Correlation between Functionality and Quality of Life in Patients after Cardiac Surgery

İsmail Ceylan 1 * , Husham Abdulateef Salman Al-Jaddah 2, Raed Qadri Khudhair Al-Janabi 2
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1 Department of Hand Rehabilitation, School of Physical Therapy and Rehabilitation, Kirsehir Ahi Evran University, Kirsehir, Turkey
2 Department of Physiotherapy and Rehabilitation, Al-Bitar Cardiac Surgery Hospital, Baghdad, Iraq
* Corresponding Author
J CLIN MED KAZ, Volume 21, Issue 4, pp. 26-32. https://doi.org/10.23950/jcmk/14971
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Author Contributions: Conceptualization, İ.C. and H.A.S.A.; methodology, İ.C., H.A.S.A. and R.Q.K.A.; validation, İ.C. and H.A.S.A.; formal analysis, İ.C. and H.A.S.A.; investigation, İ.C. and H.A.S.A.; resources, İ.C. and H.A.S.A.; data curation, İ.C., H.A.S.A. and R.Q.K.A; writing – original draft preparation, İ.C. and H.A.S.A.; writing – review and editing, İ.C., H.A.S.A. and R.Q.K.A.; visualization, İ.C. and H.A.S.A.; supervision, İ.C. and H.A.S.A.; project administration, İ.C., H.A.S.A. and R.Q.K.A; funding acquisition, İ.C., H.A.S.A. and R.Q.K.A. All authors have read and agreed to the published version of the manuscript.

ABSTRACT

Abstract
Aim: Current research seeks to explore the correlation between early mobilisation in physical exercise and the functionality and life quality of patients post cardiac surgery.
Methods: A cohort of 100 patients, aged between 18 and 65, comprising 52 men and 48 women, participated in a program of early physical performance commencing from the first day through the seventh day post - heart surgery. Outcome measures included the 6 Minute-Walk Test (6MWT), the Short Form-International Physical Activity Questionaire (SF-IPAQ), and the Short Form-36 (SF-36). Each assessment was administered on the seventh day following cardiac surgery.
Results: Statistical analysis revealed a significant interrelation (p<0.001) with SFIPAQ SF-IPAQ scores and both the 6MWT and SF-36 scores. SF-IPAQ scores were inversely related to pain levels, they exhibited positive associations with energy-fatigue, social function, general health and functionality.
Conclusion: Our findings indicate that post - cardiac surgery patients exhibited improved degrees of physical performance, improved life quality, and enhanced functional ability.
Keywords: cardiac surgery, physical activity, life quality, correlation.

CITATION

Ceylan İ, Al-Jaddah HAS, Al-Janabi RQK. Correlation between Functionality and Quality of Life in Patients after Cardiac Surgery. J CLIN MED KAZ. 2024;21(4):26-32. https://doi.org/10.23950/jcmk/14971

