APPENDIX - A

Effects of Stress Reduction Strategies on Anxiety, Self-Efficacy and Activity Level among Patients following Coronary Artery Bypass Grafting

PART – I

Demographic Data Sample No : 1) Age : ---------------------

2) Sex : ---------------------

3) Education :

a) Primary School

b) High school

c) Graduate

d) Post graduate

4) Marital status

a) Married

b) Unmarried

c) Widowed / divorced

5) No of children (if married) ---------------------

6) Nature of family

a) Nuclear family

b) Joint family

7) Employment status

a) Employed – full time

b) Employed – part time

c) Retired

d) Unemployed

8) Nature of occupation please be specific -------------------

9) Monthly income of the family

a) < Rs.5,000/-

b) Rs.5001 – 10,000

c) > Rs.10,000

10) Religion

a) Hindu

b) Muslin

c) Christian

d) Others

PART – II

1) Vessals Blocked with Percentage of blocks : _________ , ________ _________ , ________

2) Number of grafts : _________

3) Pre operative left ventricular function : _________ (as per echo)

4) Other diseases : _________

5) Baseline BP : _________

6) Pulse Rate : _________

7) Vegetarian / Non vegetarian :

8) Smoker / Non Smoker/EX smoker :

9) BMI : _____

10. Record of Physiological parameters.

Date B.P. in mm of Hg Pulse Pain Intensity Score

PART III

STATE TRAIT ANXIETY INVENTORY

STAI Form Y-1

DIRECTIONS A number of statements which people have used to describe themselves are given below. Read each statement and then circle the appropriate number to the right of the statement to indicate how you generally feel. There are no right or wrong answers. Do not spend too much time on any one statement but give the answer which seems to describe how you generally feel.

No.

Not

at a

ll

Som

e W

hat

Mod

erat

ely

so

Ver

y m

uch

so

1 I feel calm 1 2 3 4 2 I feel secure 1 2 3 4 3 I am tense 1 2 3 4 4 I feel strained 1 2 3 4 5 I feel at ease 1 2 3 4 6 I feel upset 1 2 3 4 7 I am presently worrying over

possible misfortunes 1 2 3 4

8 I feel satisfied 1 2 3 4 9 I feel frightened 1 2 3 4 10 I feel comfortable 1 2 3 4 11 I feel self-confident 1 2 3 4 12 I feel nervous 1 2 3 4 13 I am jittery 1 2 3 4 14 I feel indecisive 1 2 3 4 15 I am relaxed 1 2 3 4 16 I feel content 1 2 3 4 17 I am worried 1 2 3 4 18 I feel confused 1 2 3 4 19 I feel steady 1 2 3 4 20 I feel pleasant 1 2 3 4 © Copyright 1968, 1977 by Charles D. Spielberger. All rights reserved Published by Mind Garden, Inc., Redwood City, CA.

STAI Form Y-II

DIRECTIONS A number of statements which people have used to describe themselves are given below. Read each statement and then circle the appropriate number to the right of the statement to indicate how you generally feel. There are no right or wrong answers. Do not spend too much time on any one statement but give the answer which seems to describe how you generally feel.

No.

All

mos

t ne

ver

Som

e-

Tim

es

Oft

en

Alm

ost

alw

ays

21 I feel pleasant 1 2 3 4 22 I feel nervous and restless 1 2 3 4 23 I feel satisfied with myself 1 2 3 4 24 I wish I could be as happy as others seem to be 1 2 3 4 25 I feel like a failure 1 2 3 4 26 I feel rested 1 2 3 4 27 I am “Calm, cool, and collected” 1 2 3 4 28 I feel that difficulties are piling up so that I

cannot overcome them 1 2 3 4

29 I worry too much over something that really doesn’t matter 1 2 3 4

30 I am happy 1 2 3 4 31 I have disturbing thoughts 1 2 3 4 32 I lack self-confidence 1 2 3 4 33 I feel secure 1 2 3 4 34 I make decisions easily 1 2 3 4 35 I feel inadequate 1 2 3 4 36 I am content 1 2 3 4 37 Some unimportant thought runs through my mind

and bothers me 1 2 3 4

38 I take disappointments so keenly that I can’t put them out of the mind 1 2 3 4

39 I am a steady person 1 2 3 4 40 I get in a state of tension or turmoil as I think over

my recent concerns and interests 1 2 3 4

© Copyright 1968, 1977 by Charles D. Spielberger. All rights reserved Published by Mind Garden, Inc., Redwood City, CA.

PART – IV

Self- Efficacy Scale for Activities

Instructions: Given below are activities commonly performed by people. Take a few

minutes and indicate with how much confidence you can perform the given activities

at present.

