Effects of exercise rehabilitation on the depression and anxiety state and quality of life in patients with chronic heart failure
10.3760/cma.j.issn.1674-6554.2018.07.010
- VernacularTitle: 运动康复对慢性心力衰竭患者抑郁焦虑状态及生活质量的影响
- Author:
Caiyun SHEN
1
;
Jiawei DI
2
;
Tiecheng WANG
3
Author Information
1. Department of Cardiology, Affiliated Hospital of Jining Medical University, Jining 272029, China
2. The First Clinical Medical College, Lanzhou University, Lanzhou 730000, China
3. Department of Cardiac Rehabilitation, Affiliated Hospital of Jining Medical University, Jining 272029, China
- Publication Type:Clinical Trail
- Keywords:
Exercise rehabilitation;
Chronic heart failure(CHF);
Quality of life;
Anxiety;
Depression
- From:
Chinese Journal of Behavioral Medicine and Brain Science
2018;27(7):628-632
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the effects of exercise rehabilitation on the depression and anxiety state and quality of life in patients with chronic heart failure.
Methods:400 cases of chronic heart failure patients were selected as the research objects.They were randomly divided into control group(n=200)and exercise rehabilitation group(n=200) by random number table.Two groups were given symptomatic treatment and routine care on a regular basis, and exercise rehabilitation group again on this foundation to give rehabilitation therapy for 3 weeks.Self-rating anxiety scale(SAS) and Self-rating depression scale(SDS)were used to score the anxiety and depression of the two groups before and after rehabilitation.The SF-36 was used to assess the quality of life of patients.Rehabilitation satisfaction questionnaire was used to investigate the satisfaction degree of rehabilitation.
Results:There was no significant difference in SAS and SDS scores between the two groups before intervention (P>0.05). After intervention, the SAS and SDS scores of the two groups were significantly lower than those before intervention (P<0.05). SAS and SDS scores in exercise rehabilitation group ((27.47±4.82)vs(45.63±5.61))were significantly lower than those in control group ((43.17±4.81) vs (59.61±4.18))(P<0.05). Before intervention, there was no significant difference in the scores of SF-36 scale between the two groups (P>0.05). After intervention, the scores of SF-36 scale were significantly increased in the two groups, and the difference was statistically significant compared with that before intervention (P<0.05). All the factors of SF-36 in exercise rehabilitation group were significantly higher than those in control group (mental health: (72.06±7.48)vs(64.34±7.01), emotional function: (81.06±7.01)vs(76.05±6.92), social function: (81.14±7.83)vs(71.26±7.65), overall health: (70.14±8.05)vs(61.26±7.95), energy: (74.56±7.81)vs(69.46±7.40), the body pain: (68.51±7.36)vs(60.26±7.51), physical limitations: (64.99±7.31)vs(59.62±7.53 ), physiological function: (69.71±7.63)vs(63.84±7.04), all P<0.05). The satisfaction of the exercise rehabilitation group (92.5%)was significantly higher than that of the control group(75.0%) (P<0.05).
Conclusion:Exercise rehabilitation training can not only improve the anxiety and depression of patients with chronic heart failure, but also effectively improve the quality of life of patients.Exercise rehabilitation training has a high degree of recognition, and is worthy of extensive application in clinical practice.