REFERENCES

  • Townsend N, Kazakiewicz D, Lucy Wright F, Timmis A, Huculeci R, Torbica A, et al. Epidemiology of cardiovascular disease in Europe. Nature Reviews Cardiology. 2022;19(2):133-143. https://doi.org/10.1038/s41569-021-00607-3
  • Arshad, A., & Atkinson, A. J. (2022). A 21st century view of the anatomy of the cardiac conduction system. Translational Research in Anatomy, 28. https://doi.org/10.1016/j.tria.2022.100204
  • Yusuf S, Joseph P, Rangarajan S, Islam S, Mente A, Hystad P, et al. Modifiable risk factors, cardiovascular disease, and mortality in 155 722 individuals from 21 high-income, middle-income, and low-income countries (PURE): a prospective cohort study. The Lancet. 2020;395(10226):795-808. https://doi.org/10.1016/S0140-6736(19)32008-2
  • Coffey S, Roberts-Thomson R, Brown A, Carapetis J, Chen M, Enriquez-Sarano M, et al. Global epidemiology of valvular heart disease. Nature Reviews Cardiology. 2021;18(12):853-864. https://doi.org/10.1038/s41569-021-00570-z
  • Çalι A, Özden AV, Ceylan I. Effects of a single session of noninvasive auricular vagus nerve stimulation on sports performance in elite athletes: an open-label randomized controlled trial. Expert Review of Medical Devices. 2024;21(3):231-237. https://doi.org/10.1080/17434440.2023.2299300
  • Özüdoğru A, Canlı M, Kuzu Ş, Aslan M, Ceylan İ, Alkan H. Muscle strength, balance and upper extremity function are not predictors of cervical proprioception in healthy young subjects. Somatosensory & Motor Research. 2023;40(2):78-82. https://doi.org/10.1080/08990220.2023.2183832
  • Fletcher GF, Landolfo C, Niebauer J, Ozemek C, Arena R, Lavie CJ. Promoting physical activity and exercise: JACC health promotion series. Journal of the American College of Cardiology. 2018;72(14):1622-1639. https://doi.org/10.1016/j.jacc.2018.08.2141
  • Mungovan SF, Singh P, Gass GC, Smart NA, Hirschhorn AD. Effect of physical activity in the first five days after cardiac surgery. Journal of rehabilitation medicine. 2017;49(1):71-77. https://doi.org/10.2340/16501977-2165
  • Tanriverdi A, Savci S, Kahraman BO, Odaman H, Ozpelit E, Senturk B, et al. Effects of high intensity interval-based inspiratory muscle training in patients with heart failure: A single-blind randomized controlled trial. Heart & Lung. 2023;62:1-8. https://doi.org/10.1016/j.hrtlng.2023.05.011
  • Toktarbay B, Khamitova Z, Zholshybek N, Jumadilova D, Rakhmanov Y, Bekbossynova M, et al. The impact of exercise on cardiovascular system: Molecular signaling pathway and cardiac adaptations. Journal of Clinical Medicine of Kazakhstan. 2023;20(6):4-11. https://doi.org/10.23950/jcmk/13825
  • Kanejima Y, Shimogai T, Kitamura M, Ishihara K, Izawa KP. Effect of early mobilization on physical function in patients after cardiac surgery: a systematic review and meta-analysis. International Journal of Environmental Research and Public Health. 2020;17(19):7091. https://doi.org/10.3390/ijerph17197091
  • Chen B, Xie G, Lin Y, Chen L, Lin Z, You X, et al. A systematic review and meta-analysis of the effects of early mobilization therapy in patients after cardiac surgery. Medicine. 2021;100(15):e25314. https://doi.org/10.1097/MD.0000000000018843
  • Honda Y, Takahashi K, Sasanuma N, Itani Y, Nagase M, Uchiyama Y, et al. Predictors of functional decline in activities of daily living at discharge in patients after cardiovascular surgery. Circulation Journal. 2021;85(7):1020-1026. https://doi.org/10.1253/circj.CJ-20-0909
  • Jacob P, Gupta P, Shiju S, Omar AS, Ansari S, Mathew G, et al. Multidisciplinary, early mobility approach to enhance functional independence in patients admitted to a cardiothoracic intensive care unit: a quality improvement programme. BMJ open quality. 2021;10(3):e001256. https://doi.org/10.1136/bmjoq-2020-001256
  • Gama Lordello GG, Gonçalves Gama GG, Lago Rosier G, Viana PADdC, Correia LC, Fonteles Ritt LE. Effects of cycle ergometer use in early mobilization following cardiac surgery: a randomized controlled trial. Clinical Rehabilitation. 2020;34(4):450-459. https://doi.org/10.1177/0269215520901763