A. Self –Efficacy for activities of daily living

No. Activities

Confidence Level

Not

at a

ll

Litt

le

Som

ewha

t

Mod

erat

e

Full

NA

1 Personal hygiene 2 Bathing

3 Eating 4 Walking in the house 5 Walking up & down flight

stairs

6 Care for self when you feel tired

7 Do all self care even some one is available to do

8 Do all self care when you feel bored

B. Self –Efficacy for physical exercise 9 Breathing Exercise

10 Walking for 10 Minutes 11 Walking for 20 Minutes

12 Continue exercise when you are tired

13 Exercise even when you feel bored

C. Self –Efficacy for social and spiritual activities

No. Activities

Confidence Level

Not

at a

ll

Litt

le

Som

ewha

t

Mod

erat

e

Fully

NA

14 Attending social gatherings 15 Participating home cleaning 16 Purchasing of groceries 17 Playing with children and

grand children

18 Gardening 19 Traveling independently 20 Participating religious

activities

21 Handling Finance D. Self-Efficacy for leisure activities

No. Activities

Confidence Level

Not

at a

ll

Litt

le

Som

ewha

t

Mod

erat

e

Full

NA

22 Watching TV

23 Playing outdoor games

24 Playing indoor games

25 Engaging self in hobbies when you are in fatigue

Key : No confidence = 0 Little confidence = 1 Somewhat confidence = 2

Moderate confidence = 3 Full confidence = 4 NA=Not applicable=0

PART - V

SELF REPORTED ACTIVITY QUESTIONNAIRE

INSTRUCTIONS: Following is the list of activities people do usually. Indicate with how much difficulty you are performing the activities in the past one week. A. ACTIVITIES OF DAILY LIVING

No. Activities Difficulty level

Fully/not performed Moderate Some

what Little Not at all NA

1 Personal Hygiene

2 Toileting

3 Bathing

4 Dressing

5 Feeding self

6 Walking in the house

7 Walking up & down flight stairs

8 Attending to all The activities regularly

B. PHYSICAL EXERCISE

No. Activities

Difficulty level Fully / not

performed Moderate

Some what

Little Not

at all NA

9 Warm up Exercises

10 Breathing Exercises

11 Brisk walking for 10 Minutes

12 Brisk walking for 20minutes

13 Exercise every day

C. Social & Spiritual Activities

No. Activities

Difficulty level

Not at all Little

Some what

ModerateFully / not

performed NA

14 Attending social gatherings

15 Participating home cleaning

16 Purchasing of groceries

17 Gardening

18 Playing with children and grand children

19 Traveling independently

20 Participating religious activities

21 Handling finance

D. Leisure Activities

No. Activities

Difficulty level

Not at all Little

Some What

ModerateFully / not

performed

NA

22 Watching TV

23 Playing indoor games

24 Playing outdoor games

25 Engaging in other hobbies

Key : Not at all Difficult = 4 Little Difficult = 3 Somewhat Difficult = 2

Moderately Difficult = 1 fully Difficult / not performed = 0 NA=Not Applicable

E. Do you experience chest pain or chest tightness while doing activities? Yes / No If yes : Indicate how much pain you have and when ?

0 1 2 3 4 5 6 7 8 9 10 No pain unbearable pain Specify : ______________________________________________

PART VI

MODIFIED SCORING FOR BARTHEL INDEX

CODE

Items

1 2 3 4 5

Unable to perform

Task

Attempts Task But Unsafe

Moderate Help

required

Minimal help

required

Fully independent

Personal Hygiene 0 1 3 4 5

Bathing self 0 1 3 4 5

Feeding 0 2 5 8 10

Toilet 0 2 5 8 10

Stair climbing 0 2 5 8 10

Dressing 0 2 5 8 10

Bowel control 0 2 5 8 10

Bladder control 0 2 5 8 10

Ambulation 0 3 8 12 15

Wheel chair* 0 1 3 4 5 Chair / bed transfer 0 3 8 12 15

Range 0 -- -- -- 100

*Score only if Ambulation coded “1” and patient trained in wheelchair management.

