Key result
Engagement in physical activity following CABG surgery was impacted by physical, psychological, and environmental factors as patients navigated recovery and built confidence over 12 weeks.
Why the study?
Engagement in physical activity during recovery after CABG improves outcomes, but patients' perceptions and experiences of engaging in physical activity during the first three months were unexplored.
What are the perceptions and experiences of engaging in physical activity during the first three months following CABG surgery?
Observational
What are the perceptions and experiences of engaging in physical activity during the first three months following CABG surgery?
Physical, psychological, and environmental factors significantly impact physical activity engagement in the first three months following CABG surgery, highlighting the need for tailored support during recovery.
May inform tailored post-CABG support; leaves open prospective trials on adherence and outcomes.
BACKGROUND: Engagement in physical activity (PA) during the recovery period following coronary artery bypass graft (CABG) surgery improves physical and health-related quality-of-life outcomes. OBJECTIVE: To explore people's perceptions and experiences of engaging in PA during the first three months following CABG surgery. METHODS: A mixed methods study design was utilized. Quantitative data were collected via accelerometer activity capture and standardized questionnaires. Qualitative data were collected via semi-structured interviews at weeks 1, 3, 6 and 12 post-hospital discharge. Interviews were analyzed using inductive thematic analysis. RESULTS: Two overarching themes described the overall experience of engaging in PA: 1) "Navigating a difficult and unfamiliar road to recovery" and 2) "Still cautious but becoming more confident and able." These themes described the impact over time that various physical (i.e., fatigue, pain, medical complications, and physical deconditioning), psychological (i.e., fear, confidence, uncertainty, and motivation), and environmental (support) factors had on PA engagement, as well as the relationships between these factors. CONCLUSION: The findings provided insight into the physical, psychological, and environmental factors that impacted participants' PA engagement following CABG surgery. This knowledge may benefit health professionals to optimize preparation and support for adults to engage in PA post-hospital discharge following CABG surgery.
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Gray et al. (2021) conducted an observational in Coronary artery bypass graft (CABG) surgery recovery. Physical activity engagement was evaluated on Perceptions and experiences of engaging in physical activity. Engagement in physical activity following CABG surgery was impacted by physical, psychological, and environmental factors as patients navigated recovery and built confidence over 12 weeks.
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