Effectiveness of psychospiritual adaptation to cardiac rehabilitation compared to standard cardiac rehabilitation for post coronary angioplasty patients in Hospital Universiti Sains Malaysia

Previous literatures have documented evidence of heightened anxiety and depression experienced by patients with coronary heart disease (CHD) after coronary angioplasty procedures. This underscores the need for comprehensive psychological intervention in cardiac rehabilitation programs, with an empha...

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Main Author:	Yusof, Norizam Muhammad
Format:	Thesis
Language:	English
Published:	2024
Subjects:	R Medicine RC666-701 Diseases of the circulatory (Cardiovascular) system
Online Access:	http://eprints.usm.my/60993/1/NORIZAM%20BINTI%20MUHAMMAD%20YUSOF-FINAL%20THESIS%20P-UD000717%28R%29-E.pdf
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spelling	my-usm-ep.609932024-08-21T03:09:16Z Effectiveness of psychospiritual adaptation to cardiac rehabilitation compared to standard cardiac rehabilitation for post coronary angioplasty patients in Hospital Universiti Sains Malaysia 2024-02 Yusof, Norizam Muhammad R Medicine RA440-440.87 Study and teaching. Research RC666-701 Diseases of the circulatory (Cardiovascular) system Previous literatures have documented evidence of heightened anxiety and depression experienced by patients with coronary heart disease (CHD) after coronary angioplasty procedures. This underscores the need for comprehensive psychological intervention in cardiac rehabilitation programs, with an emphasis on integrating psychospiritual elements. Consequently, this research aimed to develop a cardiac rehabilitation program with psychospiritual adaptation (CR-PS) module incorporating Islamic mindfulness relaxation techniques. The study involved 30 CHD patients randomly assigned to intervention (CR-PS program) and control (standard cardiac rehabilitation – SCR program) groups. Over a three-month period, data on systolic/diastolic blood pressure, pulse rate, anxiety, and serum cortisol levels were collected at three intervals. Repeated ANOVA assessments revealed significant reductions in the intervention group and increases in the control group across these parameters. Specifically, systolic blood pressure decreased from 132.47 to 121.73 in the intervention group compared to an increase from 127.33 to 132.00 in the control group. Similar trends were observed for diastolic blood pressure and pulse rate. Anxiety levels decreased from 14.60 to 10.80 in the intervention group, contrasting with a minor change in the control group. Serum cortisol levels decreased in the intervention group (7.40 to 5.20) but remained stable in the control group. While no significant differences were found in serum creatinine kinase, CKMB, and depression levels, the intervention group showed a decline in these parameters compared to an increase in the control group. Overall, the study suggests that integrating psychospiritual elements into cardiac rehabilitation is effective for CHD patients, and the developed module can serve as a basis for the adaptation of psychospiritual interventions in rehabilitation process during recovery period. 2024-02 Thesis http://eprints.usm.my/60993/ http://eprints.usm.my/60993/1/NORIZAM%20BINTI%20MUHAMMAD%20YUSOF-FINAL%20THESIS%20P-UD000717%28R%29-E.pdf application/pdf en public phd doctoral Universiti Sains Malaysia Pusat Pengajian Sains Kesihatan
institution	Universiti Sains Malaysia
collection	USM Institutional Repository
language	English
topic	R Medicine R Medicine RC666-701 Diseases of the circulatory (Cardiovascular) system
spellingShingle	R Medicine R Medicine RC666-701 Diseases of the circulatory (Cardiovascular) system Yusof, Norizam Muhammad Effectiveness of psychospiritual adaptation to cardiac rehabilitation compared to standard cardiac rehabilitation for post coronary angioplasty patients in Hospital Universiti Sains Malaysia
description	Previous literatures have documented evidence of heightened anxiety and depression experienced by patients with coronary heart disease (CHD) after coronary angioplasty procedures. This underscores the need for comprehensive psychological intervention in cardiac rehabilitation programs, with an emphasis on integrating psychospiritual elements. Consequently, this research aimed to develop a cardiac rehabilitation program with psychospiritual adaptation (CR-PS) module incorporating Islamic mindfulness relaxation techniques. The study involved 30 CHD patients randomly assigned to intervention (CR-PS program) and control (standard cardiac rehabilitation – SCR program) groups. Over a three-month period, data on systolic/diastolic blood pressure, pulse rate, anxiety, and serum cortisol levels were collected at three intervals. Repeated ANOVA assessments revealed significant reductions in the intervention group and increases in the control group across these parameters. Specifically, systolic blood pressure decreased from 132.47 to 121.73 in the intervention group compared to an increase from 127.33 to 132.00 in the control group. Similar trends were observed for diastolic blood pressure and pulse rate. Anxiety levels decreased from 14.60 to 10.80 in the intervention group, contrasting with a minor change in the control group. Serum cortisol levels decreased in the intervention group (7.40 to 5.20) but remained stable in the control group. While no significant differences were found in serum creatinine kinase, CKMB, and depression levels, the intervention group showed a decline in these parameters compared to an increase in the control group. Overall, the study suggests that integrating psychospiritual elements into cardiac rehabilitation is effective for CHD patients, and the developed module can serve as a basis for the adaptation of psychospiritual interventions in rehabilitation process during recovery period.
format	Thesis
qualification_name	Doctor of Philosophy (PhD.)
qualification_level	Doctorate
author	Yusof, Norizam Muhammad
author_facet	Yusof, Norizam Muhammad
author_sort	Yusof, Norizam Muhammad
title	Effectiveness of psychospiritual adaptation to cardiac rehabilitation compared to standard cardiac rehabilitation for post coronary angioplasty patients in Hospital Universiti Sains Malaysia
title_short	Effectiveness of psychospiritual adaptation to cardiac rehabilitation compared to standard cardiac rehabilitation for post coronary angioplasty patients in Hospital Universiti Sains Malaysia
title_full	Effectiveness of psychospiritual adaptation to cardiac rehabilitation compared to standard cardiac rehabilitation for post coronary angioplasty patients in Hospital Universiti Sains Malaysia
title_fullStr	Effectiveness of psychospiritual adaptation to cardiac rehabilitation compared to standard cardiac rehabilitation for post coronary angioplasty patients in Hospital Universiti Sains Malaysia
title_full_unstemmed	Effectiveness of psychospiritual adaptation to cardiac rehabilitation compared to standard cardiac rehabilitation for post coronary angioplasty patients in Hospital Universiti Sains Malaysia
title_sort	effectiveness of psychospiritual adaptation to cardiac rehabilitation compared to standard cardiac rehabilitation for post coronary angioplasty patients in hospital universiti sains malaysia
granting_institution	Universiti Sains Malaysia
granting_department	Pusat Pengajian Sains Kesihatan
publishDate	2024
url	http://eprints.usm.my/60993/1/NORIZAM%20BINTI%20MUHAMMAD%20YUSOF-FINAL%20THESIS%20P-UD000717%28R%29-E.pdf
_version_	1811772869177245696

Effectiveness of psychospiritual adaptation to cardiac rehabilitation compared to standard cardiac rehabilitation for post coronary angioplasty patients in Hospital Universiti Sains Malaysia

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