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18 ehd; Fog;gkile;j epiyapy; ,Ug;gjhf czh;fpNwd;

19 ehd; epiyahf ,Ug;gjhfj; Njhd;WfpwJ

20 ehd; ,dpikahd kdepiyapy; ,Ug;gjhf czh;fpNwd;

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24 kw;wth;fs; re;Njh\khf ,Ug;gJNghy; ehDk; re;Njh\khf ,Uf;f Ntz;Lk; vd;gJ Mir

25 ehd; Njhy;tp mile;jhh;g; Nghy; ,Uf;fpwJ

26 ehd; xa;thf czh;fpNwd;

27 ehd; mikjpAlDk;> fpsh;r;rpaw;Wk;> fl;Lf;Nfhg;GlDk; ,Uf;fpNwd;

28 vd;Dila f\;lq;fs; mjpfhpj;Jf; nfhz;bUg;gjhy; ehd; mtw;iwj; jPh;f;f Kbahky; ,Uf;fpNwd;

29 ehd; cz;ikahfNt Kf;fpakpy;yhj rpytw;iwg;gw;wp kpfTk; mjpfkhff; ftiyg;gLfpNwd;

30 ehd; kfpo;r;rpahf ,Uf;fpNwd;

31 vdf;Fj; njhy;iy jUk; vz;zq;fs; vOfpd;wd

32 vdf;Fj; jd;dk;gpf;if ,y;iy

33 ehd; ghJfhg;G czh;r;rpNahL (secure) ,Ug;gjhf czh;fpNwd;

34 ehd; KbTfis Rygkhf vLf;fpNwd;

35 ehd; jpwikaw;wtdhf ,Uf;fpNwd;

36 ehd; jpUg;jpahf ,Uf;fpNwd;

37 vd; kdjpy; rpy Kf;fpakpy;yhj rpe;jidfs; xb> vd;id tUj;Jfpd;wd.

38 Vkhw;wq;fis vdJ kdj;jpypUe;J js;s Kbahj msTf;F> mtw;iwg; nghpajhf vLj;Jf;nfhs;fpNwd;

39 ehd; rkepiyahd kdpjd;

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nraiyNah my;yJ Fog;g epiyiaNah milfpNwd;

Ntiyfspy; <LgLtjw;Fhpa jd;dk;gpf;if FwpaPl;L msTNfhy;

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nfhLf;fg;gl;Ls;sJ. Fwpg;gpl;l gzpfis jw;NghJ ve;j msT

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7 Ra Rfhjhu guhkhpg;G gzpfspy; cjt NtW xUth; ,Ug;gpDk; jhNd nra;a KbAk;

8 md;whl Raguhkhpg;G Ntiyfis nra;tjw;F mYg;G Vw;gl;lhYk; jhNd nra;J nfhs;s KbAk;.

M. clw;gapw;rpfs; nra;tjw;Fhpa jd;dk;gpf;if FwpaPL

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13 clw;gapw;rpfis kdk; Nrhh;thd rkaq;fspYk; nra;a KbAk;

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15 tPl;il J}a;ik nra;jy;

16 kspif rhkhd;fs; thq;fp tUjy;

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22 njhiyfhl;rp fhzy;

23 cs;suq;f tpisahl;Lfspy; <LgLjy;

24 ntsp muq;f tpisahl;Lfspy; <LgLjy;

25 cly; Nrhh;thd rkaq;fspYk; rpy Xa;T Neu Ntiyfspy; <LgLjy;

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5 Mfhuk; cl;nfhs;Sjy;

6 tPl;bw;Fs; elj;jy;

7 khbg;gb Vwp ,wq;Fjy;

8 Nkw;Fwpg;gpl;l Ntiyfis jpdrhp nra;jy;

9 %r;Rg; gapw;rp

M. clw;gapw;rpfs;

10 Muk;g jsh;T clw;gapw;rp

11 10 epkpl eilg; gapw;rp

12 20 epkpl eilg; gapw;rp

13 jpdrhp clw;gapwrp

,. r%f kw;Wk; rkag; gzpfs;

14 jpUkzk; Nghd;w r%f FLk;g epfo;r;rpfspy; gq;F ngwy;

15 tPl;il guhkhpj;jy;

16 kspif rhkhd; thq;fp tUjy;

17 Njhl;l Ntiy nra;jy;

18 Foe;ijfSld; $b fspj;jy;

19 jdpj;J gpuahzk; nra;jy;

20 rkag; gzpfspy; <LgLjy;

21 gztuT nryTfis tq;fp fzf;Ffis guhkhpj;jy;

<. nghOJNghf;F

22 njhiyf;fhl;rp fz;L fspj;jy;

23 cs; muq;f tpisahl;Lfspy; <LgLjy;

24 ntsp muq;f tpisahl;Lfspy; <LgLjy;

25 ,d;dgpw Xa;T Neu Ntiyfspy; <LgLjy;

APPENDIX -B

PATIENT EDUCATION GUIDE FOR YOGA RELAXATION

Yoga relaxation techniques are simple and easy to follow. For effective results

you are expected to follow the practice every day with out fail. Practice the yoga

relaxation with fully focused mind on the yoga.

