#Activity intolerance nursing diagnosis verification

Ethical approval was given from the Regional Ethical Review Board in Linköping. All patients, recruited from four primary health care centres in one of the county councils participated in the intervention group and patients recruited from the other two county councils constituted the control group. 2 Methods 2.1 Study design and setting This study was conducted during 2006–2009 as a non-randomised 12-month prospective longitudinal and controlled clinical study of patients with CHF treated in primary care in three different Swedish county councils comparable in size and citizens in the catchment area. Accordingly, the aim of this study was to determine the effects on physical capacity and HRQoL of an exercise programme in elderly patients with CHF in primary care. Nevertheless, little research concerning the management in this setting has been conducted and no study has, to our knowledge, been published regarding exercise in primary care. Most patients with CHF receive care and long-term follow-up in primary care and the demands of expanded service in primary care have increased since the number of individuals living with CHF is rising. Inconclusive results have been shown with beneficial effect of distance walked and HRQoL or neutral effect of distance walked and HRQoL. Scientific literature in home-based exercise (mostly arranged from hospital) has increased during the last decade. However, only a small proportion of patients with CHF participate in exercise and one reason of this is lack of access to hospital-based exercise. The general public believes that exertion should be avoided when having CHF, but research shows that exercise is beneficial and safe for the patient.

In chronic disease, ADL is important, especially in the case of frail, older patients in whom prolongation of life may not always be the primary aim of therapy. The strain from physical activity increases as NYHA-class advances or CHF severity progresses. Further, increased effort and reduced ability to perform activities of daily living (ADL) is described in patients with CHF. Physical impairment negatively impacts health-related quality of life (HRQoL) and the activities of importance in life. It has a large impact on physical capacity since exercise capacity in patients with CHF is approximately 50–75% of normal age and gender predicted values. Chronic heart failure, Elderly, Exercise, Health-related quality of life, Physical fitness, Primary care 1 Introduction Chronic heart failure (CHF) is a condition with poor prognosis and a four year mortality of 50%.

#Activity intolerance nursing diagnosis verification

However, the minor effects in HRQoL need further verification in a study with a larger study population. The combination of endurance exercise and resistance training has positive effects on physical capacity. Conclusion: This study shows that exercise conducted in groups in primary care and in the patients' homes could be used in elderly patients with CHF. HRQoL measured by EQ5D-VAS significantly improved in the intervention group at 3 and 12 months (p = 0.016 and p = 0.034) and SF-36, general health (p = 0.048) and physical component scale (p = 0.026) significantly improved at 3 months compared to the control group. Six minute walk test improved in the intervention group at 3 months (p = 0.013) compared to the control group.

Results: Exercise significantly improved muscle endurance in the intervention group (n = 29, mean age 76.2 years) compared to the control group (n = 31, mean age 74.4 years) at all follow-ups except for shoulder flexion right at 12 months (shoulder abduction p = 0.006, p = 0.048, p = 0.029 shoulder flexion right p = 0.002, p = 0.032, p = 0.585 shoulder flexion left p = 0.000, p = 0.046, p = 0.004). Follow-up on physical capacity and HRQoL was done at 3, 6 and 12 months. Endurance exercise and resistance training were conducted as group-training at the primary care centre and as home training. Methods: An exercise intervention was conducted as a prospective, longitudinal and controlled clinical study in primary care in elderly patients with CHF. Aim: The aim was to determine the effects on physical capacity and HRQoL of an exercise programme in elderly patients with CHF in primary care. Pihl, Emma Cider, Åsa Strömberg, Anna Fridlund, Bengt Mårtensson, JanĪbstract Introduction: Chronic heart failure (CHF) limits exercise capacity which influences physical fitness and health-related quality of life (HRQoL). Exercise in Elderly Patients with Chronic Heart Failure in Primary Care: Effects on Physical Capacity and Health-Related Quality of Life Exercise in Elderly Patients with Chronic Heart Failure in Primary Care: Effects on Physical.