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Published on: April 19, 2019
Psychological responses and adherence to exercise in heart failure
Kathleen Duncan1, Bunny Pozehl, Melody Hertzog
1College of Nursing-Lincoln Division, University of Nebraska Medical Center, Lincoln, Nebraska, USA.
Summary
Exercise adherence in heart failure patients improves self-efficacy and mood. High adherence positively impacts depression and confusion, while low adherence worsens these symptoms.
Area of Science:
- Cardiology
- Exercise Physiology
- Psychology
Background:
- Heart failure (HF) management often includes exercise interventions.
- Understanding psychological responses to exercise is crucial for adherence in HF patients.
Purpose of the Study:
- To investigate psychological effects during a multicomponent exercise intervention for heart failure patients.
- To examine exercise adherence patterns and their psychological correlates.
Main Methods:
- 42 heart failure patients were randomized into exercise (INV) and attention control (AC) groups.
- The intervention involved a 12-week structured phase followed by a 12-week self-managed phase.
- Psychological outcomes included mood states and exercise self-efficacy; adherence subgroups were created based on session completion.
Main Results:
- Exercise self-efficacy significantly improved in the INV group and was sustained.
- High exercise adherence correlated with improved depression and confusion scores.
- Low exercise adherence was associated with worsening depression and confusion.
Conclusions:
- Exercise interventions can positively impact psychological well-being in heart failure patients.
- Sustained exercise adherence is linked to better mental health outcomes.
- Continuous monitoring and long-term adherence support are vital for heart failure patients undergoing exercise training.
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Definition
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Definition
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Purposes
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