronary syndrome patients involving the caregivers.
Highlights
Coronary Heart Disease can result in impaired quality of life which can inhibit an early recovery with successful outcomes for cardiac patients
Acute Coronary Syndrome (ACS) is a lifethreatening disease which describes clinical conditions ranging from unstable angina (UA) to non-ST-segment
For the participants in the experimental. This was a quasi-experimental design with control (n=70) and experimental (n=70) groups to examine the effectiveness of an early cardiac rehabilitation program (CRP) in quality of life (QOL) among ACS patients with and without caregivers
Summary
Cardiovascular disease is the top non-communicable disease worldwide, the leading cause for mortality, and a major contributor to the reduction of quality of life [1]. The aim of this research is to examine pharmacists and physiotherapists provided the routine the effect of a structured early intervention CRP among care which was more generic in nature and consisted of CHD patients with ACS admitted to the hospital for professional-centered services on self-management at treatment with the involvement of caregivers. It was made sure that the caregiver, if available, accompanied the participant during cardiac This was a quasi-experimental design with control (n=70) and experimental (n=70) groups to examine the effectiveness of an early CRP in QOL among ACS patients with and without caregivers. Data were collected in three phases: the first phase was before commencing cardiac care and intervention participants sitting up in bed followed by standing at the bedside with assistance and continued with progressive activities of daily living sessions and walking exercises, and reinforcements based on the patient’s condition during the patient’s length of stay in the hospital.
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