Adherence in Following Phase II Cardiac Rehabilitation Program in Patients with Coronary Artery Disease Post-revascularization

Abstract

Purpose: The aim of this study is to describe the adherence of patients with coronary artery disease (CAD) after revascularization with Coronary Artery Bypass Graft (CABG) and Percutaneous Coronary Intervention (PCI) in initiating, sustaining, and completing phase II cardiac rehabilitation (CR) programs.Methods: This study is a descriptive cross sectional study design. Data is taken retrospectively using secondary data from medical records. The population of this study is post-revascularization CAD patients who undergo phase II CR in Dr. Hasan Sadikin General Hospital in 2019-2020 and all samples are taken using the total sampling method. The adherence is described as adherence with initiating, sustaining, and completing the CR program in the CABG and PCI groups and expressed in percentage.Results: There are 96 subjects who meet the inclusion and exclusion criteria in this study. The adherence for initiating the CR program is 94.6% in the CABG group and 100% in the PCI group. A total of 50 people (67.56%) in the CABG group and 16 people (72.72%) in the PCI group undergo each training session on time as programmed. A total of 57 people (77.02%) in the CABG group and 16 people (72.72%) in the PCI group complete12 training sessions regardless of the time required to complete them.Conclusion: Overall, the level of adherence following the CR phase II program in the CABG and PCI groups is quite high. Adherence to initiating and sustaining CR phase 2 in the PCI group was higher than in the CABG group.
 Keywords: adherence, cardiac rehabilitation, Coronary Artery Bypass Graft, Percutaneous Coronary Intervention