Haedtke Christine, Smith Marianne, VanBuren John, Klein Dawn, Turvey Carolyn
Christine Haedtke, PhD, PCCN, RN Postdoctoral Clinical Scholar in Cardiovascular Science, College of Nursing, The University of Kentucky, Lexington. Marianne Smith, PhD, RN Associate Professor and the Education Director for the Hartford Center of Geriatric Nursing Excellence, College of Nursing, University of Iowa, Iowa City. John VanBuren, PhD Assistant Professor, Division of Critical Care, Department of Pediatrics, University of Utah School of Medicine, Salt Lake City. Dawn Klein, LMSW Research Manager, University of Iowa; and Research Coordinator (Affiliate), Psychiatry Research, Iowa City VA Health Care System, Iowa. Carolyn Turvey, PhD Professor of Psychiatry and of Epidemiology, The University of Iowa Carver College of Medicine; and Iowa City VA Health Care System, Comprehensive Access and Delivery Research and Evaluation Center, Iowa City, Iowa.
J Cardiovasc Nurs. 2017 Sep/Oct;32(5):E21-E25. doi: 10.1097/JCN.0000000000000399.
Increasing patients' physical activity levels holds many opportunities to facilitate health and well-being among those with heart failure (HF) by improving HF symptoms and decreasing depression and pain. Given low exercise participation rates, an essential first step to increase exercise rates is to evaluate how pain and depression may further influence engagement in exercise programs.
The aims of this study were to describe the level of physical activity and exercise that patients with HF with depression achieve and to investigate the relationships among pain, depression, total activity time, and sitting time.
In this correlational cross-sectional study, we analyzed data from 61 participants with depression and New York Heart Association class II to IV HF.
The total time spent being active was less than 1 hour per day. Depressed patients with HF have much lower physical activity levels than the general public. Decreasing sitting time and increasing light activity levels hold promise to improve pain and depression symptoms.
通过改善心力衰竭（HF）症状以及减轻抑郁和疼痛，提高患者的身体活动水平为促进心力衰竭患者的健康和幸福提供了诸多机会。鉴于运动参与率较低，提高运动率的关键第一步是评估疼痛和抑郁如何可能进一步影响参与运动计划的情况。
本研究的目的是描述伴有抑郁的心力衰竭患者实现的身体活动和运动水平，并调查疼痛、抑郁、总活动时间和久坐时间之间的关系。
在这项相关性横断面研究中，我们分析了61名伴有抑郁且纽约心脏协会心功能分级为II至IV级的心力衰竭患者的数据。
每天的总活动时间少于1小时。伴有抑郁的心力衰竭患者的身体活动水平远低于普通人群。减少久坐时间和增加轻度活动水平有望改善疼痛和抑郁症状。
