Effectiveness Of NCARE App (Nurse-Led Cardiac Rehabilitation App) On Cognition, Conation, And Adherence To Practice Regarding Cardiac Rehabilitation Among Post-Coronary Artery Bypass Graft Surgery Patients In A Tertiary Care Hospital

Abstract

Background: Cardiovascular diseases (CVDs) are the leading cause of global mortality. Coronary artery bypass graft (CABG) surgery is a critical intervention for managing coronary artery disease. Post-surgical cardiac rehabilitation is crucial for improving patient outcomes, yet it remains underutilized.

Objective: This study evaluates the effectiveness of the Nurse-Led Cardiac Rehabilitation App (NCARE) in enhancing cognition, conation, and adherence to practice among post-CABG patients.

Methods: A pre-experimental one-group pre-test and post-test design was employed in a tertiary care hospital in Puducherry, India. Thirty post-CABG patients were selected using purposive sampling. Data on cognition, conation, and adherence were collected using a self-structured questionnaire before and after the participants used the NCARE app. The intervention included education on medications, dietary modifications, exercises, and lifestyle changes.

Results: Significant improvements were observed in cognition, conation, and adherence post-intervention. Pre-test cognition scores indicated poor cognition (mean = 30%), which improved to good cognition (mean = 85%) post-test (p < 0.001). Positive conation increased from 6.7% to 96.7%, and adherence to recommended practices rose from 10% to 93.3%.

Conclusion: The NCARE app significantly improved patient outcomes by enhancing cognition, motivation, and adherence to cardiac rehabilitation practices. This cost-effective, scalable intervention could bridge gaps in post-CABG care and reduce rehospitalization rates.