Walking Exercise and Its Effect on Functional Capacity and Productivity in Post-Coronary Artery Bypass Graft (CABG) Patients: A Randomized Controlled Trial

Indra Gilang Pamungkas; Tuti Herawati; Prima Agustia Nova

doi:10.14710/nmjn.v14i3.57436

DOI: https://doi.org/10.14710/nmjn.v14i3.57436

Walking Exercise and Its Effect on Functional Capacity and Productivity in Post-Coronary Artery Bypass Graft (CABG) Patients: A Randomized Controlled Trial

*Indra Gilang Pamungkas - Medical Surgical Nursing Department, Faculty of Nursing, Universitas Indonesia, Indonesia

Tuti Herawati - Medical Surgical Nursing Department, Faculty of Nursing, Universitas Indonesia, Indonesia

Prima Agustia Nova - Medical Surgical Nursing Department, Faculty of Nursing, Universitas Indonesia, Indonesia

This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.

Citation Format:

Abstract

Background: Patients following Coronary Artery Bypass Graft (CABG) may experience a decrease in their functional capacity and productivity due to a decline in cardiac output. Walking exercise is considered an easy aerobic activity that may enhance the heart’s pumping ability, leading to improvements in patients' functional capacity and productivity.

Purpose: This study aimed to assess the effect of walking exercise on functional capacity and productivity in patients after CABG.

Methods: This study used a Randomized Controlled Trial (RCT) design with a single-blind outcome assessor. A total of 42 respondents participated, divided equally into intervention and control groups (21 each).

Results: The study showed a significant effect of walking exercise on functional capacity (p = 0.008), impairment while working (p = 0.011), and activity impairment (p = 0.044). However, there was no significant difference in work time missed (p = 0.967) or overall work impairment (p = 0.696) between groups.

Conclusion: Walking exercise improves cardiac function and metabolism, increasing Adenosine Triphosphate (ATP) expenditure, thereby enhancing functional capacity and productivity in patients.

Fulltext

Keywords: Coronary artery bypass; health expenditures; walking exercise

Article Metrics:

Article Info

Section: Articles

Language : EN

In Vol 14, No 3 (2024): (December 2024) (in progress)

Recent articles

Parental Resilience Determinants in Children with Cancer in Indonesia: A Path Analysis Effects of Massage Therapy on Anxiety in Heart Disease Patients Walking Exercise and Its Effect on Functional Capacity and Productivity in Post-Coronary Artery Bypass Graft (CABG) Patients: A Randomized Controlled Trial More recent articles

Most cited articles

Caring Science within Islamic Contexts: A Literature Review Relationships between Triage Knowledge, Training, Working Experiences and Triage Skills among Emergency Nurses in East Java, Indonesia BSE Practice and BSE Self-Efficacy among Nursing Students in Aceh, Indonesia Cardiac Rehabilitation Enhancing Programs in Patients with Myocardial Infarction: A literature Review Spirituality Intervention and Outcomes: Corner stone of Holistic Nursing Practice More cited articles

