Home-based transitional cardiac telerehabilitation in older adults post coronary artery bypass grafting: A randomized controlled trial.

Autor: Mahfouz Khalil MI; Department of Gerontological Nursing, Faculty of Nursing, Alexandria University, Egypt., El-Monshed AH; Department of Nursing, College of Health and Sport Sciences, University of Bahrain, Manama, Bahrain; Department of Psychiatric and Mental Health Nursing, Faculty of Nursing-Mansoura University, Egypt. Electronic address: ahmed_elmonshed@mans.edu.eg., Shaala RS; Department of Internal Medicine, Geriatric Unit, Faculty of Medicine, Alexandria University, Egypt., El-Sherif SM; Department of Physical Medicine, Rheumatology and Rehabilitation, Faculty of Medicine, Alexandria University, Egypt., Mousa EFS; Department of Geriatric Medicine and Gerontology, Faculty of Medicine, Helwan University, Egypt.
Jazyk: angličtina
Zdroj: Geriatric nursing (New York, N.Y.) [Geriatr Nurs] 2024 Sep-Oct; Vol. 59, pp. 139-149. Date of Electronic Publication: 2024 Jul 13.
DOI: 10.1016/j.gerinurse.2024.06.044
Abstrakt: This randomized controlled trial evaluated the effectiveness of a 12-week home-based transitional cardiac telerehabilitation (Hb-T-CTR) program on health-related quality-of-life and therapeutic self-care in older adults' post-Coronary Artery Bypass Grafting (CABG). The intervention group (n = 57) underwent Hb-T-CTR, incorporating preoperative counseling, postoperative education, a culturally adapted video, home visits, and telephone counseling, while the control group (n = 61) received standard care. Using the Coronary Revascularization Outcome Questionnaire and the Sidani Doran Therapeutic Self-Care Measure, data were collected at three time points. Results showed significant improvements in overall scores for both health-related quality of life (t 1 =3.386, P = 0.001; t 2 =4.224, P < 0.001) and therapeutic self-care (t 1 =7.104, P < 0.001; t 2 =4.242, P < 0.001) in the intervention group compared to controls. This telehealth approach provides convenient and accessible rehabilitation services for older adults' post-CABG and highlights the importance of integrating Hb-T-CTR into routine care for personalized rehabilitation. This study underscores the potential of telehealth tools in overcoming barriers and enhancing patient-centered interventions.
Competing Interests: Declaration of competing interest The authors declare that there are no conflicts of interest. The views expressed in this publication are those of the authors and not those of the acknowledged institution.
(Copyright © 2024 Elsevier Inc. All rights reserved.)
Databáze: MEDLINE
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