Effect of Exercise Protocol on Patients undergoing Heart Valve Surgery -Reported Outcomes Measures

Atya, Manal Sayed; Thabet, Olfat Farouk; El Khayat, , Hussein; Abd  Elhafez, Maha Nafady

doi:10.21608/tsnj.2024.351216

Effect of Exercise Protocol on Patients undergoing Heart Valve Surgery -Reported Outcomes Measures

Document Type : Original Article

Authors

¹ Lecturer of Medical-Surgical Nursing, Faculty of Nursing, Assiut University

² fellow// lecturer of Medical- Surgical Nursing, Assiut University Hospital

³ Assistant Professor of Cardiothoracic Surgery, Faculty of Medicine, Assiut University

10.21608/tsnj.2024.351216

Abstract

Background: Exercise-based cardiac rehabilitation has been found to improve patient-reported
outcome measures and would be beneficial after heart valve surgery. Aim: Evaluate effect of
exercise protocol on patients undergoing heart valve surgery -reported outcomes measures.
Patients and methods: Research design: A quasi-experimental research design (study/control)
was utilized. Sample: A purposeful sample of sixty patients undergoing heart valve surgery from
both sexes, patients were randomly assigned into two equal groups. Setting: Cardiothoracic
surgery department and outpatient clinic in Assiut University Heart Hospital. Tools: A structured
interview questionnaire, Heart QoL questionnaire and Edmonton Symptom Assessment System
(ESAS-r). Results: High statistically significance (p value <0.001**) was found in the study's
findings between study and control group patients in global score of heart QOL after one month
(24.83±2&18.33±2.93 respectively) also after three months (41.2±1.42 &32.03±2.8693
respectively). Patients in the study group and those in the control group showed highly
significantly difference from one another in terms of overall score of Edmonton Symptom
Assessment System after one month of exercise protocol (48.3±7.05 56.67±6.1 respectively) and
after three months (8.07±8.25 &15.17±6.64 respectively) with p value (<0.001**). Conclusion:
The study's results elucidated that exercise protocol improved patients reported outcomes
measures as quality of life and symptoms in study group patients in comparison with control
group patients. Recommendations: Comprehensive Arabic guidebook about exercise training
through perioperative valve surgery should be easy to access by patients to help in improvement
in patient reported outcome measures.