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Medical Management of Acute Decompensated Heart Failure (ADHF)The primary goals of therapy for patients hospitalized with acute decompensated heart failure (ADHF) include:Relieving symptomsOptimizing volume statusSupporting oxygenation and ventilationMaintaining cardiac output (CO) and end-organ perfusionIdentifying and addressing the cause of ADHFPreventing complicationsProviding patient education on factors precipitating HF exacerbationPlanning for dischargeOngoing monitoring and assessment...
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A theory-based exercise intervention in patients with heart failure: A protocol for randomized, controlled trial.

Fatemeh Rajati1, Firoozeh Mostafavi2, Gholamreza Sharifirad2

  • 1Department of Public Health, Faculty of Health, Kermanshah University of Medical Sciences, Kermanshah, Iran.

Journal of Research in Medical Sciences : the Official Journal of Isfahan University of Medical Sciences
|January 1, 2014
PubMed
Summary

This study assessed a social cognitive theory-based exercise program for heart failure patients. The intervention showed promise in improving physical activity and quality of life in cardiac rehabilitation settings.

Keywords:
Cardiac rehabilitationexerciseheart failurequality of liferandomized controlled trialsocial cognitive theory

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Area of Science:

  • Cardiology
  • Rehabilitation Medicine
  • Behavioral Science

Background:

  • Regular exercise improves quality of life (QoL) in heart failure (HF) patients.
  • The theoretical framework linking educational interventions to physical activity (PA) in HF is not well understood.
  • Social Cognitive Theory (SCT) provides a framework for understanding health behavior change.

Purpose of the Study:

  • To assess the effectiveness of a Social Cognitive Theory-based (SCT-based) exercise intervention in patients with heart failure (HF).
  • To evaluate the impact of the intervention on physical activity (PA) and quality of life (QoL).

Main Methods:

  • Randomized controlled trial with 60 HF patients in a cardiac rehabilitation (CR) unit.
  • Intervention group received 8 counseling, 2 focus groups, and 6 educational sessions over 2 months.
  • Data collected via questionnaires, physical/paraclinical tests, interviews, and focus groups.

Main Results:

  • Primary outcomes: physical activity (PA) and quality of life (QoL).
  • Secondary outcomes: SCT components, resting heart rate/blood pressure, BMI, LVEF, exercise capacity, and max heart rate.
  • The intervention appears promising for improving PA and QoL.

Conclusions:

  • Findings may aid in developing a theoretical model for exercise intervention in CR.
  • The intervention has potential to improve educational care in CR settings.
  • This approach may bridge gaps in current cardiac rehabilitation educational strategies.