Effectiveness of Phase I Cardiac Rehabilitation among Patients Undergoing CABG Surgery - A Randomized Controlled Trial

INTERVENTION: Intervention1: Phase I Cardiac Rehabilitation: Formal permission for data collection will be obtained from institutional research committee, ethics committee, Medical College Hospital, Thiruvananthapuram and from head of the department of cardiothoracic and vascular surgery. The samples who met the inclusion criteria will be selected. Those who meet eligibility criteria and who are willing to participate in the study will be identified. Objectives of the study will be explained and informed consent will be taken by ensuring COVID 19 basic protocol. Those who consented for the study will be allocated. Those who are willing to participate allocated randomly to experimental and control group using block randomization with a fixed block size 4 .Allocation concealment will be done by using an opaque sealed envelope. Both the experimental and control group get routine hospital care which include pre‐operative counselling regarding admission process, hospital stay and routine checkup (Dental, E.N.T and Anesthesia checkup)and post operatively they are trained for incentive spirometry exercises and post discharge advices are given about home care management. Patients in the experimental group will be given preoperative care along with routine care on stress management and exercises and counselling before surgery on the outpatient department 2 weeks prior to surgery. The counselling session includes preoperative, postoperative and post‐discharge counselling. On the day of admission, they are again counselled with demonstration and return demonstration of preoperative and post‐operative care and motivated on adherence to preoperative and postoperative care. After surgery patientsâ?? performance on the postoperative care instructed is reinforced and they are followed up to assess t CONDITION: Health Condition 1: I00‐I99‐ Diseases of the circulatory system PRIMARY OUTCOME: the investigator assume that there is change in cardiac function respiratory function ; wound infection, and anxiety level of CABG patients experimental group than in control group Timepoint: The primary outcome is assessed within 45 days. The assessment will be done preoperatively, postoperatively (3rd day), before discharge and first follow‐up SECONDARY OUTCOME: the investigator assumes that there is difference in cardiac function, respiratory function, ; wound infection, and anxiety level of CABG patients in experimental group than in control groupTimepoint: within 45 days INCLUSION CRITERIA: 1. Patients admitted for routine coronary artery bypass grafting surgery for the first time at a tertiary care centre. 2. Patients who are willing to participate in the study. 3. Patients who are able to read and write Malayalam.