Ahmad, I., Ali, S., Ghani, N., & Shaheen, A. (2021). Challenges experienced by post coronary artery bypass grafting patients: A qualitative study from Peshawar, Khyber Pakhtunkhwa, Pakistan. Journal of the Pakistan Medical Association, 71(7), 1827–1831. https://doi.org/10.47391/JPMA.395
American College of Sports Medicine. (2014). ACSM’s guidelines for exercise testing and prescription (L. S. Pescatello, Ed.; 9th ed.). ACSM Group Publisher
Aritonang, Y. A., Widani, N. L., & Adyatmaka, I. (2018). The Effect of Home Heart Walk on Fatigue among Heart Failure’s Patients. Jurnal Keperawatan Padjajaran, 6(1)
Aryasa, T. (2023, April 17). Apa itu skor METs? https://yankes.kemkes.go.id/view_artikel/2330/apa-itu-skors-mets
Ashok, P., Kharche, J. S., Raju, R., & Godbole, G. (2017). Metabolic equivalent task assessment for physical activity in medical students. National Journal of Physiology, Pharmacy and Pharmacology, 7(3), 236–239. https://doi.org/10.5455/njppp.2017.7.0825604092016
Bowden, S., Bowden, T., Butler, J., Filer, L., Gibson, T., Grant, R., Green, S. E., Holden, S., Mohiddin, S., & Rawlings-Anderson, K. (2021). Oxford Handbook of Cardiac Nursing (K. Olson, Ed.; 3rd ed.). Oxford University Press
CCOHS. (2022). Return To Work - Functional Abilities Evaluation
Chen, Y. W., Wang, C. Y., Lai, Y. H., Liao, Y. C., Wen, Y. K., Chang, S. T., Huang, J. L., & Wu, T. J. (2018). Home-based cardiac rehabilitation improves quality of life, aerobic capacity, and readmission rates in patients with chronic heart failure. Medicine (United States), 97(4). https://doi.org/10.1097/MD.0000000000009629
Cordeiro, A. L. L., Carvalho, B. S., & Silva, E. G. (2022). Inspiratory muscle training and functional capacity following coronary artery bypass grafting in high-risk patients: A pilot randomized controlled trial. Journal of Clinical and Translational Research, 8(4). https://doi.org/10.18053/jctres.08.202204.001
Diana Fathin, N., Rizki Imania, D., Ilmu Kesehatan, F., & Yogyakarta, A. (2021). Pengaruh Aerobic Exercise Terhadap Functional Capacity pada Penderita Coronary Heart Disease Post Operasi CABG: Narrative Review
Fonseca, A. F., Lahoz, R., Proudfoot, C., Corda, S., Loefroth, E., Jackson, J., Cotton, S., & Studer, R. (2021). Burden and quality of life among female and male patients with heart failure in europe: A real-world cross-sectional study. Patient Preference and Adherence, 15, 1693–1706. https://doi.org/10.2147/PPA.S312200
Foster, E. J., Munoz, S. A., Crabtree, D., Leslie, S. J., & Gorely, T. (2021). Barriers and facilitators to participating in cardiac rehabilitation and physical activity in a remote and rural population: A cross-sectional survey. Cardiology Journal, 28(5), 697–706. https://doi.org/10.5603/CJ.a2019.0091
Ganga, H. V, Jantz, J., Choudhary, G., & Wu, W.-C. (2016). Abstract P310: Predictors of Phase III Enrollment in Participants Completing Phase II Cardiac Rehabilitation in a Large Urban Cardiac Rehabilitation Center. Circulation, 133(suppl_1). https://doi.org/10.1161/circ.133.suppl_1.p310
Gharasi-Manshadi, M., Meskarpour-Amiri, M., & Mehdizadeh, P. (2018). Lost productivity among military personnel with cardiovascular disease. Journal of the Royal Army Medical Corps, 164(4), 235–238. https://doi.org/10.1136/jramc-2018-000920
Hinkle, J. L., Cheever, K. H., & Brunner, L. S. (2018). Brunner & Suddarth’s textbook of medical-surgical nursing
Inverarity, L. (2022, November 22). How To Do A Leg Straight Leg Raise
Jonsson, M., Urell, C., Emtner, M., & Westerdahl, E. (2014). Self-reported physical activity and lung function two months after cardiac surgery - a prospective cohort study. Journal of Cardiothoracic Surgery, 9(1). https://doi.org/10.1186/1749-8090-9-59
Kusmanto, V. B. (2021, August 16). Apa Yang Terjadi Pada Sistem Kardiovaskular Kita Saat Berolahraga? https://pjnhk.go.id/artikel/apa-yang-terjadi-pada-sistem-kardiovaskular-kita-saat-berolahraga
