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IRCT2017082324080N12 IRCT 2017-09-05 Vice Chancellor for Research of Lorestan University of Medical Sciences The effect of cardiac rehabilitation on sexual function and coping with stress in CABG patients The effect of cardiac rehabilitation on sexual function and coping with stress in CABG patients 2016-06-19 anticipated 126 Complete https://irct.ir/trial/20416 interventional Randomization: Randomized, Blinding: Double blinded, Placebo: Not used, Assignment: Parallel, Purpose: Health service research. N/A Sexual function and coping with stress in CABG patients. Intervention 1: In intervention group, in the first or second session of rehabilitation (before intervention), personal information questionnaires, the Andler & Parker Stress Coping Strategies Questionnaire and the International Index of Erectile Function (IIEF-5) were completed. At the beginning of the cardiac rehabilitation program, the health status and patient visit was performed by a specialist in exercise medicine and diet, then a common cardiac rehabilitation program was performed in 26 sessions (pairs, three times a week). During the physical activity phase, the patients slowly runse and exercise in the warm-up phase for 10 minutes, then 20-30 minutes of dynamic exercise using treadmill and fixed bicycle, and the exercise session with 10 minutes of cooling (slow walk in the gym) It ends. In the nutrition dimension, nutrition education, nutrition, oils, and its relation to cardiovascular disease, food pyramid and ways to use it, control and ways to reach the weight of the idea are provided by the nutritionist. In addition to common cardiac rehabilitation, after aerobic exercise to help resolve the sexual dysfunction of patients, they also carry pelvic muscle building exercises (Kegel Exercise). Training on how to perform the Kegel exercise by researcher and researcher help is Individual and small groups are trained in a quiet place in the rehabilitation hall verbally, face-to-face, and in the language of the patient's speech. (In this exercise, the patient first recognizes the ptobuccosis muscle, To find this muscle, it is necessary to stop urine flow while urinating. This requires that the muscle contraction in the pelvic floor and Patient can sense the pelvic floor by touching the muscle and contract it, then perform the Kegel exercise as follows: Long cycle exercise 1) Shrinks the pubococcygeus muscle and maintains this contraction for 10 seconds. 2) Muscle Exit from shrinkage and relax for 10 seconds. 3) Repeat this cycle 15 times, and after that it relaxes 1 minute of muscle and performs short cycle exercises. Short Cycle Exercise 1: The muscle shrinks the pc for one second and relaxes for one second. 2) These one-minute cycles repeat the contraction and expansion 10 times. In doing the exercises, you normally breathe and avoid abdominal muscle contraction. Considering the proper relaxation of the pelvic floor muscles, along with their proper shrinkage, attention is drawn to regular shrinkage cycles. Both types of exercise are performed daily, with an equivalent time of 10 minutes and three times a day). And in psychology, psychological and social factors of stress and ways to cope with stress) in the problem-oriented coping style, one focuses on the problem and tries to solve it. First defines the problem and seeks various solutions. Emotional response focuses on emotional control and emotional responses. Dealing with physical measures such as exercising or taking medication, getting rid of your anger over others, crying, getting angry, and shouting is a way of coping with this method. In an avoidant coping style, one tries to cognitive change and distance from reality, avoiding the problem, escapes and avoids it and receives emotional support.) The ways of achieving peace are among the classes taught by The researcher is trained. In fact, a modified rehabilitation program was implemented in this study. In the final intervention (after intervention), personal information questionnaires, the Andler & Parker Stress Coping Strategies Questionnaire and the International Index of Erectile Function (IIEF-5) were completed again. Intervention 2: In the control group at the beginning of the rehabilitation program, personal information questionnaires, the Andler & Parker Stress Coping Strategies Questionnaire and the International Index of Erectile Function (IIEF-5) were completed . then a common cardiac rehabilitation program was performed in 26 sessions (pairs, three times a week). During the physical activity phase, the patients slowly runse and exercise in the warm-up phase for 10 minutes, then 20-30 minutes of dynamic exercise using treadmill and fixed bicycle, and the exercise session with 10 minutes of cooling (slow walk in the gym) It ends. In the nutrition dimension, nutrition education, nutrition, oils, and its relation to cardiovascular disease, food pyramid and ways to use it, control and ways to reach the weight of the idea are provided by the nutritionist. In the final session of Rehabilitation, personal information questionnaires, the Andler & Parker Stress Coping Strategies Questionnaire and the International Index of Erectile Function (IIEF-5) were completed again.