1. NADI SHUTHI PRANAYAMA

You have to practice Nadi shuthi pranayama in the morning after performing

your morning routines around 6am and in the evenings around 6 pm. Make yourself

comfortable in loose fitting garments. Let your room be calm and clean . Do this

practice with your back straight. You can sit in the chair or on the bed.

Steps of Nadi shuthi pranayama pranayama

This is a slow breathing technique proposed to control the mental tension. The

sequences of the steps are as follows:

♦ Sit comfortably with the spine erect.

♦ Close right nostril with right thumb.

♦ Inhale slowly, steadily and deeply as long as possible.

♦ Follow the entire course of the breath by feeling the movement of air.

♦ Don't hold the breath inside.

♦ Now release the right nostril and close the left nostril with the little and

ring finger of the hand.

♦ Breathe out through the right nostril.

♦ Again breathe in through the right nostril and breathe out through the

left nostril.

♦ This forms one round.

♦ Mentally recite peace or ohm.

♦ Complete "9" Rounds in the morning & "9" rounds in the evening.

Time taken for the practice of this is only five minutes.

2. YOGA NIDHRA

1. Choose a calm comfortable room.

2. let nobody disturb you in between the procedure.

3. Listen to the audio cassette instruction carefully and follow only that.

4. Time: Evening after your walking exercise or before going to bed

5. You have to consciously relax

6. Try to remain awake during the entire process.

7. Incase you find lying down straight on the back is uncomfortable you can

come to half sitting posture with pillows supporting your back.

Steps for Yoga Nidra

Lie down relaxed with your head facing center.

We will be going through the body, tensing it part by part raising each part a

few inches off the floor. When asked to release, just relax all the muscles of that part

and let it drop to the floor.

Bring the awareness to the right leg. Stretch it out. Tighten all the muscles of

the leg. Inhale, raise it a few inches, squeeze.

(Pause 5 seconds)

Release, gently roll the leg and relax it completely.

(Same with the left leg)

Stretch out the right arm and spread the fingers wide. Make a fist, tighten the

arm,

Inhale, raise it a few inches, squeeze.

(Pause 5 seconds)

Release. Roll the arm gently from side to side and let it rest with the palm up.

(Same with the left arm)

Bring the awareness to the buttocks. Tighten the buttocks muscles and squeeze.

Release. Feel the hips sinking down.

Bring the awareness to the abdomen. Inhale deeply through the nose, puffing

up the abdomen like a balloon. Take in as much air as you can and slowly release the

breath (Pause 5 seconds)

Relax the chest.

Leaving the arms on the floor, slide the shoulders up towards the ears.

Squeeze. Relax. Now lift the shoulders and squeeze them together in front of the chest.

Squeeze. Relax. Slide the shoulders down towards the feet. Relax.

(10-15 seconds)

Bring the awareness to the face. Gently move the jaw up and down. Relax.

Squeeze the lips together in a pout. Relax. Suck in the cheeks. Relax. Wrinkle the

nose, squeeze the eyes. Relax. Raise the eyebrows, wrinkle the forehead. Relax. Now

squeeze all the muscles in the face towards the tip of the nose. Relax.

Next, you will be focusing the mind on each part of the body, to release any

remaining tension. If you detect any subtle tension anywhere, send a mental message

to completely relax it. If necessary please make any physical adjustments, trying to

remain perfectly still for the rest of Yoga Nidra.

Without moving any part, become aware of the toes and relax them. Relax the

feet, ankles, lower legs, knees and thighs. Relax the buttocks and pelvis, the

abdominal muscles, the internal organs. Relax the rib cage, chest, heart and lungs.

Bring the awareness to the lower back, and Relax it relax the middle back, the

upper back and the shoulder blades.

Bring the awareness to the hands, relax the fingers, palms, and back of the

hands. Relax the wrists, forearms, elbows and upper arms. Relax the shoulders, neck

and throat. Relax the chin and jaw, the tongue, and mouth. Relax the lips, cheeks the

nose, the eyes, forehead, ears, temples sides of the head, back of the head and the top

of the head.

Observe the body. Feel that there is no tension anywhere in the body. As the

body relaxes completely keep the mind alert.

(10 seconds)

Bring the awareness to the breath. When there is no tension in the body, the

breath becomes very relaxed and subtle. Let it flow in and by itself. Just remain a

witness to the breath.

(1 minute: includes the instruction and silence)

Become aware of the mind. If you notice any thoughts just let them Be aware

of peace without becoming involved. Become a silent witness to the mind.

(1 minute: includes the instruction and silence)

Be aware of peace within. This peace is your true self, the witness of the body,

breath, and mind. Your true nature is peace. Take a few minutes now to feel that peace

and enjoy it.