Kusumo, M. P. (2020). Buku Pemantauan Aktivitas Fisik. The Journal Publishing
Mehrdad, R., Asli, N. G., Pouryaghoub, G., Saraei, M., Salimi, F., & Nejatian, M. (2016). Predictors of early return to work after a coronary artery bypass graft surgery (CABG). International Journal of Occupational Medicine and Environmental Health, 29(6), 947–957. https://doi.org/10.13075/ijomeh.1896.00798
Mortensen, M., Sandvik, R. K. N. M., Svendsen, Ø. S., Haaverstad, R., & Moi, A. L. (2022). Return to work after coronary artery bypass grafting and aortic valve replacement surgery: A scoping review. In Scandinavian Journal of Caring Sciences (Vol. 36, Issue 4, pp. 893–909). John Wiley and Sons Inc. https://doi.org/10.1111/scs.13006
Mubarak, R. (2018). EFEKTIVITAS LATIHAN BERJALAN TERHADAP KAPASITAS FUNGSIONAL DAN FUNGSI KESEIMBANGAN PADA CALON JEMAAH HAJI DEWASA SEHAT. Universitas Indonesia
NHS. (2021, November 23). Recovery: Coronary Artery Bypass Graft
Nur Fiana, D., Sastradimaja, S. B., & Marta Sari, D. (2016). Home Based Programs on Promoting Return to Work in The Phase II of Cardiac Rehabilitation After Coronary Artery Bypass Graft. 5
Pamungkas, I. G., Herawati, T., & Prima Agustia Nova. (2023). Reducing Reducing Patient’s Pain with Post Coronary Artery Bypass Graft (CABG) by Performing Foot Massage: A Systematic Review. Babali Nursing Research, 4(2), 278–291. https://doi.org/10.37363/bnr.2023.42231
Pender, N. J., Murdaugh, C. L., & Parsons, M. A. (2015). Health promotion in nursing practice (7th ed.). Pearson
PERKI. (2019). PANDUAN REHABILITASI KARDIOVASKULAR
Plitnick, K. (2014). CABG: Coronary Artery Bypass Graft. Nursing Critical Care, 9(6), 32–37
Pusat Jantung Nasional Harapan Kita. (2021). Laporan Tahunan Rumah Sakit Jantung dan Pembuluh Darah Harapan Kita
Soroush, A., Heydarpour, B., Komasi, S., Saeidi, M., & Ezzati, P. (2018). Barriers for the referral to outpatient cardiac rehabilitation: A predictive model including actual and perceived risk factors and perceived control. Annals of Cardiac Anaesthesia, 21(3), 249. https://doi.org/10.4103/aca.aca_87_17
Sumin, A. N., Oleinik, P. A., Bezdenezhnykh, A. V., & Bezdenezhnykh, N. A. (2022). Factors Determining the Functional State of Cardiac Surgery Patients with Complicated Postoperative Period. International Journal of Environmental Research and Public Health, 19(7). https://doi.org/10.3390/ijerph19074329
SunnyBrook Health Sciences Centre. (2022). Your Home Based Exercise. https://sunnybrook.ca/content/?page=schulich-heart-coronary-artery-bypass-exercises
Tabata, A., Yabe, H., Katogi, T., Yamaguchi, T., Mitake, Y., Shirai, T., & Fujii, T. (2022). Investigation of presenteeism, physical function, and exercise habits in workers with CKD: three case reports with literature review. Renal Replacement Therapy, 8(1). https://doi.org/10.1186/s41100-022-00403-w
Tameler, W. (2014). Cardiac Rehabilitation Enrollment Rates and Different Referral Cardiac Rehabilitation Enrollment Rates and Different Referral Strategies Strategies [The Univeristy of Montana]. https://scholarworks.umt.edu/etd/4283
Tessler J, & Bordoni B. (2014). Cardiac Rehabilitation. University of Montana
Thomas, R. J., Beatty, A. L., Beckie, T. M., Brewer, L. P. C., Brown, T. M., Forman, D. E., Franklin, B. A., Keteyian, S. J., Kitzman, D. W., Regensteiner, J. G., Sanderson, B. K., & Whooley, M. A. (2019). Home-Based Cardiac Rehabilitation: A Scientific Statement From the American Association of Cardiovascular and Pulmonary Rehabilitation, the American Heart Association, and the American College of Cardiology. Circulation, 140(1), E69–E89. https://doi.org/10.1161/CIR.0000000000000663
Zhang, W., Bansback, N., Boonen, A., Young, A., Singh, A., & Anis, A. H. (2010). Validity of the work productivity and activity impairment questionnaire - general health version in patients with rheumatoid arthritis. Arthritis Research and Therapy, 12(5). https://doi.org/10.1186/ar3141

