Lorraine S. Evangelista, PhD, RN, FAHA, FAAN Professor and Associate Director of the PhD Program, Program in Nursing Science, University of California, Irvine. Marysol Cacciata, MSN, RN, CCRN-K Doctoral Student, Program in Nursing Science, University of California, Irvine. Anna Stromberg, PhD, RN, NFESC, FAAN Professor, Department of Medical and Health Sciences and Department of Cardiology, Linkoping University, Sweden. Kathleen Dracup, PhD, RN, FNP, FAAN Dean Emerita and Professor Emerita School of Nursing, University of California, San Francisco.
J Cardiovasc Nurs. 2017 Nov/Dec;32(6):530-537. doi: 10.1097/JCN.0000000000000407.
We conducted a secondary analysis to (1) compare changes in mood disorders and quality of life (QOL) among 4 groups of patients with heart failure in a home-based exercise program who had varying degrees of change in their exercise capacity and (2) determine whether there was an association between exercise capacity, mood disorders, and QOL.
Seventy-one patients were divided into 4 groups based on changes in exercise capacity from baseline to 6 months: group 1showed improvements of greater than 10% (n = 19), group 2 showed improvements of 10% or less (n = 16), group 3 showed reductions of 10% or less (n = 9), and group 4 showed reductions of greater than 10% (n = 27).
Over time, patients in all 4 groups demonstrated significantly lower levels of depression and hostility (P < .001) and higher levels of physical and overall quality of life (P = .046). Group differences over time were noted in anxiety (P = .009), depression (P = .015), physical quality of life (P < .001), and overall quality of life (P = .002). Greater improvement in exercise capacity was strongly associated with lower depression scores (r = -0.49, P = .01).
An improvement in exercise capacity with exercise training was associated with a decrease in depression and anxiety and an increase in QOL in patients with heart failure.
我们进行了一项二次分析，（1）比较了在家庭运动计划中，运动能力有不同变化的 4 组心力衰竭患者的心境障碍和生活质量（QOL）的变化；（2）确定运动能力、心境障碍和 QOL 之间是否存在关联。
71 名患者根据从基线到 6 个月时的运动能力变化被分为 4 组：组 1 显示改善大于 10%（n = 19），组 2 显示改善 10%或更少（n = 16），组 3 显示减少 10%或更少（n = 9），组 4 显示减少大于 10%（n = 27）。
随着时间的推移，所有 4 组患者的抑郁和敌意水平显著降低（P <.001），身体和整体生活质量水平显著提高（P =.046）。随着时间的推移，焦虑（P =.009）、抑郁（P =.015）、身体生活质量（P <.001）和整体生活质量（P =.002）方面也存在组间差异。运动能力的较大改善与抑郁评分的降低密切相关（r = -0.49，P =.01）。
运动训练改善运动能力与心力衰竭患者的抑郁和焦虑减轻以及生活质量提高有关。
