NURSING EXERCISE IN PATIENTS ADMITTED BY RECENTLY DECOMPENSATED HEART FAILURE - THE ERIC PROGRAM

Background: Heart failure (HF) promomtes limitations on the activities of daily living and consequent loss of functional and instrumental autonomy. It represents one of the most concerning health problems due to its significant economic impact. Objective: To identify the impact of a physical exerc...

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Main Authors: Bruno Delgado, Ivo Lopes, Eugénia Mendes, Bárbara Gomes, André Novo, Leonel Preto
Format: Article
Language:English
Published: Associação Portuguesa dos Enfermeiros de Reabilitação 2018-12-01
Series:Revista Portuguesa de Enfermagem de Reabilitação
Subjects:
Online Access:https://rper.aper.pt/index.php/rper/article/view/88
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author Bruno Delgado
Ivo Lopes
Eugénia Mendes
Bárbara Gomes
André Novo
Leonel Preto
author_facet Bruno Delgado
Ivo Lopes
Eugénia Mendes
Bárbara Gomes
André Novo
Leonel Preto
author_sort Bruno Delgado
collection DOAJ
description Background: Heart failure (HF) promomtes limitations on the activities of daily living and consequent loss of functional and instrumental autonomy. It represents one of the most concerning health problems due to its significant economic impact. Objective: To identify the impact of a physical exercise program on patients with HF in compensatory phase in hospital context. Methods: A retrospective exploratory study was carried out in which twenty patients who performed a minimum of 3 sessions of the ERIC program participated. Vital signs, ECG monitoring and subjective effort perception (PSE) were assessed before and after each training session, as well as LCADL scale and exercise parameters (number of laps in the pedal, number of meters walked in the hall and number of steps). The study presented took place over a period of 3 months. Results: Patients (mean age of 64 years) had a positive variation in the performance parameters of the exercise, a negative variation in LCADL scale (29.9 to 20.9) and SPE after exercise (4.85 to 3.82), which means that they improve their functional capacity throughout the program. None of them presented adverse events or trained outside the safety heart rate interval (mean value of 11.2 bpm to 12.9bpm). Conclusions: The ERIC program demonstrates safety and improvement of the Functional Capacity of the patient, based on the statistical analysis of this sample. These results allow us to infer that exercise can be an effective resource for the adjuvant treatment of patients admitted with decompensated heart failure. However, further studies with larger samples and a randomized design are needed.
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spelling doaj.art-b008bfac1a5545f29a86aa8ed33c9c0e2022-12-21T21:58:32ZengAssociação Portuguesa dos Enfermeiros de ReabilitaçãoRevista Portuguesa de Enfermagem de Reabilitação2184-30232018-12-0112202510.33194/rper.2018.v1.n2.02.440588NURSING EXERCISE IN PATIENTS ADMITTED BY RECENTLY DECOMPENSATED HEART FAILURE - THE ERIC PROGRAMBruno Delgado0Ivo Lopes1Eugénia Mendes2https://orcid.org/0000-0001-6528-4284Bárbara Gomes3https://orcid.org/0000-0001-9312-8051André Novo4https://orcid.org/0000-0001-8583-0406Leonel Preto5Centro Hospitalar do Porto - Hospital de Sto. AntónioCentro Hospitalar do Porto - Hospital de Sto. AntónioEscola Superior de Saúde do Instituto Politécnico de BragançaNURSEID - CINTESIS - Escola Superior de Enfermagem do PortoNURSEID - CINTESIS - Escola Superior de Saúde do Instituto Politécnico de BragançaEscola Superior de Saúde do Instituto Politécnico de BragançaBackground: Heart failure (HF) promomtes limitations on the activities of daily living and consequent loss of functional and instrumental autonomy. It represents one of the most concerning health problems due to its significant economic impact. Objective: To identify the impact of a physical exercise program on patients with HF in compensatory phase in hospital context. Methods: A retrospective exploratory study was carried out in which twenty patients who performed a minimum of 3 sessions of the ERIC program participated. Vital signs, ECG monitoring and subjective effort perception (PSE) were assessed before and after each training session, as well as LCADL scale and exercise parameters (number of laps in the pedal, number of meters walked in the hall and number of steps). The study presented took place over a period of 3 months. Results: Patients (mean age of 64 years) had a positive variation in the performance parameters of the exercise, a negative variation in LCADL scale (29.9 to 20.9) and SPE after exercise (4.85 to 3.82), which means that they improve their functional capacity throughout the program. None of them presented adverse events or trained outside the safety heart rate interval (mean value of 11.2 bpm to 12.9bpm). Conclusions: The ERIC program demonstrates safety and improvement of the Functional Capacity of the patient, based on the statistical analysis of this sample. These results allow us to infer that exercise can be an effective resource for the adjuvant treatment of patients admitted with decompensated heart failure. However, further studies with larger samples and a randomized design are needed.https://rper.aper.pt/index.php/rper/article/view/88exerciseheart failuresafetyefficacyrehabilitation nursing
spellingShingle Bruno Delgado
Ivo Lopes
Eugénia Mendes
Bárbara Gomes
André Novo
Leonel Preto
NURSING EXERCISE IN PATIENTS ADMITTED BY RECENTLY DECOMPENSATED HEART FAILURE - THE ERIC PROGRAM
Revista Portuguesa de Enfermagem de Reabilitação
exercise
heart failure
safety
efficacy
rehabilitation nursing
title NURSING EXERCISE IN PATIENTS ADMITTED BY RECENTLY DECOMPENSATED HEART FAILURE - THE ERIC PROGRAM
title_full NURSING EXERCISE IN PATIENTS ADMITTED BY RECENTLY DECOMPENSATED HEART FAILURE - THE ERIC PROGRAM
title_fullStr NURSING EXERCISE IN PATIENTS ADMITTED BY RECENTLY DECOMPENSATED HEART FAILURE - THE ERIC PROGRAM
title_full_unstemmed NURSING EXERCISE IN PATIENTS ADMITTED BY RECENTLY DECOMPENSATED HEART FAILURE - THE ERIC PROGRAM
title_short NURSING EXERCISE IN PATIENTS ADMITTED BY RECENTLY DECOMPENSATED HEART FAILURE - THE ERIC PROGRAM
title_sort nursing exercise in patients admitted by recently decompensated heart failure the eric program
topic exercise
heart failure
safety
efficacy
rehabilitation nursing
url https://rper.aper.pt/index.php/rper/article/view/88
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