public peyman kaikhosro doulatyari
Nursing and Midwifery Department, Campus Kamalvand, Lorestan University of Medical Sciences
Khorramabad Iran (Islamic Republic of) 6813833946 +33 120172 p.k.doulatyari@gmail.com Lorestan University of Medical Sciences scientific Mohammad Gholami
Nursing and Midwifery Department, Campus Kamalvand, Lorestan University of Medical Sciences
Khorramabad Iran (Islamic Republic of) +98 66 3312 0140 mohammad13565@yahoo.com Lorestan University of Medical Sciences Iran (Islamic Republic of) Inclusion criteria: Male patients undergoing open heart surgery (coronary artery bypass graft). Age of 18 to 75 - Married - No history of psychiatric illness and diabetes - Introduced by a surgeon to perform rehabilitation - Resident of Kermanshah - No history of sexual dysfunction before surgery - No history of using drugs affecting sexual activity - No history Peripheral vascular disease Exclusion criteria: 1) Immigration or absence of any reason 2) Unwillingness to continue to participate in research 3) Patients with less than 30 percent EF 4) Patients with muscle weakness and skeletal problems 18 years 75 years Male Rehabilitation Rehabilitation In intervention group, in the first or second session of rehabilitation (before intervention), personal information questionnaires, the Andler & Parker Stress Coping Strategies Questionnaire and the International Index of Erectile Function (IIEF-5) were completed. At the beginning of the cardiac rehabilitation program, the health status and patient visit was performed by a specialist in exercise medicine and diet, then a common cardiac rehabilitation program was performed in 26 sessions (pairs, three times a week). During the physical activity phase, the patients slowly runse and exercise in the warm-up phase for 10 minutes, then 20-30 minutes of dynamic exercise using treadmill and fixed bicycle, and the exercise session with 10 minutes of cooling (slow walk in the gym) It ends. In the nutrition dimension, nutrition education, nutrition, oils, and its relation to cardiovascular disease, food pyramid and ways to use it, control and ways to reach the weight of the idea are provided by the nutritionist. In addition to common cardiac rehabilitation, after aerobic exercise to help resolve the sexual dysfunction of patients, they also carry pelvic muscle building exercises (Kegel Exercise). Training on how to perform the Kegel exercise by researcher and researcher help is Individual and small groups are trained in a quiet place in the rehabilitation hall verbally, face-to-face, and in the language of the patient's speech. (In this exercise, the patient first recognizes the ptobuccosis muscle, To find this muscle, it is necessary to stop urine flow while urinating. This requires that the muscle contraction in the pelvic floor and Patient can sense the pelvic floor by touching the muscle and contract it, then perform the Kegel exercise as follows: Long cycle exercise 1) Shrinks the pubococcygeus muscle and maintains this contraction for 10 seconds. 2) Muscle Exit from shrinkage and relax for 10 seconds. 3) Repeat this cycle 15 times, and after that it relaxes 1 minute of muscle and performs short cycle exercises. Short Cycle Exercise 1: The muscle shrinks the pc for one second and relaxes for one second. 2) These one-minute cycles repeat the contraction and expansion 10 times. In doing the exercises, you normally breathe and avoid abdominal muscle contraction. Considering the proper relaxation of the pelvic floor muscles, along with their proper shrinkage, attention is drawn to regular shrinkage cycles. Both types of exercise are performed daily, with an equivalent time of 10 minutes and three times a day). And in psychology, psychological and social factors of stress and ways to cope with stress) in the problem-oriented coping style, one focuses on the problem and tries to solve it. First defines the problem and seeks various solutions. Emotional response focuses on emotional control and emotional responses. Dealing with physical measures such as exercising or taking medication, getting rid of your anger over others, crying, getting angry, and shouting is a way of coping with this method. In an avoidant coping style, one tries to cognitive change and distance from reality, avoiding the problem, escapes and avoids it and receives emotional support.) The ways of achieving peace are among the classes taught by The researcher is trained. In fact, a modified rehabilitation program was implemented in this study. In the final intervention (after intervention), personal information questionnaires, the Andler & Parker Stress Coping Strategies Questionnaire and the International Index of Erectile Function (IIEF-5) were completed again. In the control group at the beginning of the rehabilitation program, personal information questionnaires, the Andler & Parker Stress Coping Strategies Questionnaire and the International Index of Erectile Function (IIEF-5) were completed . then a common cardiac rehabilitation program was performed in 26 sessions (pairs, three times a week). During the physical activity phase, the patients slowly runse and exercise in the warm-up phase for 10 minutes, then 20-30 minutes of dynamic exercise using treadmill and fixed bicycle, and the exercise session with 10 minutes of cooling (slow walk in the gym) It ends. In the nutrition dimension, nutrition education, nutrition, oils, and its relation to cardiovascular disease, food pyramid and ways to use it, control and ways to reach the weight of the idea are provided by the nutritionist. In the final session of Rehabilitation, personal information questionnaires, the Andler & Parker Stress Coping Strategies Questionnaire and the International Index of Erectile Function (IIEF-5) were completed again. Sexual function and coping with stress. Timepoint: Before and after intervention. Method of measurement: International Sexual Function Index (5EIF) and Andler & Parker Stress Coping Strategies Questionnaire. Sexual function and coping with stress. Timepoint: Before and after intervention. Method of measurement: International Sexual Function Index (IIEF-5) Questionnaire and Andler & Parker Stress Coping Strategies. Vice Chancellor for Research of Lorestan University of Medical Sciences Approved 2016-06-17 Ethics Committee of Lorestan University of Medical Sciences Nursing and Midwifery Department, Campus Kamalvand, Lorestan University of Medical Sciences Khorramabad Iran (Islamic Republic of)