The effect of cardiac rehabilitation on quality of life , anxiety and depression in patients with congestive heart failure ; a randomized controlled trial , short-term results Europa Medicophysica Best
The effect of cardiac rehabilitation on quality of life , anxiety and depression in patients with congestive heart failure ; a randomized controlled trial , short-term results Europa Medicophysica Best
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心脏康复对充血性心力衰竭患者生活质量、焦虑和抑郁的影响；
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Europa Medicophysica
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P. Y R I G H T;D. Kulcu;Y. Kurtais;B. S. Tur;S. Güleç;B. Seçkin;Europa Medicophysica
的目标。充血性心力衰竭（CHF）的主要治疗目标之一是保持患者的功能水平并改善心理社会因素。出于这些目的，建议进行运动训练来管理CHF。在此背景下，本研究的目的是调查有氧运动对土耳其CHF患者生活质量、抑郁和焦虑水平的影响。方法。根据NYHA纳入60例II-III期CHF患者。患者被随机分配到心脏康复组或对照组。27例患者每周在跑步机上进行有氧步行，每周三次，持续8周，26例患者未接受任何运动训练。两组在基线和结束时分别采用人体肺活量运动测试、Hacettepe生活质量问卷（HQoL）、Beck抑郁量表（BDI）、Spielberger特质焦虑量表（STAI）进行评估。结果。44例患者（治疗组23例）完成研究。在治疗组中，观察到峰值耗氧量、运动时间和代谢当量（MET）水平显著增加，而HQoL评分没有变化。在对照组中，基线和第8周评估的所有参数均无差异。好好锻炼。这导致了身体和心理健康的改善，但在短期内没有改善生活质量。充血性心力衰竭（CHF）被描述为一种泵血功能不平衡，在这种情况下，由于许多心脏疾病或疾病，心脏不能维持足够的血液循环，导致收缩或舒张功能障碍，心室充盈减少，心肌收缩力降低。1此病与高发病率和高死亡率有关。在土耳其，CHF的发病率尚不清楚，但据认为，随着时间的推移，由于人群中冠状动脉疾病患者数量的增加，其发病率正在增加。最近的研究报告了心力衰竭患者抑郁和焦虑水平的增加以及生活质量（QoL）的下降。3-6与心力衰竭相关的高死亡率和发病率以及低功能导致的不活动并不令人惊讶，因为患者通常报告心理困扰、社交功能下降和生活质量下降。1,7 -9生活质量受损、抑郁、焦虑均为阴性
Aim. One of the major treatment goals in congestive heart failure (CHF) is to preserve the functional level of the patient and to improve psychosocial factors. For these purposes, exercise training is recommended for the management of CHF. With this background, the aim of this study is to investigate the effects of aerobic exercise on quality of life, depression and anxiety levels in a Turkish patient population with CHF. Methods. Sixty patients with CHF in stage II-III according to NYHA were included. Patients were randomly assigned either to a cardiac rehabilitation group or to a control group. Twenty-seven patients were allocated to a weekly aerobic walking program on treadmill, thrice a week for 8 weeks, and 26 patients did not receive any exercise training. Both groups were assessed by an ergospirometric exercise test, Hacettepe Quality of Life Questionnaire (HQoL), Beck Depression Inventory (BDI), Spielberger Trait Anxiety Inventory (STAI) at baseline and at the end. Results. Forty-four patients (treatment group: 23) completed the study. In the treatment group, significant increases in peak oxygen consumption, exercise time and metabolic equivalents (MET) levels were attained were observed, whereas there was no change in HQoL scores. In the control group, there was no difference between baseline and 8 th week evaluation in all parameters. cise programs well. This resulted with improvement in both physical and psychologic wellbeing, but not in quality of life in the short term. C ongestive heart failure (CHF) is described as an imbalance in pumping function in which the heart fails to maintain adequate circulation of blood due to many cardiac diseases or disorders that cause either systolic or diastolic dysfunction with reduced ven-tricular filling and reduced myocardial contractility. 1 This condition is associated with high morbidity and mortality rates. 2 In Turkey, the incidence of CHF is not known exactly, but it is thought that it is increasing over time due to the increasing number of patients with coronary artery disease in the population. Recent studies reported increased levels of depression and anxiety and a decrease in quality of life (QoL) in patients with heart failure. 3-6 High mortality and morbidity rates and inactivity due to low functional capacity associated with CHF is not astonishing since patients typically report psychological distress, reduced social functioning, and diminished QoL. 1, 7-9 Impaired QoL, depression and anxiety have negative