A Self-Care Programme with Home-Based Exercise Improves Quality of Life in Patients with Heart Failure
Journal Title: IOSR Journal of Nursing and health Science - Year 2018, Vol 7, Issue 2
Abstract
Although clinical evidence suggests that an exercise training programme for patients with heart failure is a good for patients with heart failure, but the implementation rate is low. The aim of the present study was to investigate the effectiveness of a self-care programme with home-based exercise training on compliance, physical function and quality of life in heart failure patients. All of the patients involved in the study participated in self-care programmes, and subjects were allocated into either a usual exercise (UE, n = 41) group or a cardiac rehabilitation group (CR, n = 30). For all participants, we measured the Kansas City Cardiomyopathy Questionnaire (KCCQ) and the New York Heart Association (NYHA) functional class a total of four times during the study period. Results for compliance with home-based exercise, hospital readmissions and mortality rates were also collected. The study findings revealed that compliance with home-based exercise at 3 months was similar in both groups (46.3% vs. 50% in the UE group and CR group, respectively, P = 0.76). The study also found that the self-care programme with home-based exercise after 3 months revealed significant increases in the 5 KCCQ domains in both the UE and CR groups. There was no significant difference in physical function. Present study showed that a self-care programme with home-based exercise may enhance heart failure patients’ quality of life. Therefore, we recommend that a self-care home-based exercise programme be included in the guidelines for routine hospital-discharge planning.
Authors and Affiliations
Huey L. Liou, Mei H. Chen, Yueh L. Shih, Su Y. Hung, Kwei C. Chung, Yu T. Huang, Miao C. Lai
A Self-Care Programme with Home-Based Exercise Improves Quality of Life in Patients with Heart Failure
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