ISSN 2415-3060 (print), ISSN 2522-4972 (online)
  • 41 of 67
УЖМБС 2020, 5(4): 307–313
Physical Therapy and Ergotherapy

Ergotherapy after Coronary Artery Bypass Grafting: Modern Approaches

Arieshyna Yu. B., Bespalova O. O., Avramenko N. B., Bugaienko T. V., Zviriaka O. M.

Cardiovascular diseases are one of the main biomedical and social problems in Ukraine and worldwide, significantly affecting the quality of life, life span of the population and indicators of loss of the country's life potential. Coronary heart disease makes a significant contribution to the structure of cardiac morbidity. Effective methods of coronary heart disease treatment are surgical interventions in the form of stenting and angioplasty of the coronary arteries. Ergotherapy is extremely important for restoring the patient’s working capacity in the postoperative period. The purpose of the study was to find out the components and determine modern approaches to ergotherapy after coronary artery bypass grafting. The reasons for referring to ergotherapy may be the following: decrease in strength, endurance, functional mobility, feeling of discomfort in the sternum. Material and Methods. The initial assessment of the patient was carried out using interviews, observation, Functional Independence Measure (FIM), the Borg scale, The Mini Mental State Examination (MMSE), etc. Result and Discussion. As a result of the initial assessment, short and long-term goals of ergotherapy were formed. They must be achieved within a certain time frame. The process of occupational therapy may pursue such goals: to achieve the highest possible level of independence in carrying out activities of daily living; to train in appropriate body mechanics, including sternum precautions; to use the adaptive equipment, if necessary; to achieve the highest possible level of independence in carrying out instrumental activities of daily living; to train in energy saving strategies; stress management, including healthy rest; conviction of the need for education regarding disease management and lifestyle changes; to return to the professional duties, if necessary and possible. We also developed the plan of ergotherapeutic intervention. It included establishing of the ergotherapeutic course duration, duration and frequency of individual sessions, determining the algorithm of actions. The ergotherapists work in an interdisciplinary team, which may include nursing, doctors of various specializations (cardiologists, pulmonologists, psychiatrists), physical therapists, speech therapists, nutritionists, social workers, etc. Conclusion. The process of ergotherapy after coronary artery bypass grafting includes: conducting an assessment (initial, current and final), setting goals (short-term and long-term), drawing up a plan of care, conducting an ergotherapeutic intervention, providing recommendations for planning safe discharge from a medical institution, continuing ergotherapy at home if necessary.

Keywords: cardiovascular disease, coronary heart disease, occupational therapy, rehabilitation, working capacity restoration

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