Coronary Artery Disease. Postoperative Recovery. Coronary Artery Bypass Graft Surgery. Self-Efficacy. Quality of Recovery. Cardiac Rehabilitation. Enhanced Recovery After Cardiac Surgery. Pulmonary Function. Functional Capacity. Mechanical Ventilation.
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1.Thai patients undergoing elective first-time on-pump CABG alone or with valve surgery. 2.If age more than 60 must pass 6-CIT cognitive screening. 3.NYHA class 1-3 and LVEF more than 30% 4.Independent in daily activities and able to perform 6MWT.
Exclusion criteria
Exclusion criteria: 1.Severe/acute comorbidities within 24h before surgery (e.g., COPD, renal failure, AMI, severe arrhythmia). 2.Severe postoperative complications or unstable vitals (e.g., bleeding, arrhythmia, embolism, dialysis, ECMO). 3.Disability/limited ambulation or mobility, assessed before discharge. 4.Failure of extubation within 3 days or requiring reoperation.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Quality of Recovery after CABG. At hospital discharge, 2 weeks after discharge , 6 to 8 weeks after discharge QoR-15 Thai questionnaire score. | — |
Secondary
| Measure | Time frame |
|---|---|
| Self Efficacy Preoperative (2 weeks before surgery), Preoperative (2 days before surgery) Cardiac Self Efficacy Questionnaire score,Functional capacity At hospital discharge, 2 weeks after discharge,6 to 8 weeks after discharge 6 Minute Walk Distance (meters),Pulmonary Function Preoperative (2 weeks before surgery),Preoperative (2 days before surgery), At hospital discharge, Peak Expiratory Flow Rate (liters per minute),Duration of Mechanical Ventilation At hospital discharge (Post surgery until extubation) Number of hours on mechanical ventilation | — |
Countries
Thailand
Contacts
Ramathibodi School of Nursing, Mahidol University