Last update:

No citation recorded.

Last update: 2025-05-08 03:03:56

No citation recorded.

This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.

Journal Author(s) Rights

In order for the Department of Nursing, Faculty of Medicine, Universitas Diponegoro to publish and disseminate research articles, we need non-exclusive publishing rights (transferred from the author(s) to the publisher). This is determined by a publishing agreement between the author(s) and the Department of Nursing, Faculty of Medicine, Universitas Diponegoro. This agreement involves the transfer or licensing of the copyright for publishing to the publisher, while authors still retain significant rights to use and share their own published articles. The Department of Nursing, Faculty of Medicine, Universitas Diponegoro supports the need for authors to share, disseminate, and maximize the impact of their research through these rights in any databases.

As the author(s), you have rights to a wide range of uses of your article, including use by your employing institution or company. These author rights can be exercised without the need to obtain specific permission. Authors publishing in the Nurse Media Journal of Nursing have extensive rights to use their works for teaching and scholarly purposes without needing to seek permission, including:

use for classroom teaching by the author or the author’s institution and presentation at a meeting or conference, including distributing copies to attendees;
use for internal training by the author’s company;
distribution to colleagues for their research use;
use in a subsequent compilation of the author’s works;
inclusion in a thesis or dissertation;
reuse of portions or extracts from the article in other works (with full acknowledgment of the final article);
preparation of derivative works (other than for commercial purposes) (with full acknowledgment of the final article);
voluntary posting on open websites operated by the author or the author’s institution for scholarly purposes;

following the open access license of the Creative Commons CC BY-SA License.

Authors, readers, and third parties can copy and redistribute the material in any medium or format, as well as remix, transform, and build upon the material for any purpose, even commercially, but they must give appropriate credit (including the name of the creator and attribution parties, detailed information about the authors, a copyright notice, an open access license notice, a disclaimer notice, and a link to the material), provide a link to the license, and indicate if changes were made. The publisher will indicate any modification of the material (if any) and retain an indication of previous modifications using a CrossMark Policy and information about Erratum-Corrigendum notifications.

Authors, readers, and third parties can read, print, and download, redistribute or republish the article (e.g., display it in a repository), translate the article, download it for text and data mining purposes, reuse portions or extracts from the article in other works, sell or reuse it for commercial purposes, remix, transform, or build upon the material. They must distribute their contributions under the same license as the original Creative Commons Attribution-ShareAlike (CC BY-SA).

Copyright Transfer Agreement for Publishing (Publishing Right)

The Authors submitting a manuscript do so on the understanding that if accepted for publication, non-exclusive right for publishing (publishing right) of the article shall be assigned/transferred to Publisher of the Nurse Media Journal of Nursing (Department of Nursing, Faculty of Medicine, Universitas Diponegoro).

Upon acceptance of an article, authors will be asked to complete a 'Copyright Transfer Agreement for Publishing (CTAP)'. An e-mail will be sent to the Corresponding Author confirming receipt of the manuscript together with a 'Copyright Transfer Agreement for Publishing' form by online version of this agreement.

Nurse Media Journal of Nursing and Department of Nursing, Faculty of Medicine, Universitas Diponegoro, the Editors and the Editorial Board make every effort to ensure that no wrong or misleading data, opinions or statements be published in the journal. In any way, the contents of the articles and advertisements published in the Nurse Media Journal of Nursing are sole and exclusive responsibility of their respective authors and advertisers.

Please note that even though we ask for a transfer of copyright for publishing (CTAP), our journal Author(s) retain (or are granted back) significant scholarly rights as mentioned before.

The Copyright Transfer Agreement for Publishing (CTAP) Form can be downloaded here: [Copyright Transfer Agreement for Publishing (CTAP) Form NMJN 2024]

The copyright form should be signed electronically and send to the Editorial Office in the form of original e-mail below:

Dr. Meira Erawati (Editor-in-Chief)
Editorial Office of Nurse Media Journal of Nursing
Department of Nursing, Faculty of Medicine, Universitas Diponegoro
Jl. Prof. Soedarto, Tembalang, Semarang, Central Java, Indonesia 50275
Telp.: +62-24-76480919; Fax.: +62-24-76486849
E-mail: media_ners@live.undip.ac.id

(This policy statements has been updated at 24th January 2024)

Walking Exercise and Its Effect on Functional Capacity and Productivity in Post-Coronary Artery Bypass Graft (CABG) Patients: A Randomized Controlled Trial

Journal Author(s) Rights

Copyright Transfer Agreement for Publishing (Publishing Right)

OFFICE INFORMATION