SPC365

The influence of a nurse-led cardiac rehabilitation program on quality of life and functional capacity of patients with Heart Failure

Session: Comunicações Orais - Sessão 09 - Técnicos e Enfermeiros
Speaker: Cecília Mariana Vieira de Almeida Mota

Congress: CPC 2023
Topic: M. Cardiovascular Nursing
Theme: 32. Cardiovascular Nursing
Subtheme: 32.3 Cardiovascular Nursing - Other
Session Type: Comunicações Orais
FP Number: ---
Authors: Cecília Almeida; Andreia Soares; Sara Gonçalves
<p style="text-align:justify"><span style="font-size:11pt"><span style="background-color:white"><span style="font-family:Calibri,sans-serif"><strong><span style="font-size:12.0pt"><span style="font-family:&quot;Arial&quot;,sans-serif"><span style="color:#222222">Introduction:</span></span></span></strong> <span style="font-size:12.0pt"><span style="font-family:&quot;Arial&quot;,sans-serif"><span style="color:#222222">Heart Failure (HF) is a growing health problem worldwide, characterized by typical signs and symptoms that negatively and often significantly interfere with the functional capacity and quality of life of patients. Multidisciplinary team programs&nbsp;and Cardiac Rehabilitation (CR) are important tools and Class I and IIa for&nbsp;the management of patients with HF. In this context and based on current guidelines that recommend&nbsp;exercise programs, systematic education and&nbsp;lifestyle change, a nurse-led home-based rehabilitation program aimed for HF&nbsp;patients&nbsp;was developed.</span></span></span></span></span></span></p>

<p style="text-align:justify"><span style="font-size:11pt"><span style="background-color:white"><span style="font-family:Calibri,sans-serif"><strong><span style="font-size:12.0pt"><span style="font-family:&quot;Arial&quot;,sans-serif"><span style="color:#212121">Purpose: </span></span></span></strong><span style="font-size:12.0pt"><span style="font-family:&quot;Arial&quot;,sans-serif"><span style="color:#212121">This study&nbsp;was conducted to determine the influence of a nurse-led home-based CR program on quality of life and functional capacity in patients with HF.</span></span></span></span></span></span></p>

<p style="text-align:justify"><span style="font-size:11pt"><span style="background-color:white"><span style="font-family:Calibri,sans-serif"><strong><span style="font-size:12.0pt"><span style="font-family:&quot;Arial&quot;,sans-serif"><span style="color:#222222">Methods: </span></span></span></strong><span style="font-size:12.0pt"><span style="font-family:&quot;Arial&quot;,sans-serif"><span style="color:#222222">A Prospective study was carried out on patients admitted with HF, considered eligible and with no contraindication by HF specialist. After patients informed consent, sociodemographic data were collected and exercise and education sessions were carried out during hospitalization. Upon discharge, they were advised a home exercise program with the aim of a maximum intensity of 3-4 (modified Borg scale) and a maximum increase of 30 beats in heart rate at rest. Over the course of 12 weeks, regular contacts were made to monitor the program.</span></span></span> <span style="font-size:12.0pt"><span style="font-family:&quot;Arial&quot;,sans-serif"><span style="color:#222222">At the beginning and at the end of the program, functional capacity was evaluated with 6 Minute Walk Test (6MWT) and 1 Minute Sit-to-Stand Test (1MSST) and quality of life assessed (Kansas City questionnaire).</span></span></span></span></span></span></p>

<p style="text-align:justify"><span style="font-size:11pt"><span style="background-color:white"><span style="font-family:Calibri,sans-serif"><strong><span style="font-size:12.0pt"><span style="font-family:&quot;Arial&quot;,sans-serif"><span style="color:#222222">Results: </span></span></span></strong><span style="font-size:12.0pt"><span style="font-family:&quot;Arial&quot;,sans-serif"><span style="color:#222222">Non-probabilistic sample of 17 patients, with mean age of 55,0&plusmn;9,7 years and who were mostly male (84,2%) was evaluated. Mean ejection fraction was&nbsp;28,7&plusmn;8,9% and the predominant etiology was tachycardia-induced heart disease (29,4%). There were 10,4&plusmn;1,2 follow ups per participant, and it was found that, in average, each one performed 4,5&plusmn;1,1 exercise sessions per week, with no reports of adverse events. In functional capacity, increments were verified in the 6MWT (364,5&plusmn;63,5 meters versus 480&plusmn;82,9 meters; p= 0,002) and 1MSST (17,8&plusmn;3,9 stands versus 23,8&plusmn;3,8 stands; p=0,002). In the quality of life index, a significant increase was also verified (81,6&plusmn;18,7 versus 112,1&plusmn;11,9; p=0,003).</span></span></span></span></span></span></p>

<p style="text-align:justify"><strong><span style="font-size:12.0pt"><span style="font-family:&quot;Arial&quot;,sans-serif"><span style="color:#222222">Conclusions: </span></span></span></strong><span style="font-size:12.0pt"><span style="font-family:&quot;Arial&quot;,sans-serif"><span style="color:#222222">The results showed an improvement in the functional capacity and quality of life of the participants, which suggests that nurse-led home-based CR program is safe and could represent a pivotal role in addition to the standard care, in valuing the self-management of the disease, in the follow-up of the patient/family during&nbsp;the post-discharge period and as an alternative tool to promote and encourage physical exercise.</span></span></span></p>