The Impact of Nurse-Led Cardiac Rehabilitation on Quality of Life and Biophysiological Parameters in Patients With Heart Failure: A Randomized Clinical Trial

Porkodi ARJUNAN; Ramakrishnan Venkatakrishnan TRICHUR

doi:10.1097/jnr.0000000000000407

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The Impact of Nurse-Led Cardiac Rehabilitation on Quality of Life and Biophysiological Parameters in Patients With Heart Failure: A Randomized Clinical Trial

Porkodi ARJUNAN ； Ramakrishnan Venkatakrishnan TRICHUR

The Journal of Nursing Research ； 29 卷 1 期 (2021 / 02 / 01) ， P1 - 9

英文 DOI： 10.1097/jnr.0000000000000407

biophysiological parameters ； heart failure ； nurse-led cardiac rehabilitation ； quality of life ； patients with chronic disease

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摘要 │ 参考文献 (30) │ 被引用文献 (1) │ 国际计量

摘要〈TOP〉

Background: Cardiovascular diseases are the leading cause of mortality in the Indian subcontinent, accounting for 38% of deaths annually. One cardiovascular disease in particular, heart failure, is a growing public health problem both in India and worldwide. Purpose: Heart failure is a chronic, progressive disease with increasing rates of incidence and prevalence. This study was conducted to determine the influence of a nurse-led cardiac rehabilitation program on quality of life and biophysiological parameters in patients with chronic heart failure. In this study, it was hypothesized that participants in the cardiac rehabilitation program would report significantly more-positive changes in quality of life and biophysiological parameters than their peers who did not participate in this program. Methods: In this randomized controlled trial, the participants were patients with chronic heart failure who had been admitted to a tertiary care hospital in India. The participants assigned to the intervention group received both nurse-led cardiac rehabilitation and routine care. In addition, intervention group participants received a booklet on cardiac rehabilitation, Healthy Way to Healthy Heart, at discharge and fortnightly telephone reminders about good cardiac rehabilitation practices. A standard questionnaire was used to collect targeted information on participants' general and disease-specific quality of life at 1 and 3 months postintervention. Biophysiological parameters such as body mass index, blood pressure, and serum cholesterol values were also measured. Results: Two thirds of the participants in each group (65% in the intervention group and 66% in the control group) were between 51 and 70 years old. The mean score for the mental component summary of generic quality of life steadily decreased in the control group and steadily increased in the intervention group at the first and second posttests. Conclusions/Implications for Practice: Nurses working in cardiology units play a pivotal role in educating and managing the health status of patients with heart failure. Providing cardiac rehabilitation to patients with heart failure benefits the quality of life of these patients. Nurses working in cardiology units should encourage patients with heart failure to practice cardiac rehabilitation for a longer period to further improve their quality of life.

参考文献 ( 30 ) 〈TOP〉

Ambrosy, A. P.,Fonarow, G. C.,Butler, J.,Chioncel, O.,Greene, S. J.,Vaduganathan, M.,Nodari, S.,Lam, C. S. P.,Sato, N.,Shah, A. N.,Gheorghiade, M.(2014).The global health and economic burden of hospitalizations for heart failure: Lessons learned from hospitalized heart failure registries.Journal of the American College of Cardiology,63(12),1123-1133.
Amedro, P.,Picot, M. C.,Moniotte, S.,Dorka, R.,Bertet, H.,Guillaumont, S.,Barrea, C.,Vincenti, M.,De La Villeon, G.,Bredy, C.,Soulatges, C.,Voisin, M.,Matecki, S.,Auquier, P.(2016).Correlation between cardio-pulmonary exercise test variables and health-related quality of lifeamong children with congenital heart diseases.International Journal of Cardiology,203,1052-1060.
Austin, J.,Williams, R.,Ross, L.,Moseley, L.,Hutchison, S.(2005).Randomised controlled trial of cardiac rehabilitation in elderly patients with heart failure.European Journal of Heart Failure,7(3),411-417.
Cajanding, R. J. M.(2016).The effectiveness of a nurse-led cognitive–behavioral therapy on the quality of life, self-esteem and mood among Filipino patients living with heart failure: A randomized controlled trial.Applied Nursing Research,31,86-93.
Conway, B.(2015).Rehabilitation for patients with heart failure.Practice Nursing,26(4),168-171.

被引用文献 ( 1 ) 〈TOP〉

Yuping ZHANG,Yuanyuan CHEN,Mei LI,Jingfen JIN,Jianmiao WANG(2022).Nurse-Led Motor Function Rehabilitation Program for Acute Ischemic Stroke: A Randomized Pilot Study.The Journal of Nursing Research,30(6),1-10.

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