https://scholars.lib.ntu.edu.tw/handle/123456789/524408
標題: | Home-based exercise improves the quality of life and physical function but not the psychological status of people with chronic heart failure: A randomised trial | 作者: | Chien C.-L. CHII-MING LEE YEN-WEN WU Wu Y.-T. |
公開日期: | 2011 | 卷: | 57 | 期: | 3 | 起(迄)頁: | 157-163 | 來源出版物: | Journal of Physiotherapy | 摘要: | Questions: Are anxiety and depression correlated with physical function, disability, and quality of life in people with chronic heart failure? Does 8 weeks of home-based exercise improve anxiety, depression, physical function, disability, and quality of life in these patients? Do the changes in these outcomes correlate? Design: Randomised trial. Participants: 51 people with clinically stable chronic heart failure were randomised into an experimental group (n = 24) or a control group (n = 27). Intervention: The experimental group undertook an individualised home-based exercise program, 30 minutes per session, 3 sessions per week for 8 weeks, with regular telephone follow-up and consultations. The control group maintained their usual activity during this period. Outcome measures: The Hospital Anxiety and Depression Scale, six-minute walk test, Groningen Activity Restriction Scale, and Minnesota Living with Heart Failure Questionnaire were administered at baseline and 8 weeks. Results: At baseline, anxiety and depression were inversely moderately correlated with walking distance, activity, and quality of life. Compared with controls, the experimental group improved significantly more in their walking distance (by 21. m, 95% CI 7 to 36) and their quality of life (by 7 points on the 105-point Minnesota score, 95% CI 1 to 12). In the experimental group, the changes in quality of life correlated moderately strongly with changes in anxiety (r = 0.539, p= 0.01). Conclusions: Anxiety and depression were associated with physical function, disability, and quality of life in people with chronic heart failure. Home-based exercise improved quality of life and physical function significantly but not psychological status in these patients. Trial registration: ClinicalTrials.gov: NCT01197313. ? 2011 Australian Physiotherapy Association. |
URI: | https://www.scopus.com/inward/record.uri?eid=2-s2.0-80052434082&doi=10.1016%2fS1836-9553%2811%2970036-4&partnerID=40&md5=1c9fae6fdd64ed4ab36bcab214972b5d https://scholars.lib.ntu.edu.tw/handle/123456789/524408 |
ISSN: | 1836-9553 | DOI: | 10.1016/S1836-9553(11)70036-4 | SDG/關鍵字: | adult; aged; anxiety; article; clinical trial; controlled clinical trial; controlled study; daily life activity; depression; exercise; female; health status; heart failure; human; kinesiotherapy; male; mental health; methodology; middle aged; psychological aspect; quality of life; questionnaire; randomized controlled trial; Activities of Daily Living; Adult; Aged; Anxiety; Depression; Exercise; Exercise Therapy; Female; Health Status; Heart Failure; Humans; Male; Mental Health; Middle Aged; Quality of Life; Questionnaires |
顯示於: | 醫學系 |
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