How Do Patients with Chronic Heart Failure Value Physical Activity and Exercise?

2.50
Hdl Handle:
http://hdl.handle.net/10755/304323
Category:
Abstract
Type:
Presentation
Title:
How Do Patients with Chronic Heart Failure Value Physical Activity and Exercise?
Author(s):
Patel, Harshida; Albert, Nancy M.; Börjesson, Mats
Lead Author STTI Affiliation:
Non-member
Author Details:
Harshida Patel, PhD, RN, Senior Lecturer, harshida.patel@gu.se; Nancy M. Albert, PhD, CCNS, CHFN, NE-BE, FAHA, FCCM; Mats Börjesson, FESC;
Abstract:

Session presented on: Tuesday, July 23, 2013

Purpose:  Regular physical activity (PA) and exercise (E) have beneficial effects in patients with CHF, but personal value remains largely unexplored and may explain non-adherence to activity. The purpose of the present study was to explore the values patients with chronic heart failure (CHF) place on PA/E.

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: for example, improved homodynamic, fitness, well-being, feeling healthier, and having more endurance and intellectual satisfaction, self-confidence, guilt avoidance, calmness and undefined sense of “feel good”.  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. Further research is needed to determine if interventions that alter personal value of PA/E improve adherence.

Learning objectives: To 1) understand subjective belief themes for participation level in PA/E by patients with CHF and 2) describe specific subjective views of patients, that may promote future interventions and research.

 Key words: Chronic heart failure; Physical activity; Exercise; Values; Adherence

Keywords:
Chronic heart failure; Physical activity and exercise; Values
Repository Posting Date:
22-Oct-2013
Date of Publication:
22-Oct-2013
Conference Date:
2013
Conference Name:
24th International Nursing Research Congress
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Prague, Czech Republic
Description:
24th International Nursing Research Congress Theme: Bridge the Gap Between Research and Practice Through Collaboration. Held at the Hilton Prague Hotel.
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission.

Full metadata record

DC FieldValue Language
dc.language.isoen_USen_GB
dc.type.categoryAbstracten_GB
dc.typePresentationen_GB
dc.titleHow Do Patients with Chronic Heart Failure Value Physical Activity and Exercise?en_GB
dc.contributor.authorPatel, Harshidaen_GB
dc.contributor.authorAlbert, Nancy M.en_GB
dc.contributor.authorBörjesson, Matsen_GB
dc.contributor.departmentNon-memberen_GB
dc.author.detailsHarshida Patel, PhD, RN, Senior Lecturer, harshida.patel@gu.se; Nancy M. Albert, PhD, CCNS, CHFN, NE-BE, FAHA, FCCM; Mats Börjesson, FESC;en_GB
dc.identifier.urihttp://hdl.handle.net/10755/304323-
dc.description.abstract<p>Session presented on: Tuesday, July 23, 2013</p><b>Purpose: </b> Regular physical activity (PA) and exercise (E) have beneficial effects in patients with CHF, but personal value remains largely unexplored and may explain non-adherence to activity. The purpose of the present study was to explore the values patients with chronic heart failure (CHF) place on PA/E. <p><b>Methods: </b>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. <p><b>Results: </b>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: for example, improved homodynamic, fitness, well-being, feeling healthier, and having more endurance and intellectual satisfaction, self-confidence, guilt avoidance, calmness and undefined sense of “feel good”.  Characteristics related to negative value of PA/E were uncertainty and fear, laziness and time consumption. <p> <b>Conclusion: </b> <span lang="EN-US">Values for PA/E were related to physiologic, social, functional and psychological domains and encompassed both positive and negative characteristics. Further research is needed to determine if interventions that alter personal value of PA/E improve adherence.</span><p>Learning objectives: To 1) understand subjective belief themes for participation level in PA/E by patients with CHF and 2) describe specific subjective views of patients, that may promote future interventions and research. <p> Key words: Chronic heart failure; Physical activity; Exercise; Values; Adherenceen_GB
dc.subjectChronic heart failureen_GB
dc.subjectPhysical activity and exerciseen_GB
dc.subjectValuesen_GB
dc.date.available2013-10-22T20:33:32Z-
dc.date.issued2013-10-22-
dc.date.accessioned2013-10-22T20:33:32Z-
dc.conference.date2013en_GB
dc.conference.name24th International Nursing Research Congressen_GB
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen_GB
dc.conference.locationPrague, Czech Republicen_GB
dc.description24th International Nursing Research Congress Theme: Bridge the Gap Between Research and Practice Through Collaboration. Held at the Hilton Prague Hotel.en_GB
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission.en_GB
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