  • Firat M, Vardar-Yagli N, Saglam M, Yildirim T, Erdem Y. Quality of life and physical activity level in patients with chronic kidney disease during COVID-19 pandemic. Psychology, Health & Medicine. 2023;28(3):640-647. https://doi.org/10.1080/13548506.2022.2119481
  • Al-Bachir M, Ahmad H. Reliability and validity of the international physical activity questionnaire for adults in Syria. International Journal of Health Promotion and Education. 2021:1-14. https://doi.org/10.1080/14635240.2021.1989610
  • Kızılırmak AS, Karadibak D, Gultekin SC, Ozsoy I, Yavuzsen HT, Yavuzsen T, et al. Predictors of the 6-min walk test in patients with ovarian cancer. Supportive Care in Cancer. 2023;31(4):248. https://doi.org/10.1007/s00520-023-07706-6
  • Schoonjans F, Zalata A, Depuydt C, Comhaire F. MedCalc: a new computer program for medical statistics. Computer methods and programs in biomedicine. 1995;48(3):257-262. https://doi.org/10.1016/0169-2607(95)01703-8
  • Bond MMK, Oliveira JLRd, Souza LCBd, Farsky PS, Amato VL, Togna DJD, et al. Quality of life in cardiovascular surgery: elaboration and initial internal validation of a quality of life questionnaire. Brazilian Journal of Cardiovascular Surgery. 2018;33:476-482. https://doi.org/10.21470/1678-9741-2018-0108
  • Moreira JMA, Grilo EN. Quality of life after coronary artery bypass graft surgery - results of cardiac rehabilitation programme. J Exerc Rehabil. 2019 Oct 28;15(5):715-722. https://doi.org/10.12965/jer.1938444.222.
  • Tessier S, Vuillemin A, Bertrais S, Boini S, Le Bihan E, Oppert J-M, et al. Association between leisure-time physical activity and health-related quality of life changes over time. Preventive medicine. 2007;44(3):202-208. https://doi.org/10.1016/j.ypmed.2006.11.012
  • Hirschhorn AD, Richards DA, Mungovan SF, Morris NR, Adams L. Does the mode of exercise influence recovery of functional capacity in the early postoperative period after coronary artery bypass graft surgery? A randomized controlled trial. Interactive cardiovascular and thoracic surgery. 2012;15(6):995-1003. https://doi.org/10.1093/icvts/ivs403
  • Pačarić S, Turk T, Erić I, Orkić Ž, Petek Erić A, Milostić-Srb A, et al. Assessment of the quality of life in patients before and after coronary artery bypass grafting (CABG): a prospective study. International journal of environmental research and public health. 2020;17(4):1417. https://doi.org/10.3390/ijerph17041417
  • Clark AM, Hartling L, Vandermeer B, McAlister FA. Meta-analysis: secondary prevention programs for patients with coronary artery disease. Annals of internal medicine. 2005;143(9):659-672. https://doi.org/10.7326/0003-4819-143-9-200511010-00010
  • Haykowsky M, Scott J, Esch B, Schopflocher D, Myers J, Paterson I, et al. A meta-analysis of the effects of exercise training on left ventricular remodeling following myocardial infarction: start early and go longer for greatest exercise benefits on remodeling. Trials. 2011;12:1-8. https://doi.org/10.1186/1745-6215-12-92
  • Rasekaba T, Lee A, Naughton MT, Williams TJ, Holland AE. The six‐minute walk test: a useful metric for the cardiopulmonary patient. Internal medicine journal. 2009;39(8):495-501. https://doi.org/10.1111/j.1445-5994.2008.01880.x
  • Hirschhorn AD, Richards D, Mungovan SF, Morris NR, Adams L. Supervised moderate intensity exercise improves distance walked at hospital discharge following coronary artery bypass graft surgery—a randomised controlled trial. Heart, Lung and Circulation. 2008;17(2):129-138. https://doi.org/10.1016/j.hlc.2007.09.004
  • Mohamed A, Hassan MS, Mubarak Y, Gamal LM. Effect of nursing exercise protocol on hemodynamics and functional capacity among patients after cardiac surgery. Evidence-Based Nursing Research. 2019;1(3):145-158. : https://doi.org/10.47104/ebnrojs3.v1i3.74