The influence of the HEART Camp intervention on physical function, health-related quality of life, depression, anxiety and fatigue in patients with heart failure.

The influence of the HEART Camp intervention on physical function, health-related quality of life, depression, anxiety and fatigue in patients with heart failure.
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DOI:
10.1177/1474515119867444
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发表时间:
2020-01
影响因子:
2.9
通讯作者:
Pozehl BJ
Pozehl BJ
中科院分区:
医学2区
文献类型:
--
作者:
Norman JF;Kupzyk KA;Artinian NT;Keteyian SJ;Alonso WS;Bills SE;Pozehl BJ

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有规律的运动训练对心力衰竭患者的生活质量、身体功能、抑郁和焦虑都有有益的影响。不幸的是,心力衰竭患者对运动的坚持程度较低。因此,需要研究来评估可能改善临床结果的干预策略。这项研究的目的是确定心脏营地干预的组成部分,有助于优化临床结果。心力衰竭运动和阻力训练营(HEAT Camp)是一项随机对照试验,目的是评估多组分干预对坚持锻炼(6、12和18个月)的效果,并与增强的普通护理组进行比较。这项研究评估了干预的各个组成部分对身体功能、与健康相关的生活质量、抑郁、焦虑和疲劳的次要结果。参与这项研究的204人为55.4%的男性,平均年龄为60.4(11.5)岁。个体化和基于小组的策略的组合显示了临床上的改善,心脏营与增强的常规护理组相比,在身体功能方面,与健康相关的生活质量方面的积极趋势,以及在抑郁、焦虑和疲劳方面最不重要的差异方面的积极变化。由运动专业人员进行的个性化指导和以小组为基础的教育课程被确定为患者管理的重要组成部分,有助于改善身体功能、与健康相关的生活质量、抑郁、焦虑和疲劳的次要结果。
Regular exercise training has beneficial effects on quality of life, physical function, depression and anxiety in individuals with heart failure. Unfortunately, individuals with heart failure have low levels of adherence to exercise. Thus, studies are needed to assess intervention strategies which may enhance clinical outcomes. The aim of this study was to identify the components of the HEART Camp intervention, which contributed to optimizing clinical outcomes. The Heart Failure Exercise and Resistance Training Camp (HEART Camp) was a randomized controlled trial to evaluate the effect of a multicomponent intervention on adherence to exercise (6, 12 and 18 months) compared to an enhanced usual care group. This study assessed various components of the intervention on the secondary outcomes of physical function, health-related quality of life, depression, anxiety, and fatigue. Individuals participating (n=204) in this study were 55.4% men and the average age was 60.4 (11.5) years. A combination of individualized and group-based strategies demonstrated clinical improvements, HEART Camp versus enhanced usual care groups, in physical function, positive trends in health-related quality of life and positive changes in the minimally important differences for depression, anxiety, and fatigue. Individualized coaching by an exercise professional and group-based educational sessions were identified as important components of patient management contributing to improvements in the secondary outcomes of physical function, health-related quality of life, depression, anxiety and fatigue.
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