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Relationship between physical capacity and depression in heart failure patients undergoing hybrid comprehensive telerehabilitation vs. usual care: subanalysis from the TELEREH-HF Randomized Clinical Trial.
- Source :
- European Journal of Cardiovascular Nursing; Aug2022, Vol. 21 Issue 6, p568-577, 10p
- Publication Year :
- 2022
-
Abstract
- Aims The hybrid comprehensive telerehabilitation (HCTR) consisting of telecare (with psychological telesupport), telerehabilitation, and remote monitoring of cardiovascular implantable electronic devices might be an option to improve both physical capacity and depressive symptoms. The aim of the study was to investigate the influence of HCTR on depressive symptoms and physical capacity in heart failure (HF) patients in comparison with usual care (UC). Methods and results The present analysis formed part of a multicentre, randomized trial that enrolled 850 HF patients (New York Heart Association I–III, left ventricular ejection fraction ≤ 40%). Patients were randomized 1:1 to HCTR or UC. Patients underwent an HCTR programme (1 week in hospital and 8 weeks at home; exercise training 5 times weekly) or UC with observation. The Beck Depression Inventory II (BDI-II) score (cut point for depression ≥ 14) was used to assess depression and the physical capacity was measured by peak oxygen consumption (peak VO<subscript>2</subscript>; mL/kg/min). Measurements were made before and after 9-week intervention/observation (HCTR/UC group). Both groups were comparable in terms of demographic and clinical characteristics. In HCTR group, at entry, 23% of the sample obtained BDI-II scores ≥14 vs. 27.5% in UC group. There were no significant differences between groups regarding ΔBDI-II score (P = 0.992) after 9-week HCTR/UC. There was a significant improvement in physical capacity only in the HCTR group in both patients with (P = 0.033) and without (P < 0.001) depression. Conclusions In HF patients, HCTR provided similar reduction of depressive symptoms as UC. HCTR resulted in a significant improvement in physical capacity in patients with and without depression. [ABSTRACT FROM AUTHOR]
- Subjects :
- TELEREHABILITATION
MEDICAL rehabilitation
EXERCISE tests
RESEARCH
OXYGEN consumption
CARDIOPULMONARY system
PHYSICAL fitness
PATIENTS
HEALTH surveys
TREATMENT effectiveness
FUNCTIONAL assessment
PSYCHOLOGICAL tests
RANDOMIZED controlled trials
PRE-tests & post-tests
T-test (Statistics)
PEARSON correlation (Statistics)
CARDIAC rehabilitation
MENTAL depression
RESEARCH funding
DESCRIPTIVE statistics
QUESTIONNAIRES
CHI-squared test
STATISTICAL sampling
CONTROL groups
DATA analysis software
HEART failure
LONGITUDINAL method
EVALUATION
Subjects
Details
- Language :
- English
- ISSN :
- 14745151
- Volume :
- 21
- Issue :
- 6
- Database :
- Complementary Index
- Journal :
- European Journal of Cardiovascular Nursing
- Publication Type :
- Academic Journal
- Accession number :
- 159661531
- Full Text :
- https://doi.org/10.1093/eurjcn/zvab125