(Five minutes of silence)

Ommm

Please bring the awareness back to the breath and observe its gentle flow.

[pause] Gently deepen the breath [Pause]. Now take full breath and feel that prana or

life force is pervading every part of the body, from the head to toes.

Slowly begin to wriggle the fingers gently roll the arms from side to side

wriggle the toes. Gently roll the legs from side to side give the body a good stretch.

Then keeping the awareness centered within, slowly come up to a seated position, turn

around to face the center.

APPENDIX - B

Nahfepj;jpiu – Mo;epiy jsh;Tgapw;rp

,g;nghOJ ehk; Moe;j jsh;T gapw;rp nra;ag; NghfpNwhk;. Milfis ed;whf

rhp nra;J nfhs;Sq;fs; Kfk; Nkw;$iuia Nehf;fpathW iffisAk;> fhy;fisAk; rpy

mq;Fyk; mfw;wp jsh;thf gLj;Jf; nfhs;Sq;fs;.

ehk; clypd; xt;nthU ghfkhf ,Wf;fp> jiyapy; ,Ue;J xU ,d;r; cah;j;jg;

NghfpNwhk;. gpd; tpl;LtpLq;fs; vd;wTld; me;jghfj;jpid jsh;j;jp jiuapy;

tpl;LtpLq;fs;.

cq;fs; ftdj;ij tyJ fhypd; kPJ nrYj;Jq;fs;. tyJ fhiy ed;whf ePl;Lq;fs;.

tyJfhy; jirfis ,Wf;Fq;fs;. NkYk; ed;whf ,Wf;Fq;fs;. %r;ir cs; ,Oj;jp tyJ fhiy xU

,d;r; jiuapy; ,Ue;J cah;j;jp gpwF NkYk; ,Wf;Fq;fs;.

gpd; tpl;L tpLq;fs;. tyJ fhiy ed;whf jsh;j;jp mg;GwKk; ,g;GwKk;

Ml;Lq;fs;. tyJ fhiy KOikahf jsh;j;;Jq;fs;.

,lJ fhypy; Nky; cq;fs; ftdk; ,Uf;fl;Lk;. ,lJ fhiy ed;whf ePl;Lq;fs;. ,lJ

fhy; jirfs; midj;ijAk; ed;whf ,Wf;Fq;fs;. %r;ir cs; ,Oj;J ,lJ fhiy jiuapy; ,Ue;J

xU ,d;r; cah;j;jp gpbAq;fs;. fhiy NkYk; ,Wf;fq;fs;.

gpd; ,lJfhiy jsh;j;jp jiuapy; tpl;LtpLq;fs;. ,lJfhiy ,g;GwKk; mg;GwKk;

Ml;Lq;fs;. ,lJ fhiy KOikahf jsh;j;jpLq;fs;.

tyJ ifapd; Nky; cq;fs; ftdj;ij nrYj;Jq;fs;. tyJ ifiaAk; tpuy;fisAk; ed;whf

ePl;Lq;fs;. tpuy;fis klf;fp K\;b cz;lhf;Fq;fs;. tyJifia ed;whf ,Wf;Fq;fs;.

Rthrj;ij cs; ,Oj;Jf; nfhz;Nl tyJ ifia jiuapy; ,Ue;J Xh; mq;Fyk; cah;j;jp

gpbj;jpLq;fs;. tyJ ifia NkYk; ,Wf;Fq;fs;.

,g;NghJ tyJ ifia jsh;j;jp tpl;LtpLq;fs;. tyf;ifia mg;GwKk; ,g;GwKk; Ml;b

NkYk; jsh;j;jpLq;fs;. gpd; tyJ ifia kwe;J tpLq;fs;.

,Nj Nghy ,lJ ifia ftdpAq;fs;. ,lf;ifia ed;whf ePl;Lq;fs;. tpuy;fis gphpj;J

ed;whf ePl;Lq;fs; tpuy;fis klf;fp Kl;b cz;lhf;fpLq;fs;. ,lJif jirfis ed;whf

,Wf;Fq;fs;. Rthrj;ij cs; ,Oj;Jf; nfhz;Nl ,lJifia jiuapy; ,Ue;J Xh; ,d;r; cah;j;jp

gpbj;jpLq;fs;. 5 tpdhbfSf;Fg;gpd; ,Wf;fj;ij jsh;j;jpLq;fs;.

,lf;ifia mg;GwKk;> ,g;GwKk; Ml;b KOikahf jsh;j;jp cs;sq;if Nky;

Nehf;fp ,Uf;FkhW jsh;thf tpl;LtpLq;fs;.

