Korean Journal of Adult Nursing (성인간호학회지)

Korean Society of Adult Nursing (한국성인간호학회)
권호 표지
DOI QR코드

DOI QR Code

The Effects of Reinforced Walking Exercise on Dyspnea-fatigue Symptoms, Daily Activities, Walking Ability, and Health related Quality of Life in Heart Failure Patients

강화된 걷기운동 중재가 심부전 환자의 호흡곤란과 피로증상, 일상생활 기능상태, 보행능력 및 건강 관련 삶의 질에 미치는 효과

  • Received : 2016.03.01
  • Accepted : 2016.06.22
  • Published : 2016.06.30
Download PDF
⟨ Previous Next ⟩

Abstract

Purpose: The purpose of this study was to identify the effects of reinforced walking exercise on dyspnea-fatigue symptoms, daily activities, walking ability and health related quality of life (HRQoL) in heart failure patients. Methods: This study used a randomized controlled trial design. The participants (experimental group=16, control group=25) were recruited from a university hospital in Kyeong-nam area. Data were collected from March to September, 2015. The reinforced walking exercise included goal setting and feedback (telephone and text message) provided for 12 weeks. Dyspnea-Fatigue Index, Korean Activity Scale/Index (KASI), six-minute walking distance (6MWD) and HRQoL were measured. Data were analyzed using descriptive statistics, t-test, Fisher's exact test, $x^2$ test, and Kolmogrove-Smirnov test. Results: Prior to the intervention there were no differences in the research variables between two groups. The exercise compliance in the experimental group was 100% (walking for 50 minutes per day, 5 times per week). The experimental group had improved dyspnea-fatigue symptoms (t=8.63, p<.001), daily activities (t=-4.92, p<.001), longer 6MWD (t=-5.66, p<.001), and increased HRQoL (t=-9.05, p<.001) compared to the control group. Conclusion: The reinforced walking exercise could be a cost-effective intervention in heart failure patient, which could enhance patients' outcomes, such as improving dyspnea-fatigue symptoms, daily activities, walking ability, and quality of life.

