College of Allied Health Professions, University of Nebraska Medical Center, USA.
College of Nursing, University of Nebraska Medical Center, USA.
Eur J Cardiovasc Nurs. 2020 Jan;19(1):64-73. doi: 10.1177/1474515119867444. Epub 2019 Aug 2.
Regular exercise training has beneficial effects on quality of life, physical function, depression and anxiety in individuals with heart failure. Unfortunately, individuals with heart failure have low levels of adherence to exercise. Thus, studies are needed to assess intervention strategies which may enhance clinical outcomes.
The aim of this study was to identify the components of the HEART Camp intervention, which contributed to optimizing clinical outcomes.
The Heart Failure Exercise and Resistance Training Camp (HEART Camp) was a randomized controlled trial to evaluate the effect of a multicomponent intervention on adherence to exercise (6, 12 and 18 months) compared to an enhanced usual care group. This study assessed various components of the intervention on the secondary outcomes of physical function, health-related quality of life, depression, anxiety, and fatigue.
Individuals participating (=204) in this study were 55.4% men and the average age was 60.4 (11.5) years. A combination of individualized and group-based strategies demonstrated clinical improvements, HEART Camp versus enhanced usual care groups, in physical function, positive trends in health-related quality of life and positive changes in the minimally important differences for depression, anxiety, and fatigue.
Individualized coaching by an exercise professional and group-based educational sessions were identified as important components of patient management contributing to improvements in the secondary outcomes of physical function, health-related quality of life, depression, anxiety and fatigue.
规律的运动训练对心力衰竭患者的生活质量、身体机能、抑郁和焦虑有有益影响。然而，心力衰竭患者的运动依从性较低。因此，需要研究评估可能改善临床结局的干预策略。
本研究旨在确定 HEART Camp 干预的组成部分，这些组成部分有助于优化临床结局。
心力衰竭运动和抗阻训练营（HEART Camp）是一项随机对照试验，旨在评估多组分干预对运动依从性（6、12 和 18 个月）的影响，与增强的常规护理组相比。本研究评估了干预的各种组成部分对次要结局的影响，包括身体机能、健康相关生活质量、抑郁、焦虑和疲劳。
参与本研究的个体（n=204）中，55.4%为男性，平均年龄为 60.4（11.5）岁。与增强的常规护理组相比，个体化和基于小组的策略相结合显示出在身体机能方面的临床改善，在健康相关生活质量方面有积极的趋势，以及在抑郁、焦虑和疲劳方面的最小有意义差异有积极的变化。
运动专业人员的个体化指导和基于小组的教育课程被确定为患者管理的重要组成部分，有助于改善身体机能、健康相关生活质量、抑郁、焦虑和疲劳的次要结局。
