transparent gif


Ej inloggad.

Göteborgs universitets publikationer

Physical activity and exercise in chronic heart failure: Patients voice

Författare och institution:
Harshida Patel (Institutionen för vårdvetenskap och hälsa)
Publicerad i:
STTI conference abstract book, s. p.99
Konferensbidrag, refereegranskat
Sammanfattning (abstract):
Background: Regular physical activity (PA) and exercise (E) are recommended in patients with chronic heart failure (CHF). In earlier studies, PA/E was under-utilized as a treatment expectation. The personal component of PA/E adherence remains largely unexplored and may explain non-adherence to expectations. Aim: The purpose of the study was to explore the values patients with CHF place on PA/E as a means of identifying possible targets of improvement and intervention. Methods: This study is a part of mixed method study exploring predictors of PA/E in ambulatory patients with CHF. Semi-structured interviews were completed in 90 patients; 59% male; mean age (SD) 71(11, 8) years; CHF duration 40 (50) months. The New York Heart Association functional class distribution was I (26%), II (42%) and III (32%). NViVo 9,0 software was used to assist in the qualitative analysis process to identify codes and categories. Values were defined as deeply held beliefs used to assess and justify participation in PA/E. Results: Ambulatory patients with stable CHF assigned dignity and independence as the main positive values of PA/E. Other positive PA/E values that emerged were related to physiological, social, functional and psychological factors and included improved hemodynamics, fitness, well-being, health, endurance, intellectual satisfaction, self-confidence, calmness and undefined sense of “feeling good”, plus guilt avoidance. Characteristics related to negative value of PA/E were uncertainty and fear, laziness and time consumption. Conclusion: Values for PA/E were related to physiologic, social, functional and psychological domains and encompassed both positive and negative characteristics. The present study identifies several potential areas for intervention, regarding patients’ beliefs, knowledge and values. Further research is needed to determine if interventions that alter personal value of PA/E improve adherence.
Ämne (baseras på Högskoleverkets indelning av forskningsämnen):
Hälsovetenskaper ->
Postens nummer:
Posten skapad:
2015-10-26 09:51

Visa i Endnote-format

Göteborgs universitet • Tel. 031-786 0000
© Göteborgs universitet 2007