Keywords

References

  1. Baliga RR, Dec GW, Narula J. Practice guidelines for the diagnosis and management of systolic heart failure in low- and middle-income countries. Global Heart. 2013;8(2):141-70. http://dx.doi.org/10.1016/j.gheart.2013.05.002
  2. Alosco ML, Spitznagel MB, Miller L, Raz N, Cohen R, Sweet LH, et al. Depression is associated with reduced physical activity in persons with heart failure. Health Psychology: Official Journal of the Division of Health Psychology. American Psychological Association. 2012;31(6):754-62. http://dx.doi.org/10.1037/a0028711
  3. Dontje ML, van der Wal MH, Stolk RP, Brugemann J, Jaarsma T, Wijtvliet PE, et al. Daily physical activity in stable heart failure patients. The Journal of Cardiovascular Nursing. 2014;29(3):218-26. http://dx.doi.org/10.1097/JCN.0b013e318283ba14
  4. Alahmari AD, Patel AR, Kowlessar BS, Mackay AJ, Singh R, Wedzicha JA, et al. Daily activity during stability and exacerbation of chronic obstructive pulmonary disease. BMC Pulmonary Medicine. 2014;14:98-2466-14-98. http://dx.doi.org/10.1186/1471-2466-14-98
  5. Araiza P, Hewes H, Gashetewa C, Vella CA, Burge MR. Efficacy of a pedometer-based physical activity program on parameters of diabetes control in type 2 diabetes mellitus. Metabolism: Clinical and Experimental. 2006;55(10):1382-7. http://dx.doi.org/10.1016/j.metabol.2006.06.009
  6. Conraads VM, Deaton C, Piotrowicz E, Santaularia N, Tierney S, Piepoli MF, et al. Adherence of heart failure patients to exercise: Barriers and possible solutions: A position statement of the study group on exercise training in heart failure of the heart failure association of the european society of cardiology. European Journal of Heart Failure. 2012;14(5):451-8. http://dx.doi.org/10.1093/eurjhf/hfs048
  7. Heo S, Lennie TA, Okoli C, Moser DK. Quality of life in patients with heart failure: Ask the patients. Heart & Lung: The Journal of Critical Care. 2009;38(2):100-8. http://dx.doi.org/10.1016/j.hrtlng.2008.04.002
  8. Juenger J, Schellberg D, Kraemer S, Haunstetter A, Zugck C, Herzog W, et al. Health related quality of life in patients with congestive heart failure: comparison with other chronic diseases and relation to functional variables. Heart (British Cardiac Society). 2002;87(3):235-41. http://dx.doi.org/10.1136/heart.87.3.235
  9. European Association of Cardiovascular Prevention and Rehabilitation Committee for Science Guidelines, EACPR, Corra U, Piepoli MF, Carre F, Heuschmann P, et al. Secondary prevention through cardiac rehabilitation: Physical activity counselling and exercise training: Key components of the position paper from the cardiac rehabilitation section of the european association of cardiovascular prevention and rehabilitation. European Heart Journal. 2010;31(16):1967-74. http://dx.doi.org/10.1093/eurheartj/ehq236
  10. Jolly K, Taylor RS, Lip GY, Davies M, Davis R, Mant J, et al. A randomized trial of the addition of home-based exercise to specialist heart failure nurse care: the birmingham rehabilitation uptake maximisation study for patients with congestive heart failure (BRUM-CHF) study. European Journal of Heart Failure. 2009;11(2):205-13. http://dx.doi.org/10.1093/eurjhf/hfn029
  11. Corvera-Tindel T, Doering LV, Woo MA, Khan S, Dracup K. Effects of a home walking exercise program on functional status and symptoms in heart failure. American Heart Journal. 2004;147(2):339-46. http://dx.doi.org/10.1016/j.ahj.2003.09.007
  12. Gary R, Lee SY. Physical function and quality of life in older women with diastolic heart failure: effects of a progressive walking program on sleep patterns. Progress in Cardiovascular Nursing. 2007;22(2):72-80. http://dx.doi.org/10.1111/j.0889-7204.2007.05375.x
  13. Oka RK, De Marco T, Haskell WL, Botvinick E, Dae MW, Bolen K, et al. Impact of a home-based walking and resistance training program on quality of life in patients with heart failure. The American Journal of Cardiology. 2000;85(3):365-9. http://dx.doi.org/10.1016/S0002-9149(99)00748-1
  14. Dracup K, Evangelista LS, Hamilton MA, Erickson V, Hage A, Moriguchi J, et al. Effects of a home-based exercise program on clinical outcomes in heart failure. American Heart Journal. 2007;154(5):877-83. http://dx.doi.org/10.1016/j.ahj.2007.07.019