,g;nghOJ Gl;lgFjpia ftdpAq;fs;. me;j ghfj;ij ,Wf;Fq;fs;. ,Lg;G ghfk;

cs;Nehf;fp ,wq;Ftij ftdpAq;fs;. ……gpd; tpl;LtpL;q;fs;.

tapW ghfj;ij ftdpj;jpLq;fs;. %f;fpd; topahf fhw;iw cs;spOj;J tapW

KOtJk; epug;Gq;fs; (7 tpdhbfSf;Fg;gpd;) fhw;iw nkJthf thia Ftpj;J

ntsptpLq;fs;.

khh;G gFjpia ftdpAq;fs;. ePz;l Rthrj;ij vLj;J> khh;G gFjpia

tphpthf;Fq;fs;. gpd; fhw;iw Ftpj;J tha; topahf ntsptpLq;fs;.

ifffs; ,uz;Lk; jiuapNyNa ,Uf;f Njhs;gl;ilfis fhJfis Nehf;fp cah;j;Jq;fs;.

Njhs;fis ,Wf;Fq;fs;. gpd; jsh;j;jpL;q;fs;. Njhs;fis neQ;Rghfj;jpw;F Kd; nfhz;L

te;J xd;whf ,izj;J ,Wf;Fq;fs;. gpd; jsh;j;jpLq;fs;. Njhs;fis fPNo fhy;fis

Nehf;fp jsh;j;jpLq;fs;.

gpd; jiyia ,UGwKk; cUl;b jsh;thf;Fq;fs;. fOj;J ghfj;jpy; cs;s jirfis

jsh;j;Jq;fs;. jiy eLtpy; ,Uf;FkhW itj;J jsh;j;jpL;q;fs;.

Kfj;ij cq;fs; ftdj;jpy; nfhz;L thUq;fs;. jhilia NkYk; fPOkhf

mirj;jpLq;fs;. gpd; jsh;j;jpLq;fs;.

cjLfis Ftpj;J ,Wf;Fq;fs;. cjLfis jsh;j;jpLq;fs;. fd;dq;fis cs; Nehf;fp

,Oj;jpLq;fs;……..fd;dq;fis jsh;j;jpLq;fs;.

%f;F kw;Wk; fz;fis RUf;Fq;fs;…… gpd; jsh;j;jpLq;fs;.

GUtq;fis cah;j;jpLq;fs;. new;wpia RUf;Fq;fs;.

……GUtq;fs; kw;Wk; new;wpia jsh;j;jpLq;fs;.

Kfj;jpy; cs;s midj;J jirfis %f;if Nehf;fp RUf;Fq;fs;.

Njitg;gl;lhy; clypd; ghfq;fis rhpnra;J nfhs;Sq;fs;. MilfisAk; clypd; ve;j

ghfj;ijAk; jsh;T gapw;rpapd; epiwT tiu mirf;fhJ ,Uf;f Ntz;Lk;. rhp nra;J

nfhs;Sq;fs;. ,jw;Fgpd; ehk; kdf;fz;fshy; ftdpj;J clypd; ghfq;fis jsh;j;jp

gapw;rp nra;a NghfpNwhk;.

cliy mirf;fhky; fhy; tpuy;fis ftdpj;J jsh;j;Jq;fs;.

fhy;fis jsh;j;Jq;fs;.

Koq;fhy; %l;Lfis ed;whf jsh;j;Jq;fs;.

njhilfis jsh;j;Jq;fs;.

Gl;lq;fisAk;> mbtapw;iwAk; jsh;j;Jq;fs;.

tapW ghfj;ij jsh;j;Jq;fs;.

tapW ghfj;jpy; cs;s midj;J cs; cWg;GfisAk; jsh;j;Jq;fs;. tapw;W jirfis

jsh;j;Jq;fs;.

khh;G $Lfis jsh;j;Jq;fs;

,Ujak; kw;Wk; EiuaPuy;fis jsh;j;jp ,Nyrhf;Fq;fs;.

KJF ghfj;ij ftdpf;f.

fPo; KJF ghfj;ij jsh;j;Jq;fs;. nkJthf cq;fs; ftdj;ij Nky;Nehf;fp

efh;j;Jq;fs;. eLKJF ghfj;ij jsh;j;Jq;fs;. Nky; KJF ghfk;> kw;Wk; Njhs; gl;ilfis

jsh;j;Jq;fs;.

kzpf;fl;Lfis jsh;j;Jq;fs;.

Kd;iffs;> KOq;if %l;Lfs;> gpd; iffis jsh;j;Jq;fs;.

