Impact of shared decision-making in home cardiac rehabilitation on exercise compliance and rehabilitation outcomes of patients after coronary artery bypass grafting
Bai Xia
Liu Jincheng
Duan Weixun
Lv Xiangni
Zhang Ting
Abstract：Objective To explore the impact of shared decision-making (SDM) in home cardiac rehabilitation on outcomes such as exercise compliance,quality of life,and cardiac function in patients after coronary artery bypass grafting(CABG). Methods Patients who underwent CABG surgery at the First Affiliated Hospital of Air Force Medical University were included,with 110 patients in the control group and 110 patients in the SDM rehabilitation group. The two groups received the same stage Ⅰ cardiac rehabilitation,while the stage Ⅱ rehabilitation control group were provided medical exercise prescriptions after discharge based on exercise risk assessment,and instructed patients to engage in home rehabilitation exercise for 6 months. The SDM rehabilitation group adopted the SDM method for developing exercise plans and providing follow-up exercise guidance and continued nursing care for 6 months in the SDM mode. Exercise compliance,self-efficacy (General Self Efficacy Scale (GSES)),quality of life (Seattle Angina Questionnaire (SAQ)),bridge vessel patency rate,and cardiac function (left ventricular end diastolic diameter (LVEDD),left ventricular ejection fraction (LVEF)) between the two groups of patients were compared at enrollment and 6 months later. Results The good exercise compliance rate of the SDM rehabilitation group at 6 months was 87.61％,which was higher than that of the control group's 52.42％ (P<0.05). After 6 months,the GSES score,SAQ score,and LVEF level of both groups of patients increased compared to the time of enrollment,however,these improvements were greater in the SDM rehabilitation group than in the control group (P<0.05). The patency rate of bridge vessels in the SDM rehabilitation group was 96.55％,which was higher than that in the control group (92.22％),but the difference between the two groups was not statistically significant (P>0.05). Conclusion The application of SDM mode in home rehabilitation training for CABG patients can improve their self-efficacy,thereby enhancing exercise compliance,improving their cardiac function,and enhancing their quality of life.
Keywords：Coronary artery bypass graftingSystematic cardiac rehabilitationShared decision-makingSelf-efficacyQuality of life
Publication Date：2024-10-28
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：5( 407-411 )