  15. Baker G, Mutrie N, Lowry R. Using pedometers as motivational tools: Are goals set in steps more effective than goals set in minutes for increasing walking?. International Journal of Health Promotion and Education. 2008;46(1):21-6. http://dx.doi.org/10.1080/14635240.2008.10708123
  16. Evangelista LS, Dracup K, Erickson V, McCarthy WJ, Hamilton MA, Fonarow GC. Validity of pedometers for measuring exercise adherence in heart failure patients. Journal of Cardiac Failure. 2005;11(5):366-71. http://dx.doi.org/10.1016/j.cardfail.2004.10.005
  17. Kang SM. Cardiac rehabilitation of heart failure. Korean Journal of Medicine. 2012;82(6):667-70. https://doi.org/10.3904/kjm.2012.82.6.667
  18. Corvera-Tindel T, Doering LV, Gomez T, Dracup K. Predictors of noncompliance to exercise training in heart failure. The Journal of Cardiovascular Nursing. 2004;19(4):269-77; quiz 278-9. http://dx.doi.org/10.1097/00005082-200407000-00006
  19. Duncan K, Pozehl B. Effects of an exercise adherence intervention on outcomes in patients with heart failure. Rehabilitation Nursing: The Official Journal of the Association of Rehabilitation Nurses. 2003;28(4):117-22. http://dx.doi.org/10.1002/j.2048-7940.2003.tb01728.x
  20. Foster C, Hillsdon M, Thorogood M, Kaur A, Wedatilake T. Interventions for promoting physical activity. The Cochrane Database of Systematic Reviews. 2005;(1)(1):CD003180. http://dx.doi.org/10.1002/14651858.CD003180.pub2
  21. Lee ES, Shin ES, Hwang SY, Chae MJ, Jeong MH. Effects of tailored supportive education on physical, emotional status and quality of life inpatients with congestive heart failure. Korean Journal of Adult Nursing. 2013;25(1):62-73. http://dx.doi.org/10.7475/kjan.2013.25.1.62
  22. Song EK. Effect of a telephone monitoring on self-management & symptom experiences in patients with heart failure. Journal of Korean Academy of Adult Nursing. 2005;17(1):56-67.
  23. Kim SM, Lee HJ. Effects of motivational interviewing on disease- related knowledge, depression, self-care, and quality of life in patients with heart failure. Journal of the Korean Gerontological Nursing. 2013;15(2):143-54.
  24. Oh JY, Yang YJ, Kim BS, Kang JH. Validity and reliability of Korean version of international physical activity questionnaire (IPAQ) short form. Journal of the Korean Academy on Family Medicine. 2007;28(7):532-41.
  25. Feinstein AR, Fisher MB, Pigeon JG. Changes in dyspnea-fatigue ratings as indicators of quality of life in the treatment of congestive heart failure. The American Journal of Cardiology. 1989;64(1):50-5. http://dx.doi.org/10.1016/0002-9149(89)90652-8
  26. Sung JD, On YK, Chae IH, Kim HS, Sohn DW, Oh BH, et al. Development of korean activity scale/index (KASI). Korean Circulation Journal. 2000;30(8):1004-9. http://dx.doi.org/10.4070/kcj.2000.30.8.1004
  27. Guyatt GH, Sullivan MJ, Thompson PJ, Fallen EL, Pugsley SO, Taylor DW, et al. The 6-minute walk: A new measure of exercise capacity in patients with chronic heart failure. Canadian Medical Association Journal. 1985;132(8):919-23.
  28. Green CP, Porter CB, Bresnahan DR, Spertus JA. Development and evaluation of the Kansas city cardiomyopathy questionnaire: a new health status measure for heart failure. Journal of the American College of Cardiology. 2000;35(5):1245-55. http://dx.doi.org/10.1016/S0735-1097(00)00531-3
  29. Lee HJ, Kim SM, Lim YJ, Ahn JJ, Kim YS, Park HK. Comparison of characteristics of drop-outs from study participation between intervention and comparison groups. Journal of the Korean Gerontological Nursing. 2012;14(2):110-7.
  30. Mun CI, Rhim YT. Psychological and physiological variables appreciation for adherence of exercise. Journal of Coaching Development. 2007;9(4):57-69.

Cited by

  1. 만성 심부전 환자의 스마트폰을 활용한 자가관리에 대한 인식 : 포커스 그룹 인터뷰 적용 vol.16, pp.9, 2018, https://doi.org/10.14400/jdc.2018.16.9.319
  2. 심혈관질환자의 활동 제한이 정신건강과 삶의 질에 미치는 영향 vol.11, pp.3, 2016, https://doi.org/10.22156/cs4smb.2021.11.03.087
  3. Effects of Smartphone-Based Compensatory Cognitive Training and Physical Activity on Cognition, Depression, and Self-Esteem in Women with Subjective Cognitive Decline vol.11, pp.8, 2016, https://doi.org/10.3390/brainsci11081029