Njhs;fs;> fOj;J> njhz;il ghfj;ij jsh;j;Jq;fs;. Kftha;> jhilfis jsh;j;Jq;fs;.

cjLfs;> fd;dq;fs;> %f;F gFjpia jsh;j;Jq;fs;.

fz;fs;> new;wp> new;wpg; nghl;L> fhJfis jsh;j;Jq;fs;. Kfk; KOtijAk;

jsh;j;Jq;fs;.

jiyapd; gf;fthl;by; cs;s jirfis jsh;j;Jq;fs;. jiyapd; gpd;gFjpia

jsh;j;jpLq;fs;. jiyapd; Nky;ghfj;ijAk; jsh;j;jpLq;fs;

,g;nghOJ cs;sq;fhypypUe;J cr;rQ;jiytiu cs;s midj;J ghfq;fSk;

jsh;thfl;Lk;.

clypy; cs;s midj;J ghfq;fisAk; cw;W Nehf;Fq;fs;. VNjDk; xU ghfj;jpy;

,Wf;fk; ,Ug;gpd; mijAk; jsh;j;jpLq;fs;.

cly; jsh;thf ,Uf;ifapy; czh;T epiyapy; tpopg;NghL ,Uq;fs;.

Rthrj;ij Nehf;Fq;fs;. jsh;thd ,Wf;fkw;w epiyapy; Rthrk; kpfTk;

vspjhfTk;> nkypjhf ,Ug;gijAk; czUq;fs;. clypd; cs;NsAk; ntspNaAk; ,ay;ghf

nrd;WtUk; Rthrj;ij ftdpj;J thUq;fs;. (xU epkpl Neuk;…………..fopj;J)

kdij cw;W Nehf;Fq;fs;. kdjpy; VNjDk; vz;zq;fs; Njhd;wpdhy; mjpy;

%o;fhJ mit nkJthf kiwtij ftdpf;f. kdij xU nksdkhd rhl;rpaha; ,Ue;J ftdpAq;fs;.

cq;fspd; cs;s rhe;jp epiyia Nehf;Fq;fs;.

,e;j epiwthd rhe;jpNa cq;fs; ,ay;ghd epiy. ,e;j rhe;jp epiyapy; rpy

epkplq;fs; jpisj;jpUq;fs;. (5 epkplq;fs; nksdk;)

cq;fs; ftdj;ij kWgbAk; Rthrj;ij Nehf;fp jpUg;Gq;fs;.

nkJthf ePz;l Rthrj;ij vLj;Jf; nfhs;Sq;fs;.

gpuhzrf;jp kw;Wk; caph;rf;jp cq;fs; clypd; xt;nthU jpRtpYk; ,Ug;gjhf

czUq;fs;. cs;sq;fhypy; ,Ue;J cr;re;jiy tiu cs;s clypd; midj;J ghfj;jpYk; ,e;j

gpuhzrf;jp caph;rf;jp epiwe;J fye;J ,Ug;gij czUq;fs;.

iftpuy;fis nkJthf mirj;J cliy tyJ gf;fkhf jpUg;gp fhy;fis mirAq;fs;. cliy

ed;whf ePl;b> xUGwkhf jpUk;gp> gpd; cl;fhh;e;j epiyf;F tUf.

fz;fis nkJthf tphpj;J gpd; ,ay;G epiyf;F thUq;fs;.

DAILY LOG OF YOGA RELAXATION PRACTICE

Name Date of Surgery

Age/ Sex Date of Discharge

Week Day Alternative Nostril

Breathing Yoga Nidhra (Evening) Remarks

Morning Evening

1

1. 2. 3. 4. 5. 6. 7.

2

8. 9. 10. 11. 12. 13. 14.

3

15. 16. 17. 18. 19. 20. 21.

4

22. 23. 24. 25. 26. 27. 28.

5

29. 30. 31. 32. 33. 34. 35.

6

36. 37. 38. 39. 40. 41. 42.

jpdrhp Nahfh jsHT gapw;rp Fwpg;NgL

ngaH : mWit rpfpr;ir ehs; :

taJ / ghy; : tPl;bw;F te;j ehs; :

thuk; ehs; ehb Rj;jp gapw;rp Nahf epj;jpiu (khiy) Fwpg;G

fhiy khiy

1

1. 2. 3. 4. 5. 6. 7.

2

8. 9. 10. 11. 12. 13. 14.

3

15. 16. 17. 18. 19. 20. 21.

4

22. 23. 24. 25. 26. 27. 28.

5

29. 30. 31. 32. 33. 34. 35.

6

36. 37. 38. 39. 40. 41. 42.

