The effect of cardiac rehabilitation intervention on self-care patterns of patients with coronary artery disease

Authors
Seyedeh Bita Mir Ghaffari
Maryam Kalhornia Golkar
Taher Tizdast
Abstract
The present study aimed to investigate the effectiveness of a structured cardiac rehabilitation program on the self-care pattern of patients with coronary artery disease. This study was conducted as a quasi-experimental study with a pre-test-post-test design and a control group with a three-month follow-up. The statistical population included men aged 40 to 65 years with coronary artery disease, from whom 30 were selected through purposive sampling and randomly assigned to two intervention and control groups. The intervention group participated in a structured cardiac rehabilitation program including self-care behavior education, lifestyle modification, physical activity, healthy nutrition, medication adherence, and stress management, while the control group received usual care. Data were collected using the Coronary Artery Disease Patients Self-Care Questionnaire, third edition, and analyzed using repeated measures analysis of variance. The results showed that the cardiac rehabilitation program resulted in significant and sustained improvement in the self-care behaviors of patients in the intervention group compared to the control group. Significant improvements were observed, especially in the self-care maintenance, monitoring, and management subscales, which were maintained at the three-month follow-up. This study showed that cardiac rehabilitation, as a multidimensional and education-based intervention, has a positive effect on self-care behaviors of patients with coronary artery disease and can be considered as an effective method for improving the quality of care for these patients.
Keywords
Coronary Artery Disease
Cardiac Rehabilitation
Self-care
self-efficacy
Stress Management
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