OBJECTIVE

The evaluate an efficacy and safety of the rehabilitation program comprising early aerobic physical training and perioperative psychological support after coronary artery bypass grafting (CABG).

MATERIAL AND METHODS

The study included 75 patients after CABG who were randomized into 3 groups. In group 1 (n=25), standard rehabilitation program was combined with perioperative psychological support and early aerobic physical training after the 6 day with selection of exercise intensity considering cardiopulmonary exercise test (CPET) data. In group 2 (n=25), the above—mentioned complex of rehabilitation was performed without perioperative psychological support. In group 3 (n=25), standard cardiac rehabilitation was applied without early physical training and psychological support. CPET and assessment of quality of life (SF-36 questionnaire) were performed in 5 and 14 days after CABG. Psychological diagnosis was performed before CABG and in 14 days after surgery.

RESULTS

Peak oxygen consumption (V_O2peak) and parameters of exercise tolerance, physical and mental health were significantly improved in group 1 and 2 by the 14 day after CABG. V_O2peak was significantly lower in group 3 compared to groups 1 and 2 by the 14 day after CABG and there were no significant changes in quality of life. In group 1, there was significant improvement of internal picture of disease and less severity of unproductive coping strategies and depression by the 14 day after CABG. There were no significant changes in psychological status in groups 1 and 3.

CONCLUSION

The developed program of early inpatient rehabilitation with individual selection of exercise intensity and perioperative psychological support is safe and effective in patients after CABG. This program can be used in clinical practice as a part of complex rehabilitation to improve functional and psychological status, as well as the quality of life in these patients.