APPENDIX -C

Check list for Nadi shuthi pranayama Practice

1. Sits with the spine erect - yes / No

2. Closes the nostrils alternatively - yes / No

3. Inhales slowly and deeply - yes / No

4. Does not hold the breath - yes / No

5. Exhales air thorough other nostril - yes / No

6. Completes ‘9’ rounds - yes / No

7. Finger movements are smooth - yes / No

APPENDIX- D

Check list for YOGA NIDHRA Practice

1. Has lie down with legs little apart Yes / No

2. Head faces the center Yes / No

3. Stretches and squeezes the right leg Yes / No

4. Rolls the right leg from side to side Yes / No

5. Stretches and squeezes left leg Yes / No

6. Rolls the left leg Yes / No

7. stretches and squeezes all muscles of the right hand Yes / No

8. Roll the right hand side to side Yes / No

9. Rises the hip Yes / No

10. relaxes the hip and hips sinks down Yes / No

11. Fills the abdomen with air Yes / No

12. Release the air slowly Yes / No

13. Fills the thorax with air Yes / No

14. .Stretches the right hand spreads the fingers wide Yes / No

15. Makes fist and Squeezes the right hand Yes /No

16. Stretches the left hand spreading the fingers Yes / No

17. makes fist in left hand and Squeezes it Yes / No

18. Slides the shoulders up to ear lobes Yes / No

19. Moves the jaw up and down Yes / No

20. Squeezes the lips fully Yes / No

21. Wrinkle the nose and squeezes the eyes Yes / No

22. Raises the eyebrow Yes / No

23. Squeezes all muscles of the face. Yes / No

24. Relaxes mentally from head to toe without moving any parts Yes / No

25. Breaths at normal pace Yes / No

26. Turns to one side and gets up Yes / No

27. Comes to seated position with eyes still closed Yes / No

APPENDIX - E

INFORMED CONSENT FORM I Mr. /Ms ---------------------------------- exercise my free power of choice

give my consent to be included as a participant in the study entitled “Effects of stress

reduction strategies an Anxiety, self efficacy and activity level following CABG”.\ I

understand that the research study will be conducted in Kovai Medical center and

Hospital. I have been informed by the researcher about the objectives of the study and

what is expected of me during the course of the study. I have fully understood the

nature of intervention. I may be assigned to either experimental or control group

based an the lot that I an going to pitch up. There are no expected physical discomfort

or harm because of the intervention. I realize that I may not participate in the study if

I get post operative complication or other problem I realize that the knowledge gained

from that’s study will help me or other future patients subject to CABG.

I also realize that my participation in this study is entirely voluntary and I may

withdraw from the study at any point of thing I wish If I decide to discontinue my

portion from this study I will continue to be treated in the usual and routine way I

understand that I will not be give any monetary incentive for participation in this study

I understand that all the data collected in the course of the study will be kept

confidential this information may be used in nursing publications or presentations

however even in those deliber attains or publicizes date in aggregate form only will be

used No date that can be linked to my identify will be published The study has been

explained to me in detail and all my quarries have been cowered I have recd and

understood this consent form fully and I agree to participate in this research study.

Signature of the participant date Signature of witness date Signature of the researcher date

APPENDIX - J

LIST OF EXPERTS VALIDATED THE TOOL AND VIDEO "Cope Up With CABG Easily"

Prof. Dr. Nandakumar, M.S., M.Ch., M.N.A.M.S., F.I.A.C.S., Chief Cardiothoracic Surgeon, Kovai Medical Center & Hospital, Coimbatore - 641 014. Prof. P.V. Ramachandran, M.Sc., (N), Chairman, Nursing Education, Sri Ramchandra College of Nursing, Sri Ramachandra University, Porur, Chennai - 600 116. Dr. Thomas Alexander, M.D. D.M., F.A.C.C., F.I.C.C., Consultant in Cardiologist, Kovai Medical Center & Hospital , Coimbatore - 641 014, Dr.Srinivasan, M.D., D.P.M., Consultant in Psychological Medicine, Kovai Medical Center & Hospital , Coimbatore - 641 014, Dr. P.T. Saleendran, Ph.D., Clinical Psychologist, Kovai Medical Center & Hospital , Coimbatore - 641 014, Dr. Rajeswari Vaidyanathan, M.Sc.,(N), Ph.D., Principal, Sri Ramachandra College of Nursing, Sri Ramachandra University, Porur, Chennai - 600 116. Mrs. Erika Weber, Yoga Therapist, Integral Yoga Center. Prof.R.Periasamy, M.Sc., (N), Dean, KMCH College of Nursing, Kovai Medical Center & Hospital, Coimbatore - 641 014.