School of Nursing, Guangzhou Medical University, 195 Dongfengxi Rd., Guangzhou, Guangdong 510180, China.
Department of Nursing, Luohe Medical College, Luohe City, Henan Province, China.
Eur J Cardiovasc Nurs. 2022 Aug 29;21(6):587-596. doi: 10.1093/eurjcn/zvab128.
Many studies show that aerobic exercise combined with resistance training is beneficial for patients with chronic heart failure (CHF). The benefits of traditional Chinese exercise Baduanjin combined with an elastic band in this population are not known. To evaluate the effects of Baduanjin in conjunction with an elastic band on exercise capacity, physical function, muscle strength of the upper and lower extremities, quality of life (QoL), and exercise self-efficacy among CHF patients in a home-based setting.
A prospective randomized controlled trial was conducted in this study. A total of 136 CHF patients were randomly assigned to the exercise or the control group. Chronic heart failure patients in the exercise group received Baduanjin combined with elastic band and CHF community care, while those in the control group accepted CHF community care. The duration of the interventions was 24 weeks. The measured outcomes included exercise capacity, physical function, muscle strength of the upper and lower extremities, QoL, and exercise self-efficacy. A generalized estimating equation model was employed to examine the effects of Baduanjin combined with the elastic band on the outcome variables. Chronic heart failure patients showed significant improvements in physical performance testing (PPT) (P = 0.023), 30-s arm curl test (30ACT) (P = 0.035), 10 sit-stand-to-sit tests (STS10) (P = 0.017), 6-min walk test (6MWT) (P < 0.001), QoL (P < 0.001), and exercise self-efficacy (P = 0.009) in the exercise group, while these variables did not differ in the control group. There were also significant differences in these variables between the two groups at Weeks 12 and 24 (P < 0.05). There were significant group-by-time interactions in the exercise group, with enhancements in PPT (F = 5.40, P = 0.032), 6MWT (F = 9.04, P < 0.001), muscle strength in the 30ACT and STS10 (F = 5.32, P = 0.037; F = 6.69, P = 0.005), QoL (F = 6.69, P < 0.001), and self-efficacy (F = 4.60, P = 0.038) revealed in CHF patients in this group from baseline to Week 24.
Baduanjin combined with elastic band exercise may improve exercise capacity, physical function, muscle strength, QoL, and exercise self-efficacy for CHF patients in a home-based setting, which may be a complementary exercise model for home-based CHF patients who are clinically stable and cannot participate in centre-based exercise-based cardiac rehabilitation programmes.
许多研究表明，有氧运动结合抗阻训练对慢性心力衰竭（CHF）患者有益。在这一人群中，传统的中国运动八段锦结合橡皮筋的益处尚不清楚。评估八段锦结合橡皮筋对运动能力、身体机能、上下肢肌肉力量、生活质量（QoL）和心力衰竭患者家庭锻炼自我效能的影响。
本研究进行了一项前瞻性随机对照试验。共有 136 名 CHF 患者被随机分配到运动组或对照组。运动组的慢性心力衰竭患者接受八段锦结合橡皮筋和心力衰竭社区护理，而对照组接受心力衰竭社区护理。干预时间为 24 周。测量的结果包括运动能力、身体机能、上下肢肌肉力量、生活质量和锻炼自我效能。采用广义估计方程模型检验八段锦结合橡皮筋对结局变量的影响。慢性心力衰竭患者在体能测试（PPT）（P = 0.023）、30 秒手臂卷曲试验（30ACT）（P = 0.035）、10 次坐站坐测试（STS10）（P = 0.017）、6 分钟步行试验（6MWT）（P < 0.001）、生活质量（P < 0.001）和锻炼自我效能（P = 0.009）方面均有显著改善，而对照组这些变量无差异。两组在第 12 周和第 24 周时，这些变量之间也存在显著差异（P < 0.05）。运动组还存在组间时间交互作用，PPT 增强（F = 5.40，P = 0.032）、6MWT（F = 9.04，P < 0.001）、30ACT 和 STS10 的肌肉力量（F = 5.32，P = 0.037；F = 6.69，P = 0.005）、生活质量（F = 6.69，P < 0.001）和自我效能（F = 4.60，P = 0.038）均有显著增强，第 24 周时与基线相比，运动组 CHF 患者的变化更为明显。
八段锦结合橡皮筋运动可能改善运动能力、身体机能、肌肉力量、生活质量和心力衰竭患者的锻炼自我效能，对于临床稳定且无法参加以中心为基础的运动康复计划的家庭心力衰竭患者来说，这可能是一种补充性的家庭运动模式。
