Effect of mediation and cardiac rehabilitation in CABG patients.

INTERVENTION: Intervention1: Meditation: Mediation is given using mindful meditation technique. Intervention2: Mediation: Meditation‐ Focusing attention on the breath, inhaling, and exhaling mindfully, promoting relaxation, and reducing stress. meditation is the mindful practice of believing in and connecting to something that is greater, vaster, and deeper than the individual self. In this meditation you are trusting that there is something bigger out there and that everything happens for a reason. Duration 30 min supervised and 30 min unsupervised. How to practice:Sit in silence with the awareness on the breath and concentreate on your breath. During exhalation just rela Xand after 15‐20 min repeat affirmations focused on surrender and trust, such as: I am conscious and aware, I let everything simply be as it is in this moment, or I live in my Creator and my Creator lives in me. Control Intervention1: cardiac rehabilitation: Exercise Description Dosage Early Mobilization Ambulation (walking) Encouraging patients to start walking as soon as possible after surgery, beginning with short distances, and gradually increasing. As much as patient can walk without any discomfort. Deep breathing Incentive Spirometry: Using a device to encourage deep breathing, helping to prevent complications such as pneumonia and improve lung function Upper body ROM exercises Shoulder Rolls and Arm Lifts: Gentle movements to maintain flexibility and prevent stiffness in the upper body 1 set of 5‐10 Repetition. Leg exercises Ankle Pumps and Circles: Promoting blood circulation and preventing blood clots in the lower extremities. Leg Lifts: Gentle leg exercises to maintain muscle tone. 1 set of 5‐10 repetition. Posture exercises Seated Posture: Encouraging proper seated posture to prev CONDITION: Health Condition 1: I709‐ Other and unspecified atherosclerosis Health Condition 2: I798‐ Other disorders of arteries, arterioles and capillaries in diseases classified elsewhere PRIMARY OUTCOME: Cortisol Level‐Timepoint: Day 1 and Day 5 SECONDARY OUTCOME: hospital and anxiety depression scaleTimepoint: pre intervention at day 1 and post intervention at day 14 INCLUSION CRITERIA: 1. Patients operated for CABG referred to physiotherapy. 2. Patient who will sign the consent form 3. Patient with ability to understand and follow instructions